Self-care among people with Diabetes Mellitus and quality of care in Primary Health Care

Abstract

Objectives: to verify the adherence to self-care activities among people with diabetes mellitus and its association with quality of care received in Primary Care. Methods: a cross-sectional study with 329 people with diabetes assisted in Primary Care. Sociodemographic and self-care data were collected. To assess quality of care in Primary Care, secondary data from the Access and Quality Improvement Program were used. For comparisons between adherence to self-care activities and quality of care received in Primary Care, the Kruskal-Wallis Test was used. Results: better adherence to the diet, blood glucose monitoring and medication use were observed among people with diabetes treated in Primary Care with better coordination of care, agenda organization, and equipment. Foot examination, despite the inverse relationship with quality of care, proved to be desirable. Conclusions: adherence to self-care among people with diabetes was associated with quality of care received in Primary Care.

Knowledge, practice and barriers of diabetic foot self care among individuals with type 2 diabetes

“…This study's sample consisted predominantly of women, with an average age of 63 years and regarding marital status, they lived with a partner, data that corroborate other studies carried out with UBS users with DM [11][12][13] . Also, most participants did not perform tests to assess glycemic control, and it is known that glycemic changes over the years can lead to complications such as retinopathy, neuropathy and nephropathy 12 .…”

Diabetes mellitus type 2: factors related to adherence to self-care

“…Monitoring the blood sugar also had a low adherence, a result similar to that of other researches (14)(15) about the topic. The scientific literature (1) recommends that capillary glycemia self-monitoring should only be practices routinely by those who use insulin, with no consensus in regard to those who only use oral antidiabetic drugs.…”

Conocimiento, Práctica E Impedimentos Del Autocuidado De Los Pies en Personas Con Diabetes Mellitus Tipo 2

“…El perfil de los participantes de este estudio estuvo compuesto predominantemente por mujeres, con una media de edad de 63 años y en pareja, datos que corroboran otros estudios realizados con usuarios de UBS que padecen DM [11][12][13] . Además, la mayoría de los participantes no realizaba pruebas para evaluar el control glucémico, sabiéndose que alteraciones glucémicas a lo largo de los años pueden derivar en complicaciones como retinopatía, neuropatía y nefropatía 12 .…”