Adesão ao tratamento do diabetes mellitus e variáveis sociodemográficas, clinicas e de controle metabólico

Arrelias, Clarissa Cordeiro Alves; Faria, Heloisa Turcatto Gimenes; Teixeira, Carla Regina de Souza; Santos, Manoel Antônio dos; Zanetti, María Lúcia

doi:10.1590/1982-0194201500054

Cited by 30 publications

(33 citation statements)

References 17 publications

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“…A study showed that the age, the female gender and trips are the main factors for the adherence to the insulin treatment, which are not related to the individual perception (10) . Concerning the influence of the age in the self-application of insulin, the results found in this study were consistent with other studies performed with adult patients who use this medication, whose self-administration is less frequent among the elderly (11,14) . Studies demonstrate that physical and cognitive limitations increase at more advanced ages and may cause difficulties in the management of the instruments used in the application of insulin (5) .…”

Section: Discussionsupporting

confidence: 92%

Fatores relacionados à autoaplicação de insulina em indivíduos com diabetes mellitus

Moreira

Toledo

Colodette

et al. 2018

Rev. Gaúcha Enferm.

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Objective:To identify the factors associated with the self-application of insulin in adult individuals with Diabetes Mellitus. Method: A cross-sectional study developed in the city of Viçosa-MG, which assessed 142 patients. The data collection was performed between April and July 2013 through an interview at the participant's home. Multiple logistic regression was used. Results:The prevalence of the self-administration of insulin was of 67.6%, and it was associated with ages between 57 and 68 years old (OR = 0.3, 95% CI: 0.1-0.9), living with a partner and children (OR = 2.5, 95% CI: 1.1-5.0), 9 years or more of study (OR = 8.4, 95% CI: 1.9-37.9), living in an area not covered by the Family Health Strategy (FHS) (OR = 2.8, 95% CI: 1.1 -7.0). Conclusion:The self-application of insulin was associated with age, schooling, marital status, and the FHS coverage. The recognition of these factors may contribute to the adherence to the self-application of insulin.Keywords: Diabetes mellitus. Insulin. Self care. Medication adherence. RESUMO Objetivo: Identificar os fatores associados à autoaplicação de insulina em adultos com diabetes mellitus. Método: Estudo transversal desenvolvido no município de Viçosa-MG, que avaliou 142 pacientes. A coleta de dados foi realizada entre abril e julho de 2013, mediante entrevista no domicílio do participante. Regressão logística múltipla foi utilizada.Resultado: A prevalência de autoaplicação de insulina foi de 67,6%, apresentando associação com idade entre 57 e 68 anos (OR = 0,3; IC95%: 0,1 -0,9), conviver com companheiro e filhos (OR = 2,5; IC95%: 1,1 -5,0), ter 9 anos ou mais de estudo (OR = 8,4; IC95%: 1,9 -37,9), morar em área não coberta pela Estratégia Saúde da Família (ESF) (OR = 2,8; IC95%: 1,1 -7,0). Conclusão:Autoaplicação de insulina mostrou-se associada à idade, escolaridade, situação conjugal e cobertura da ESF. O reconhecimento desses fatores pode contribuir para o desenvolvimento de estratégias para adesão à autoaplicação de insulina.Palavras-chave: Diabetes mellitus. Insulina. Autocuidado. Adesão à medicação. RESUMEN Objetivo: identificar los factores asociados con la autoadministración de insulina en adultos con diabetes mellitus. Métodos: se trata de un estudio transversal, desarrollado en el municipio de Viçosa-MG, en el que se evaluaron 142 pacientes. La recolección de datos se llevó a cabo entre abril y julio de 2013, mediante entrevistas en el hogar del participante. Se aplicó la regresión logística múltiple.Resultados: la prevalencia de la autoadministración de insulina fue de 67,6% y se asoció con edad de entre 57 y 68 años (OR = 0,3; IC del 95%: 0,1 -0,9), que viven con una pareja e hijos ( OR = 2,5; IC del 95%: 1.1 5,0), con 9 o más años de educación (OR = 8,4; IC del 95%: no 1,9-37,9), que viven en un área cubierta por la Estrategia de Salud de la familia (ESF) (OR = 2,8; IC del 95%: 1.1 7.0).Conclusión: la autoadministración de insulina se asoció con la edad, la educación, el estado civil y la cobertura del ESF. El reconocimiento de estos factores ...

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Section: Discussionsupporting

confidence: 92%

Fatores relacionados à autoaplicação de insulina em indivíduos com diabetes mellitus

Moreira

Toledo

Colodette

et al. 2018

Rev. Gaúcha Enferm.

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“…However, it is believed that people with DM2 more frequently perform the self-care activity related to medication use, regardless of the type of drug prescribed (25) . Compared to treatment with OAD and size general nutrition, it was found that older adults who were treated with OAD had higher means in the dimension supply voltage, a situation which meets the literature, wherein compliant patients with OAD tend to follow a regular diet, and maintain control over the disease (39)(40) .…”

Section: Discussionmentioning

confidence: 64%

Self-care activities, sociodemographic variables, treatment and depressive symptoms among older adults with Diabetes Mellitus

et al. 2019

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Objective: to analyze the association between self-care activities of older adults with Type 2 Diabetes Mellitus (DM) and sociodemographic variables, type of treatment and depressive symptoms. Method: inferential and cross-sectional study, with 121 older adults with Type 2 DM in ambulatory care. We used a questionnaire for characterization of sociodemographic and health, questionnaire self-care activities with DM, Mini Mental State Examination and Geriatric Depression Scale. The association of variables was used (Fisher’s exact test) and for comparing the means (Student’s t-test and analysis of variance). Results: The mean age was 68.1 years, the majority were women (57.2%), retired (71.9%) and married (65.3%). The highest averages were for the activities: “to dry the spaces between the toes, after washing them” and smaller averages for “exercise”. Conclusion: In spite of high average for self-care activities, there is a need for enhanced performance and compliance to them.

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“…Among those who were not diabetic, blood glucose levels were lower; only one had altered capillary glycemia levels. The literature reiterates the need for adherence to what are considered to be the three mainstays of DM treatment -a healthy diet, doing physical exercise and taking medication -, in order to achieve good control of blood glucose [26][27][28] and, above all, prevent future complications. 29 A limitation of this study was working with SAH and DM estimates rather than definitive diagnoses; blood pressure measurement, as well as glycemia assessment, were not done in accordance with globally recommended standards.…”

Section: Discussionmentioning

confidence: 99%

Doenças crônicas não transmissíveis em profissionais de enfermagem de um hospital filantrópico no Sul do Brasil*

Domingues

Silva

Bierhals

et al. 2019

Epidemiologia e Serviços de Saúde

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Objective: to describe the prevalence of noncommunicable diseases (NCDs), long term (current) drug therapy, blood pressure levels and capillary glycemia among a nursing team at a charitable hospital in Pelotas/RS. Methods: This was a cross-sectional study. The questions were adapted from the Vigitel system questionnaire (Telephone Surveillance of Chronic Disease Risk and Protection Factors). All participants had their blood pressure and blood glucose measured. Results: Of the 272 staff assessed, 29.4% reported having NCDs, 48.9% were on long term (current) drug therapy and 73.9% reported a family history of NCDs. Among those interviewed, 20.6% reported using antihypertensive drugs, of these 27.7% had high blood pressure levels, and 2.6% reported using antihypoglycemic agents, 42.9% of whom had high blood glucose. Conclusion: Among those professionals who stated they had high blood pressure and diabetes, those who were on medication had higher blood pressure and glucose levels than those who were not on medication.

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Adesão ao tratamento do diabetes mellitus e variáveis sociodemográficas, clinicas e de controle metabólico

Cited by 30 publications

References 17 publications

Fatores relacionados à autoaplicação de insulina em indivíduos com diabetes mellitus

Fatores relacionados à autoaplicação de insulina em indivíduos com diabetes mellitus

Self-care activities, sociodemographic variables, treatment and depressive symptoms among older adults with Diabetes Mellitus

Doenças crônicas não transmissíveis em profissionais de enfermagem de um hospital filantrópico no Sul do Brasil*

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