Knowledge and attitude of patients with diabetes mellitus in Primary Health Care

Assunção, Suelen Cordeiro; Fonseca, Alisson Pereira; Silveira, Marise Fagundes; Caldeira, Antônio Prates; Pinho, Lucinéia de

doi:10.1590/2177-9465-ean-2017-0208

Cited by 30 publications

(35 citation statements)

References 15 publications

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“…A previous study showed that treatment with only diet or oral medication was presented by most of the population with insufficient knowledge and negative attitudes towards the disease. ( 10 ) The findings of this study are relevant in the context of public health since they point to the need for interventions under factors that can be easily modified, which would provide greater knowledge to individuals affected by DM. However, the transversal nature of this study and the lack of evaluation of other geographical realities could be pointed out as limitations of this study and, for this reason, direct new studies addressing the theme.…”

Section: Discussionmentioning

confidence: 87%

“…This research chose one unit of each Assistance Module for data collection, defined by a proportional sampling of size, totaling four Health Units. Based on the population of people with DM2 registered in the four Health Units of the research ( n =1115), insufficient knowledge prevalence of 56.1%( 10 ) in people with DM2 and adopting the parameters of 99% confidence level and 1% estimation error, we obtained a necessary sample of 420 individuals. We selected 420 participants by simple random sampling from the list of people with DM2 in each unit, and afterward, we conducted a home visit guided by the Community Health Agent (CHA).…”

Section: Methodsmentioning

confidence: 99%

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Factors associated with knowledge of the disease in people with type 2 diabetes mellitus

Amaral

Ribeiro

Rocha

2021

invest. educ. enferm

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Objective. To identify factors associated with the level of knowledge of the disease in people with type 2 Diabetes. Methods. A cross-sectional study carried out with 412 people with diabetes registered in the Primary Health Care network of a Brazil Northeast municipality. For data collection, we used a questionnaire with sociodemographic and clinical variables and to identify the level of knowledge, we used the Diabetes Knowledge Questionnaire. Results. Insufficient knowledge prevailed in 54.7% of the participants, associated in significant bivariate analysis (p<0.05) with the sociodemographic variables: age (≥ 60 years old), marital status (without a partner), education (up to complete / incomplete elementary school), family income (≤ 1 minimum wage). For clinical variables, the level of insufficient knowledge was significantly associated with not participating in an educational group, not using insulin, and not practicing physical activity. In logistic regression, we observed that the factors that increase the risk for insufficient knowledge were: never having participated in an educational group (OR=2.0), age ≥ 60 years old (OR=2.2), illiterate and primary education (OR=8.3) and income less than or equal to 1 minimum wage (OR = 2.4). Conclusion. The level of knowledge of people with type 2 diabetes mellitus about their disease is insufficient, with socioeconomic and educational characteristics being the factors that increase the odds of having this level of knowledge.

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Section: Discussionmentioning

confidence: 87%

Section: Methodsmentioning

confidence: 99%

Factors associated with knowledge of the disease in people with type 2 diabetes mellitus

Amaral

Ribeiro

Rocha

2021

invest. educ. enferm

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“…The reduced number of individuals that signed up to participate in the ped and the considerable loss of participants during the investigation resulted in a challenge to understand the interest and availability of diabetic people to take part in educational programs. Other studies with long-term accompaniment found that 63% to 85% of participants finished the programs, highlighting healthy elderly without depression when compared to those who did not finish them (11)(12)(13)(14)(15).…”

Section: Discussionmentioning

confidence: 95%

“…The evaluation of group education programs on dm developed by a multidisciplinary team, with a duration of 6 months or more, indicates that these programs tend to be more effective than individual or routine interventions. The discussions lead to improved knowledge about the disease, clinical aspects, healthy behaviors and lifestyles, and also surpass the biological dimensions, with economic and psychosocial issues (15,17).…”

Section: Discussionmentioning

confidence: 99%

Educational program to promote the self-care of people with diabetes mellitus

et al. 2019

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Objective: to evaluate the effect of an intervention program on the capacity and action for the self-care of people with diabetes mellitus.Method: this is an intervention study with the implementation of a problem-solving educational program in diabetes in a private health service. Capacity and action scales were applied for the self-care, in the initial moment and after the intervention with analysis of the outcome by the metabolic control. Differences were identified by the Student t test and the comparison of the scales variability calculated by Cronbach's alpha, with a 95 % confidence interval.Results: participated in the study 23 people, with significant improvement in the values of glycated hemoglobin, glycemic and diastolic blood pressure variability after the educationalprogram. The educational strategy in diabetes provided improvement in both capacity and action for self-care,respectively (p ≤ 0.0 %), Cronbach’s alpha initial 0.895 and final 0.938 Conclusion: education programs using participatory methodologies are essential to enable the person with diabetes to manage and monitor the disease.

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“…41,42 The association between schooling, family income and age with HLDF has been confirmed, since it is observed that, the lower the age, the higher the schooling and income of the individual and higher is its level of HL. [43][44][45][46] The low schooling and the advanced age are predominant characteristics among users of the FHS, among which the change of behavior is more difficult. 43 Thus, the health team of the FHS has a challenge of identifying needs and create tools to facilitate the application of strategies of promotion and health prevention in their daily.…”

Section: Discussionmentioning

confidence: 99%

Development of a health literacy instrument related to diabetic foot

et al. 2019

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Desenvolvimento de um instrumento de avaliação da literacia em saúde relacionada ao pé diabético Desarrollo de un instrumento de evaluación de la literacía en salud relacionada al pie diabéticoAbstrAct Objective: To develop and verify the validity, reliability and interpretability of an assessment instrument of the Health Literacy regarding Diabetic Foot (HLDF). Method: Methodological study among people with diabetes enrolled in Family Health Strategy (FHS) program, composed of eight phases: selection of participants; development of LSPD; verification of content validity by the committee of experts; pre-test (n=20); reliability estimation (n=62): Cronbach's alpha (CA), Kappa (K) and Intraclass Correlation Coefficient (ICC), satisfactory results (≥0.60); estimation of concurrent validity (n=62); interpretability of scores: range from 0-18, if ≤14 HLDF inadequate; hypothesis test (multiple logistic regression): OR/IC95% in a sample estimated for infinite population, using SPSS. Results: The HLDF has adequate and fast application, being relevant as to its content and to the construct that proposes to evaluate. About the reliability CA=0.73, two items presented Kappa<0.60, ICC=0.79. About the concurrent validity, there was correlation between the HLDF and schooling (rs=0.647; p=0.000). Interpretability: 50.2% (n=112) presented inadequate HLDF.The younger ones presented lower levels of inadequate HLDF (0.96/0.93-0.99); as to those with lower scholarship (1.15/1.06-1.25) and lower family income (1.01/1.00-1.01) presented higher levels of inadequate HLDF. Conclusion and implications for practice: The HLDF was considered as valid, reliable and interpretable. The HLDF can identify people with more effective educational strategies needs. Objetivo: Desenvolver e verificar a validade, confiabilidade e interpretabilidade de um instrumento de avaliação da Literacia em Saúde no que diz respeito ao Pé Diabético (LSPD). Método: Estudo metodológico entre pessoas com diabetes cadastradas na Estratégia de Saúde da Família, composto por oito fases: seleção dos participantes; desenvolvimento do LSPD; verificação da validade de conteúdo pelo comitê de especialistas; pré-teste (n=20); estimativa da confiabilidade (n=62): Alfa de Cronbach (AC), Kappa (K) e Coeficiente de Correlação Intraclasse (CCI), resultados satisfatórios (≥0,60); estimativa da validade concorrente (n=62); interpretabilidade dos escores: variam de 0-18, se ≤14 LSPD inadequada; teste de hipótese (regressão logística múltipla): OR/ IC95% em uma amostra estimada para população infinita, usando o SPSS. Resultados: O LSPD possui aplicação adequada e rápida, sendo relevante quanto ao seu conteúdo e ao construto que propõe avaliar; quanto à confiabilidade: AC=0,73, dois itens apresentaram K<0,60; CCI=0,79. Quanto à validade concorrente, houve correlação do LSPD com a escolaridade (rs=0,647;p=0,000). Interpretabilidade: 50,2% (n=112) apresentaram LSPD inadequada. Os mais jovens apresentaram menores níveis de LSPD inadequada (0,96/0,93-0,99); já aqueles com menor escolaridade ...

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Knowledge and attitude of patients with diabetes mellitus in Primary Health Care

Cited by 30 publications

References 15 publications

Factors associated with knowledge of the disease in people with type 2 diabetes mellitus

Factors associated with knowledge of the disease in people with type 2 diabetes mellitus

Educational program to promote the self-care of people with diabetes mellitus

Development of a health literacy instrument related to diabetic foot

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