Adolescent with type 1 diabetes mellitus: Contribution to health education for safe discharge

Authors

DOI:

https://doi.org/10.21527/2176-7114.2026.51.16479

Keywords:

Health Services Research, Type 1 Diabetes Mellitus, Play and Playthings, Patient Discharge, Health Education

Abstract

Objective: To contribute, through health education, to a safe hospital discharge for adolescents diagnosed with Diabetes Mellitus. Method: Action research was employed as the research method, conducted with the target population of adolescents with Diabetes Mellitus. The study setting was a public hospital in the Federal District, Brazil, and it was carried out between October 2022 and May 2023. Health technology tools were used, including a Comic Book, a Memory Game, and a Standard Operating Procedure, which were presented to the adolescent and a family member during a health education session supported by therapeutic play. Participant observation was conducted using a field diary, along with a questionnaire to collect the adolescent’s sociodemographic and clinical data. The narrative description of the analysis was developed in light of the theoretical framework. Results: The technological tools were identified as useful and appropriate during the session with a 13-year-old adolescent living in the Federal District, accompanied by her mother. The tools were well accepted, and learning was strengthened, contributing to a safer hospital discharge process. Conclusion: The intervention expanded the range of options available to health professionals, focusing on the implementation of safe discharge practices and the use of care tools directed at the target population, with the potential to broaden their applicability to other age groups and study settings.

References

1. Sociedade Brasileira de Diabetes. Diretrizes Sociedade Brasileira de Diabetes 2019-2020. São Paulo: Editora Clannad; 2020. 455p. Disponível em: http://www.saude.ba.gov.br/wp-content/uploads/2020/02/Diretrizes-Sociedade-Brasileira-de-Diabetes-2019-2020.pdf

2. Anjos SS, Campos LM, Martins G, Pacheco APF, De Morais RDCM. Educação em saúde no manejo de crianças e adolescentes acometidos com Diabetes Mellitus Tipo 1. Research, Society and Development [Internet]; 2022[cited 2023 Mar 13]; 11(8): e4211830549. Available from: http://dx.doi.org/10.33448/rsd-v11i8.30549

3. Sousa CS, Costa BB, Santana GAS, Miguel JVF, Souza BL, Lima LN et al. O brinquedo terapêutico e o impacto na hospitalização da criança: revisão de escopo. Rev Soc Bras Enferm Ped [Internet].2021[cited 2023 Aug 02]; 21(2):173-80. Disponível em: http://dx.doi.org/10.31508/1676-379320210024

4. Alves LRB, Moura AS, Melo MC, Moura FC, Brito PD, Moura LC. The hospitalized child and ludicity. REME [Internet]. 2019[cited 2020 Jan 02];23:e-1193. Available from: http://dx.doi.org/10.5935/1415-2762.20190041

5. Sousa CS, Barreto BC, Santana GA, Miguel JV, Braz LS, Lima LN, et al. O brinquedo terapêutico e o impacto na hospitalização da criança: revisão de escopo. Rev Soc Bras Enferm Ped. [Internet]. 2021[cited 2023 Mar 14];21(2):159. Available from: http://dx.doi.org/10.31508/1676-379320210000

6. Nóbrega VMD, Viera CS, Fernandes LTB, Collet N. Preparo para alta de crianças com doenças crônicas: olhar freiriano em aspectos influenciadores do cuidado no domicílio. Interface (Botucatu) [Internet]. 2022[cited 2023 Mar 14];26. Available from: https://doi.org/10.1590/interface.210666

7. Grittem L, Meier MJ, Zagonel IPS. Pesquisa-ação: uma alternativa metodológica para pesquisa em enfermagem. Texto Contexto Enferm [Internet]. 2008 [acesso 2020 Jul 25];17(4):765-70. https://doi.org/10.1590/S0104-07072008000400019

8. Lopes JMC, organizador. Manual de assistência domiciliar na atenção primária à saúde [Internet]. Brasília: Ministério da Saúde (BR). Secretaria de Políticas de Saúde, Porto Alegre: Serviço de Saúde Comunitária do Grupo Hospitalar Conceição; 2003 [cited 2015 Apr 18]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/Manual_Cuidadores_Profissionais.pdf

9. Freitas KKA, Santos PUA, Melo MC, Moura AS, Boeckmann LMM, Dutra LMA. Autorelato da criança e adolescente no seu cotidiano com a diabetes mellitus: estudo narrativo. Em Foco[Internet]. 2020[cited 2023 Jan 30]; 11(3):187-94. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/view/2730/905

10. Ribeiro ALT, Araujo EF, Pinho IVOS, Melo MC, Abreu VJ, Nascimento ETS, Dutra LMA, Queiroz CC. Elaboração de tecnologia educacional sobre educação em saúde para crianças com Diabetes Mellitus tipo 1. Foco[Internet]. 2020[cited 2023 Jan 30];11(6):185-91. Available from:: https://doi.org/10.21675/2357-707X.2020.v11.n6.3915

11. Ribeiro ALT, Araujo EF, Pinho IVOS, Melo MC, Martins RGG, Lara CCQ. Evaluation of educational technology for children with type I diabetes mellitus: methodological study. Escola Anna Nery[Internet]. 2021[cited 2023 Jan 30];25(5):e20200282. Available from: https://doi.org/10.1590/2177-9465-EAN-2020-0282

12. Dutra ARB, Alves LO, Avendano RMO, Melo MC. Validation of educational-therapeutic technologyapplied to children with Type 1 Diabetes Mellitus: institutional standard protoco. Revista de Enfermagem da UFSM [Internet]. 2023 [cited 2023 Dez 13]; 13:e39. Available from: https://doi.org/10.5902/2179769283825

13. Sousa CS, Barreto BC, Santana GAS, Miguel JVF, Braz LS, Lima LN, Melo MC. O brinquedo terapeutico e o impacto na hospitalização da criança: revisão de escopo. Revista da Sociedade Brasileira de Enfermeiros Pediatras [Internet], 2021 [cited 2023 Dez 13]; 21:173-180, 2021. Disponível em: 10.31508/1676-379320210024

14. Kroeff RF, Gavillon PQ, Ramm LV. Diário de Campo e a relação do(a) pesquisador(a) com o campo tema na pesquisa-intervenção. Estud Psicol [Internet]. 2020 [acesso 2022 Ago 25];20(2):464-80. Disponível em: http://doi.org/10.12957/epp.2020.52579

15. Toledano N, Anderson AR. Theoretical reflections on narrative in action research. Action Research [Internet]. 2020[cited 2020 Jan 02];18(3):302-18.

16. Vargas D, Barbaresco AC, Steiner O, Silva CRLD. A Psychoanalytic approach at children and Adolescents with Diabetes Mellitus Type 1 and its Family. Rev Psicologia Saúde[Internet]. 2020[cited 2020 Jan 02];12(1):87-100. Available from: http://dx.doi.org/10.20435/pssa.v12i1.858

17. Januário JKC, Farias MB, Souza BIG, Vieira ACS, Rego M C, Voss FF et al. Perception of nursing team about the therapeutic toy in pediatric hospitalization. Research, Society and Development [Internet].2021 [cited 2023 Aug 02]; 10(5). Available from: https://doi.org/10.33448/rsd-v10i5.15216

18. Zanetoni TC, Cucolo DF, Perroca MG. Responsible hospital discharge: content validation of nurse’s activitie. Rev gaúcha enferm[Internet].2022[cited 2023 May 23];43:e2021004. Available from: https://doi.org/10.1590/1983-1447.2022.20210044.pt

19. Aranha BF, Souza MAD, Pedroso GER, Maia EBS, Melo LDL. Using the instructional therapeutic play during admission of children to hospital: the perception of the family. Rev gaúcha enferm[Internet].2020[cited 2023 May 23];41:e20180413. Available from: https://doi.org/10.1590/1983-1447.2020.20180413

20. Gonçalves Bradley DC, Lannin NA, Clemson L, Cameron ID, Shepperd, S. Discharge planning from hospital. Cochrane database of systematic reviews [Internet]. 2022 [cited 2023 Jun 23]; n. 2. Available from: https://doi.org/10.1002/14651858.CD000313.pub6

21.He, H-G., Zhu, L., Chan, S.W., Klainin-Yobas, P., & Wang, W. (2020). Play Therapy as an Intervention in Hospitalized Children: A Systematic Review. Healthcare, 8(3), 239. DOI: 10.3390/healthcare8030239.

22.Gjærde, L.K., Hybschmann, J., Dybdal, D., Topperzer, M.K., Schrøder, M.A., Gibson, J.L., Ramchandani, P., Ginsberg, E.I., Ottesen, B., Frandsen, T.L., & Sørensen, J.L. (2021). Play interventions for paediatric patients in hospital: a scoping review. BMJ Open, 11(7), e051957. DOI: 10.1136/bmjopen-2021-051957.

Published

2026-03-09

How to Cite

da Silva, L. V., Cardoso, B. da S., Ferreira, F. A., de Oliveira, A. C. S., Dutra, L. M. A., & Melo, M. C. (2026). Adolescent with type 1 diabetes mellitus: Contribution to health education for safe discharge. Revista Contexto & Saúde, 26(51), e16479. https://doi.org/10.21527/2176-7114.2026.51.16479

Issue

Section

ORIGINAL ARTICLE