Fatores relacionados com a adesão negativa ao autocuidado em indivíduos com diabetes mellitus

• Autores: Álef Lucas Dantas de Araújo Silva, Cayane Maria da Silva Santos, Maria Verônica Gomes de Oliveira, Waleska de Brito Nunes, Matheus Figueiredo Nogueira, Marta Miriam Lopes Costa, Lidiane Lima de Andrade
• Localización: Rev Rene, ISSN-e 2175-6783, Vol. 22, Nº. 1, 2021
• Idioma: portugués
• DOI: 10.15253/2175-6783.20212270902
• Títulos paralelos:
  • Factors related to negative self-care adherence in individuals with diabetes mellitus
• Enlaces
  • Texto completo (pdf)
• Resumen
  • English

    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.

  • português

    Objetivo: detectar os fatores relacionados com a adesão negativa ao autocuidado em indivíduos com diabetes mellitus. Métodos: estudo observacional, transversal, analítico e exploratório, realizado com indivíduos diagnosticados com diabetes mellitus tipo 2 e acompanhados pela Estratégia Saúde da Família. A amostra foi composta de 250 participantes. Foi utilizado o Summary of Diabetes Self-Care Activities Questionnaire para avaliação do autocuidado. Na análise realizaram-se testes de associação, razão de prevalência e regressão de Poisson com variância robusta. Resultados: as atitudes negativas relacionadas com o autocuidado aumentaram em 21% para solteiros/divorciados/viúvos, 20% para aposentados, 54% para quem não fazia dieta, 28% para quem não praticava atividade física, 24% para hipertensos, 30% para quem tinha dislipidemia e 44% para quem tinha retinopatia. Conclusão: fatores socioeconômicos, comportamentais, presença de comorbidades e complicações relacionadas com o diabetes mellitus estiveram relacionados com a adesão negativa ao autocuidado.

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