Factors related to negative self-care adherence in individuals with diabetes mellitus
DOI:
https://doi.org/10.15253/2175-6783.20212270902Keywords:
Diabetes Mellitus; Diabetes Complications; Self Care; Nursing; Medication Adherence; Patient Compliance.Abstract
Objective: to detect factors related to negative adherence to self-care in individuals with diabetes mellitus. Methods: observational, cross-sectional, analytical, and exploratory study, conducted with individuals diagnosed with type 2 diabetes mellitus and followed-up by the Family Health Strategy. The sample consisted of 250 participants. The Summary of Diabetes Self-Care Activities Questionnaire was used for self-care assessment. Association tests, prevalence ratio and Poisson regression with robust variance were performed in the analysis. Results: negative attitudes related to self-care increased by 21% for single/divorced/widowed, 20% for retired, 54% for those who did not diet, 28% for those who did not practice physical activity, 24% for hypertensive, 30% for those with dyslipidemia, and 44% for those with retinopathy. Conclusion: socioeconomic factors, behavioral factors, presence of comorbidities and complications related to diabetes mellitus were related to negative adherence to self-care.
References
Eid LP, Leopoldino SAD, Oller GASAO, Pompeo DA, Martins MA, Gueroni LPB. Factors related to self-care activities of patients with type 2 diabetes mellitus. Esc Anna Nery. 2018; 22(4):e20180046. doi:https://dx.doi.org/10.1590/2177-9465-EAN-2018-0046
Cheema S, Maiosonneuve P, Zirie M, Jayyouse A, Alrouh H, Abraham A, et al. Risk factors for microvascular complications of diabetes in a high-risk middle east population. J Diabetes Res. 2018; 2018:8964027. doi: https://dx.doi.org/10.1155/2018/8964027
Tanaka H, Ihana-Sugiyama N, Sugiyama T, Ohsugi M. Contribution of diabetes to the incidence and prevalence of comorbid conditions (cancer, periodontal disease, fracture, impaired cognitive function, and depression): a systematic review of epidemiological studies in Japanese populations. J Epidemiol. 2019; 29(1):1-10. doi: https://dx.doi.org/10.2188/jea.JE20170155
Silva JA, Amorim KPC, Valença CN, Souza ECF. Experiences, needs and expectations of people with diabetes mellitus. Rev Bioét. 2018; 26(1):95-101. doi: https://dx.doi.org/10.1590/1983-80422018261230
Saad AMJ, Younes ZMH, Ahmed H, Brown JA, Owesie RMA, Hassoun AAK. Self-efficacy, self-care and glycemic control in Saudi Arabian patients with type 2 diabetes mellitus: a cross-sectional survey. Diabetes Res Clin Pract. 2018; 137:28-36. doi: https://dx.doi.org/10.1016/j.diabres.2017.12.014
Salci MA, Meirelles BHS, Silva DMGV. Primary care for diabetes mellitus patients from the perspective of the care model for chronic conditions. Rev Latino-Am Enfermagem. 2017; 25:e2882. doi: https://dx.doi.org/10.1590/1518-8345.1474.2882
Gama CAP, Guimarães DA, Rocha GNG. Diabetes Mellitus e atenção primária: percepção dos profissionais sobre os problemas relacionados ao cuidado oferecido às pessoas com diabetes. Rev Pesq Prat Psicossociais [Internet]. 2017 [cited Apr 29, 2021]; 12(3):e1398. Available from: http://www.seer.ufsj.edu.br/index.php/revista_ppp/article/view/2618
Michels MJ, Coral MHC, Sakae TM, Damas TB, Furianetto LM. Questionnaire of diabetes self-care activities: translation, cross-cultural adaptation and evaluation of psyczhometric properties. Arq Bras Endocrinol Metab. 2010; 54(7):644-51. doi: https://dx.doi.org/10.1590/S0004-27302010000700009
Veras RP, Oliveira M. Aging in Brazil: the building of a healthcare model. Ciênc Saúde Coletiva. 2018; 23(8):1929-36. doi: http://dx.doi.org/10.1590/1413-81232018236.04722018
Santos GM, Sousa PVL, Barros NVA. Epidemiolo- gical profile of diabetic seniors registered in the hiperdia program in the state of Piauí, Brasil. Rev Atenç Saúde. 2018; 16(56):48-53. doi: https://dx.doi.org/10.13037/ras.vol16n56.5090
Escolar-Pujolar A, Donã JAC, Julían IG, Rodríguez GJ, Sánchez VS, Sánchez EM, et al. The effect of marital status on social and gender inequalities in diabetes mortality in Andalusia. Endocrinol Diabetes Nutr. 2018; 65(1):21-9. doi: https://dx.doi.org/10.1016/j.endien.2017.10.012
Trevizani FA, Doreto DT, Lima GS, Marques S. Self-care activities, sociodemographic variables, treatment and depressive symptoms among older adults with Diabetes Mellitus. Rev Bras Enferm. 2019; 72(Sup. 2):27-34. doi: https://dx.doi.org/10.1590/0034-7167-2017-0579
Vianna MS, Silva, PAB, Nascimento CV, Soares SM. Self-care competence in the administration of insulin in older people aged 70 or over. Rev Latino-Am Enfermagem. 2017; 27:e2943. doi: http://dx.doi.org/10.1590/1518-8345.2080.2943
Lobato BC, Teixeira CRS, Zago MMF, Zanetti ML, Carreta RYD, Santana CS. Significados da atenção à saúde do trabalhador com diabetes atribuídos pelos adoecidos e profissionais de saúde. Investig Enferm. 2017; 19(2):177-94. doi: https://dx.doi.org/10.11144/Javeriana.ie19-2.sast
Sookyung C, Hyung KS. Influences of patient activation on diabetes self-care activities and diabetes-specific distress. Korean J Adult Nurs. 2020; 32(01):10-20. doi: https://dx.doi.org/10.7475/kjan.2020.32.1.10
Vicente MC, Silva CRR, Pimenta CJL, Frazao MCLO, Costa TF, Costa KNFM. Resilience and self-care of elderly people with diabetes mellitus. Rev Rene. 2019; 20:e33947. doi: https://dx.doi.org/10.15253/2175-6783.20192033947
Orozco LB, Alves SHS. Diferenças do autocuidado entre pacientes com diabetes mellitus tipo 1 e 2. Psicol Saúde Doenças. 2017; 18(1):234-47. doi: http://dx.doi.org/10.15309/17psd180119
Yang J, Zhang Z, Zhang L, Su Y, Sun Y, Wang Q. Relationship between self-care behavior and cognitive function in hospitalized adult patients with type 2 diabetes: a cross-sectional study. Diabetes Metab Syndr Obes. 2020; 13:207-14. doi: http://dx.doi.org/10.2147/DMSO.S236966
Visentin A, Mantovani MF, Caveião C, Hey AP, Scheneider EP, Paulino V. Self-care of users with type 1 diabetes in a basic health unit. Rev Enferm UFPE online [Internet]. 2016 [cited Apr 13, 2021]; 10(3):991-8. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11050/12460
Bernandes GM, Mambrini JVM, Lima-Costa MF, Peixoto SV. Multimorbidity profile associated with disability among the elderly living in the metropolitan region of Belo Horizonte, Brazil. Ciênc Saúde Coletiva. 2019; 24(5):1853-64. doi: http://dx.doi.org/10.1590/1413-81232018245.17192017
