Estudo transversal com os objetivos de determinar a capacidade de autocuidado de pessoas com diabetes mellitus tipo 2 e relacionar tal capacidade com variáveis sociodemográficas e clínicas. Participaram 251 pessoas que ingressaram no Serviço de Urgência do Hospital Regional Mérida, em Yucatán, México, em 2006. Os dados foram obtidos mediante entrevista domiciliar dirigida, utilizando-se formulário, questionário e a Escala de Capacidade Autocuidado. Para a análise, utilizou-se a estatística descritiva e correlacional. Os resultados mostraram que 83 (33,5%) dos sujeitos apresentaram boa capacidade de autocuidado e 168 (66,5%), capacidade regular. Obteve-se correlação diretamente proporcional entre capacidade de autocuidado e anos de estudo (r=0,124; p<0,05), mas negativa para religião (rs=-0,435; p<0,05) e tempo de evolução da doença (r=-0,667; p<0,05). Para a promoção do autocuidado em pessoas com diabetes faz-se necessário considerar essas variáveis, bem como desenvolver novos estudos que enfoquem outras variáveis envolvidas no comportamento adotado em benefício da saúde.
This study examines the self-care ability of type 2 diabetes mellitus patients and relates it to sociodemographic and clinical variables. The study included 251 patients who were cared for by an emergency service in Mexico, in 2007. Data were obtained through structured interviews held at participants' households, through a form, a questionnaire and the Self-Care Ability Scale.Descriptive and correlation statistics were used for data analysis. The results show that 83 (33.5%) individuals displayed good self-care ability and 168 (66.5%) individuals displayed regular ability.A directly proportional correlation was found between self-care ability and schooling (r=0.124; p<0.05), as well as a negative correlation for religion (rs=-0.435; p<0.05) and duration of disease evolution (r=-0.667; p<0.05). The conclusion is that most of the individuals with type 2 diabetes mellitus displayed regular ability for self-care. Self-care ability is related to multiple variables that should be taken into account by health professionals when suggesting educational programs. capacidade regular. Obteve-se correlação diretamente proporcional entre capacidade de autocuidado e anos de estudo (r=0,124; p<0,05) e negativa para religião (rs=-0,435; p<0,05) e tempo de evolução da doença (r=-0,667; p<0,05). Conclui-se que a maioria das pessoas com diabetes mellitus tipo 2 apresentou capacidade de autocuidado regular. DescriptorsA capacidade de autocuidado está vinculada a múltiplas variáveis, que merecem atenção dos profissionais de saúde quando da proposição de programas de educação.Descritores: Autocuidado; Diabetes Mellitus; Enfermagem; Serviços de Saúde. Autocuidado de personas con Diabetes Mellitus atendidas en un servicio de urgencia en MéxicoEste estudio tuvo por objetivos determinar la capacidad de autocuidado de personas con Se obtuvo una correlación directamente proporcional entre capacidad de autocuidado y años de estudio (r=0,124; p<0,05) y una correlación negativa con la religión (rs=-0,435; p<0,05) y tiempo de evolución de la enfermedad (r=-0,667; p<0,05). Se concluye que la mayoría de las personas con diabetes mellitus tipo 2 presentó una capacidad de autocuidado regular. La capacidad de autocuidado está vinculada a múltiples variables, que merecen atención de los profesionales de salud cuando se realiza la proposición de programas de educación.
Predictions of two models were compared. The models relate ovulation rate (OR) and prenatal survival (PS) to litter size (LS): the uterine capacity model (UCM), where maximum LS is limited by uterine capacity (UC), and the threshold model (TM) whereby PS is modelled as a binary threshold trait. Records were simulated according to both models using statistics from Trench Large White gilts. Both models were able to reproduce closely the observed curvilinear relationship between OR and LS, with LS reaching a plateau at high OR. Several genetic correlations (p g ) fulfilling the conditions h 2 0R = 0-34 and h 2 LS = 0-12 (the residual maximum likelihood estimates in the population) were studied by means of stochastic computer simulation. The genetic correlation between OR and LS was very sensitive to changes in h 2 uc , whereas p gLS PS was always positive, and p gOR PS was always negative. The correlation between PS and UC was larger than 0-90, except for very small \\ 2 U c-This suggests that genes affecting PS have a strong influence on UC and that PS can be a good indirect criterion to select for UC. Both models predicted that the advantage of an index combining OR and LS with respect to direct selection on LS diminishes in successive generations of selection and that the size of the experiment needed to detect significant differences is verylarge. Records were also simulated by halving the mean and variance of UC, so as to mimic unilateral hysterectomy-ovariectomy (UHO). If the UHO treatment results in halving UC, LS of UHO females should behave very much as half the UC of intact females.
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