Emotional distress and adherence to self-care activities in older adults with diabetes mellitus

Keywords: Aged; Diabetes Mellitus; Psychological Distress; Self Care; Treatment Adherence and Compliance.

Abstract

Objective: to assess emotional distress and adherence to self-care activities in older adults with diabetes mellitus. Methods: cross-sectional study conducted with 75 elderly diabetics and using the instruments Problem Areas in Diabetes (Brazilian version) and Diabetes Self-Care Activity Questionnaire. For data analysis, descriptive statistics and the calculation of mean differences between groups using the Mann-Whitney test were used. Results: the elderly showed low emotional distress (mean score=29.86). Regarding self-care, lower adherence to blood glucose assessment and higher adherence to medication use according to recommendations. When comparing the groups, the elderly with severe emotional distress showed less adherence to the dimensions specific food (p=0.008) and foot care (p=0.014). Conclusion: most of the elderly showed low emotional distress and unsatisfactory adherence to diabetes self-care related to the dimensions specific diet, and foot care stood out among the elderly with severe emotional distress. Contributions to practice: to foster the process of comprehensive care to the elderly with diabetes mellitus, contributing to the clinical management and promotion of their emotional well-being, therapeutic adherence, self-care - especially - of specific feeding, foot care and quality of life.


References

Vicente MC, Silva CRR, Pimenta CJL, Frazão MCLO, Costa TF, Costa KNFM. Resilience and self-care of elderly people with diabetes mellitus. Rev Rene. 2019;20(1):e33947. doi: https://doi.org/10.15253/2175-6783.20192033947

Marques MB, Coutinho JFV, Martins MC, Lopes MVO, Maia JC, Silva MJ. Educational intervention to promote self-care in older adults with diabetes mellitus. Rev Esc Enferm USP. 2019;53:1-8. doi: http://doi.org/10.1590/S1980-220X2018026703517

Vietta GG, Volpato G, Kretzer MR, Gama FO, Nazário NO, Pereira E. Impact of knowledge attitudes, without suffering and quality of life of the diabetic patient. ACM Arq Catarin Med [Internet]. 2019 [cited Aug 12, 2021];48(4):51-61. Available from: http://www.acm.org.br/acm/seer/index.php/arquivos/article/view/520/376

Cachioni M, Delfino LL, Yassuda MS, Batistoni SST, Melo RC, Domingues MARC. Subjective and psychological well-being among elderly participants of a University of the Third Age. Rev Bras Geriatr Gerontol. 2017;20(3):340-52. doi: https://doi.org/10.1590/1981-22562017020.160179

Goes JA, Rodrigues KF, Avila AC, Geisler A, Maieski A, Nunes CRO, et al. Frequência de sofrimento emocional é elevada em pessoas com diabetes assistidas na atenção primária. Rev Bras Med Fam Comunidade [Internet]. 2020 [cited Aug 10, 2021];15(42):1-12. Available from: https://rbmfc.org.br/rbmfc/article/view/2078/1520

Reis P, Arruda GO, Nass EMA, Ratuchnei ES, Haddad MCFL, Marcon SS. Self-care and perception of the diabetes treatment by people using insulin. Rev Enferm UFSM. 2020;10(1):1-20. doi: http://doi.org/10.5902/2179769239880

Boell JEW, Silva DMGV, Guanilo MEE, Hegadoren K, Meirelles BHS, Suplici SR. Resilience and self-care in people with diabetes mellitus. Texto Contexto Enferm. 2020;29(1):e20180105. doi: https://doi.org/10.1590/1980-265X-TCE-2018-0105

Gross CC, Scain SF, Scheffel R, Gross JL, Hutz CS. Brazilian version of the Problem Areas in Diabetes Scale (B-PAID): Validation and identification of individuals at high risk for emotional distress. Diabetes Res Clin Pract. 2007;76(3):455-9. doi: https://doi.org/10.1016/j.diabres.2006.09.022

Snoek FJ, Kersch NYA, Eldrup E, Harman-Boehm I, Hermanns N, Kokoszka A, et al. Monitoring of Individual Needs in Diabetes (MIND): Baseline Data From the Cross-National Diabetes Attitudes, Wishes, and Needs (DAWN) MIND Study. Diabetes Care. 2011;34(3):601-3. doi: https://doi.org/10.2337/dc10-1552

Michels MJ, Coral MHC, Sakae TM, Damas TB, Furlanetto LM. Questionário de Atividades de Autocuidado com o Diabetes: tradução, adaptação e avaliação das propriedades psicométricas. Arq Bras Endocrinol Metab [Internet]. 2010 [cited Aug 11, 2021];7(54):644-51. Available from: https://www.aem-sbem.com/media/uploads/09_10357_ABEM_547.pdf

Kuniss N, Rechtacek T, Kloos C, Muller UA, Roth J, Burghardt K, et al. Diabetes-related burden and distress in people with diabetes mellitus at primary care level in Germany. Acta Diabtelogica. 2017;54(5):471-8. doi: https://doi.org/10.1007/s00592-017-0972-3

Maeyama MA, Pollheim LCF, Wippel M, Machado C, Veiga MV. Aspectos relacionados à dificuldade do controle glicêmico em pacientes com Diabetes Mellitus tipo 2 na Atenção Básica. Braz J Dev. 2020;6(7):47352-69. doi: https://doi.org/10.34117/bjdv6n7-391

Santos AL, Marcon SS, Teston EF, Back IR, Lino IGT, Batista VC, et al. Adherence to the treatment of Diabetes mellitus and relationship with assistance in primary care. Rev Min Enferm. 2020;24:e-1279. doi:http://www.dx.doi.org/10.5935/1415-2762.20200008

Luz GOA, Alves DDA, Costa HKS, Silva Filho JC, Stratman PF, Souza MAO, et al. Association between functional health literacy and self-care with diabetes mellitus. Cogitare Enferm. 2019;24:e66452. doi: http://dx.doi.org/10.5380/ce.v24i0.66452

Laurel A, Bonnie J. Making sense of blood glucose data and self-management in individuals with type 2 diabetes mellitus: a qualitative study. J Clin Nurs. 2020;29(1):2572-88. doi: https://doi.org/10.1111/jocn.15280

Ribeiro AQ, Salgado SML, Gomes IS, Fogal AS, Martinho KO, Almeida LFF, et al. Prevalence and factors associated with physical inactivity among the elderly: a population-based study. Rev Bras Geriatr Gerontol. 2016;19(3):483-93. doi: https://doi.org/10.1590/1809-98232016019.150047

Morais HCC, Costa ADB, Oliveira JB, Ribeiro TF, Santos DB, Barros IM, et al. Emotional suffering related to type 2 diabetes mellitus: analysis in primary health care. Cienc Cuid Saúde. 2020;19:e50372. doi: https://doi.org/10.4025/ciencuidsaude.v19i0.50372

Costa FG, Coutinho MPL, Cipriano JPS, Araújo JMG, Carvalho AF, Patrício JM. Representações sociais sobre diabetes mellitus e tratamento: uma pesquisa psicossociológica. Rev Psicol IMED. 2018;10(2)36-53. doi: http://dx.doi.org/10.18256/2175-5027.2018.v10i2.2865

Vileikyte L, Pouwer F, Gonzalez JS. Psychosocial research in the diabetic foot: Are we making progress? Diabetes Metab Res Rev. 2019; 36(1):1-5. doi: https://doi.org/10.1002/dmrr.3257

Ramirez-Perdomo C, Perdomo-Romero A, Rodríguez-Vélez M. Knowledge and practices for the prevention of the diabetic foot. Rev Gaúcha Enferm. 2019; 40:e20180161. doi: https://dx.doi.org/10.1590/1983-1447.2019.20180161

Published
2022-06-03
How to Cite
Costa, P. de A., Oliveira Neta, M. S. de, Azevedo, T. F. de, Cavalcanti, L. T., Rocha, S. R. de S., & Nogueira, M. F. (2022). Emotional distress and adherence to self-care activities in older adults with diabetes mellitus. Rev Rene, 23, e72264. https://doi.org/10.15253/2175-6783.20222372264
Section
Research Article