Adesão das pessoas com diabetes mellitus ao autocuidado com os pés

Abstract

That there is need to raise awareness with regard to the development of skills for self-care.

Adherence to diabetes mellitus care at three levels of health care

“…19 Inadequate diets may be related to low educational level, a condition found in this study sample (means below 6.6 years of education) and similar to that reported by Brazilian studies. 6,7 In regard to the item assessing the ingestion of sweets, the average scores obtained by the PHC and SHC unit were similar, indicating less tendency to consume sweets over the course of a week. The THC unit obtained a slightly higher score.…”

“…5 Among these factors, the aging process and the clinical progression of DM may increase the susceptibility or accelerate comorbidities, which in turn, increases the therapeutic regimen's complexity and favors low adherence. 6 An individual with DM may adhere to one self-care activity but not to others. 5 The Brazilian literature reports a tendency of improved rates of medication adherence, regardless of the level of health care, 6,7,8,9,10 , but worse adherence rates concerning self-care activities like exercises, 8 foot care 7 , and a healthy diet.…”

“…6 An individual with DM may adhere to one self-care activity but not to others. 5 The Brazilian literature reports a tendency of improved rates of medication adherence, regardless of the level of health care, 6,7,8,9,10 , but worse adherence rates concerning self-care activities like exercises, 8 foot care 7 , and a healthy diet. 7,8,10 In summary, the rates of medication adherence reported by studies are sometimes higher and sometimes similar among studies, regardless of the level of care at which individuals are monitored.…”

“…Adherence to diet and exercise, however, is low, even though these are the behaviors indicated as the primary measures to control DM. 6,7,8,11 Due to the importance of actions to support or strengthen treatment adherence at the time of diagnosis in order to prevent or delay associated morbidities, and also over the course of treatment to control such comorbidities, the assumption is that the profile of treatment adherence for individuals with DM in the different phases of the disease may be investigated at the different levels of health care, considering that the clinical characteristics that guide the care provided at each level represent the progression of the disease.…”

Fatores De Risco Para Ulceração No Pé De Indivíduos Com Diabetes Mellitus Tipo 2

“…Apesar da inobservância da associação entre autocuidado e o grau de risco para ulceração neste estudo, é importante considerar estes aspectos no cotidiano das pessoas com DM. Pesquisa em um Centro de Saúde de Teresina-PI constatou que, dos 331 indivíduos com DM2, 178 referiram não ter recebido orientação do enfermeiro quanto à importância do exame dos pés e a secagem dos espaços interdigitais, e ainda, 66,5% (220) negaram ter recebido orientação quanto à inspeção dos sapatos antes de calçá-los (14) .…”