Adherence of Older People with Diabetes to Self-Care Activities: a Study on Gender Differences

Authors

  • Lidiany Galdino Felix Federal University of Campina Grande
  • Alyne Fernandes Bezerra Nurse Master’s Degree student of the Nursing Post-Graduation Program of Federal University of Paraíba. João Pessoa, Paraíba, Brazil
  • Luana Gislene Herculano Lemos Substitute Professor at Federal University of Campina Grande. Campina Grande, Paraíba, Brazil
  • Rosângela Vidal de Negreiros Master in Nursing. Professor at Federal University of Campina Grande. Campina Grande, Paraíba, Brazil.
  • Fabíola de Araújo Leite Medeiros Professor of the State University of Paraíba. Campina Grande, Paraíba, Brazil.
  • Ana Paula Marques Andrade de Souza Doctoral Degree student of the Nursing Post-Graduation Program of Federal University of Paraíba, João Pessoa, Paraíba, Brazil.
  • Alana Tamar Oliveira de Sousa Professor at Federal University of Campina Grande, Cuité, Paraíba, Brazil.
  • Emanuelle Malzac Freire de Santana Master’s Degree student of the Nursing Post-Graduation Program of Federal University of Paraíba. João Pessoa, Paraíba, Brazil
  • Karen Krystine Gonçalves de Brito Doctoral Degree student of the Nursing Post-Graduation Program of Federal University of Paraíba, João Pessoa, Paraíba, Brazil
  • Suellen Duarte de Oliveira Matos Doctoral Degree student of the Nursing Post-Graduation Program of Federal University of Paraíba, João Pessoa, Paraíba, Brazil
  • Smalyanna Sgren da Costa Andrade Doctoral Degree student of the Nursing Post-Graduation Program of Federal University of Paraíba, João Pessoa, Paraíba, Brazil
  • Mirian Alves da Silva Ph.D. in Nursing. Professor at Federal University of João Pessoa, Paraíba, Brazil.
  • Elizabeth Souza Silva de Aguiar Doctoral Degree student of the Nursing Post-Graduation Program of Federal University of Paraíba, João Pessoa, Paraíba, Brazil
  • Iraktania Vitorino Diniz Doctoral Degree student of the Nursing Post-Graduation Program of Federal University of Paraíba, João Pessoa, Paraíba, Brazil
  • Mona Lisa Cavalcante Cartaxo do Nascimento Nurse. Professor at College of Santa Emilia Rodat. João Pessoa, Paraíba, Brazil.
  • Bernadete de Lourdes André Gouveia Doctoral Degree student of the Nursing Post-Graduation Program of Federal University of Paraíba, João Pessoa, Paraíba, Brazil
  • Maria Júlia Guimarães de Oliveira Soares Titular Ph.D. Professor of the Nursing Post-Graduation Program of Federal University of Paraíba. João Pessoa, Paraíba, Brazil.

DOI:

https://doi.org/10.3823/2235

Keywords:

Diabetes Mellitus. Self-care. Elderly. Nursing care.

Abstract

INTRODUCTION: Diabetes mellitus is one of the main diseases affecting the elderly population, and the evaluation of adherence to the elderly self-care practices in diabetes is essential to reduce the occurrence of events considered preventable. The aim of this study was to evaluate the self-care activities for elderly people with diabetes mellitus and check the gender differences in adherence to these activities.

METHODS: Descriptive study conducted with 50 elderlies of both genders, assisted by a Family Health Unit in a city of Paraíba within November 2013 to January 2014. The data collection used the Diabetes Questionnaire of Self -Care Activities, adapted and validated for the Brazilian context from the Summary of Diabetes Self-Care Activities Questionnaire.

RESULTS: The elderly population studied showed satisfactory adherence to self-care activities proposed by the instrument. There were no statistically significant differences between men and women in mean adherence to the activities of self-care with diabetes. Older women had higher scores for the dimensions “general and specific food†and “medication†and a lower score for the dimension “monitoring of blood glucose.†Men showed a greater adherence to the dimension “foot care†and lower adherence to the item “sweet ingested.â€

CONCLUSION: The evaluated elderly have desirable self-care on the appropriate and important activities for the control of diabetes.

Author Biography

Lidiany Galdino Felix, Federal University of Campina Grande

Professor at Federal University of Campina Grande.

References

Ministério da Saúde (Brasil), Secretaria de Atenção à Saúde. Estratégias para o cuidado da pessoa com doença crônica: diabetes mellitus. Brasília: Ministério da Saúde, 2013.

International Diabetes Federation. Idf Diabetes Atlas Seventh Edition. 7 ed. Available from: www.diabetesatlas.org

International Diabetes Federation. Atlas do Diabetes 2015 - Atualização Available from: http://www.diabetesatlas.org/resources/2015-atlas.html

Stopa SR, César CLG, Segri NJ, Goldbaum M, Guimarães VMV, Alves MCGP, Barros MBA. Self-reported diabetes in older people: comparison of prevalences and control measures. Rev Saúde Pública 2014;48(4):554-62.

Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde. Vigitel Brasil 2013: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério da Saúde, 2014.

Sinclair A, Dunning T, Rodriguez-Maña L. Diabetes in older people: new insights and remaining challenges. The Lancet Diabetes & Endocrinology 2015;3(4):275–85.

Marques MB, Silva MJ, Coutinho JFV, Lopes MVO. Assessment of self-cAre competence of elderly people with diabetes. Rev Esc Enferm USP 2013;47(2):415-20.

Veras VS, Santos MA, Rodrigues FFL, Arrelias CCA, Pedersoli TAM, Zanetti ML. Self-care among patients enrolled in a self-monitoring blood glucose program. Rev Gaúcha Enferm. 2014;35(4):42-8.

Michels MJ, Coral MHC, Sakae TM, Damas TB, Furlanetto LM. Questionnaire of Diabetes Self-Care Activities: translation, cross-cultural adaptation and evaluation of psychometric properties. Arq Bras Endocrinol Metab. 2010;54(7):644-51.

Toobert D, Hampson S, Glasgow R. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943-50.

Gomides DS, Villas-Boas LCG, Coelho ACM, Pace AE. Self-care of people with diabetes mellitus who have lower limb complications. Acta Paul Enferm. 2013;26(3):289-93.

Veras VS, Santos MA, Rodrigues FFL, Arrelias CCA, Pedersoli TAM, Zanetti ML. Self-care among patients enrolled in a self-monitoring blood glucose program. Rev Gaúcha Enferm. 2014;35(4):42-8.

Coelho ACM, Villas Boas LCG, Gomides DS, Foss-Freitas MC, Pace AE. Self-care activities and their relationship to metabolic. Texto Contexto Enferm. 2015;24(3):697-705.

Freitas SS, Silva GRF, Rezende Neta DS, Silva ARV.Analysis of the self-care of diabetics according to by the Summary of Diabetes Self-Care Activities Questionnair (SDSCA). Acta Scientiarum. Health Sciences 2014; 36(1):73-81.

Santos GFP, Almas PS, Freitas LM, Kamil JP, Nemer ASA. Adhesion to self-care influences the anthropometric and biochemical parameters of type 2 diabetic patients treated in hiperdia program in the Juiz de Fora city, Minas Gerais, Brazil Nutr Clín Diet Hosp. 2014;34(3):10-9.

Rezende Neta DS, Silva ARV, Silva GRF. Adherence to foot self-care in diabetes mellitus patients. Rev Bras Enferm. 2015;68(1):111-6.

Alencar LL, Torres MV, Santos AMB, Santos MB, Santiago AKC, Barbosa APB. Epidemiological profile of elderly patients type 2 diabetes mellitus enrolled in the family health strategy. Rev Eletr Gestão & Saúde, 2014;5(5):2972-89.

Ferreira EAP, Fernandes AL. Treino em Alta Observação e Adesão a Dieta em Adultos com Diabetes tipo 2. Psic Teor e Pesq. 2009;25(4):629-36.

Souza R, Fraga JS, Gottschall CBA, Busnello FM, Rabito EI. Anthropometry assessment in the elderly: estimates of weight and height and agreement between BMI ratings. Rev Bras Geriatr Gerontol. 2013; 16(1):81-90.

Santos I, Guerra RG, Silva L A. Individuals and clinics characteristics of elderly people with diabetes: thematic research in sociopoetic workshop Rev Enferm UERJ. 2013;21(1):34-40.

Sociedade Brasileira de Diabetes (SBD). Diretrizes da Sociedade Brasileira de Diabetes: 2014-2015. Sociedade Brasileira de Diabetes. São Paulo: AC Farmacêutica, 2015.

Monteiro LZ, Fiani CRV, Freitas MCF, Zanetti ML, Foss MC. Decrease in Blood Pressure, Body Mass Index and Glycemia after Aerobic Training in Elderly Women with Type 2 Diabetes. Arq Bras Cardiol. 2010;95(5):563-70.

American Diabetes Association. Standards of medical care in diabetes – 2013. Diabetes Care. 2013;36(1):11–66.

Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, Huang ES, Korytkowski MT, Munshi MN, Odegard PS, Pratley RE, Swift CS; Consensus Development Conference on Diabetes and Older Adults. J Am Geriatr Soc. 2012;60(12):2342-56.

Rocha RM, Zanetti ML, Santos MA. Behavior and knowlege: basis for prevention of diabetic foot. Acta Paul Enferm. 2009; 22(1):17-23.

Borba AKOT, Marques APO, Leal MCC, Ramos RSPS, Guerra ACCG, Caldas TM. Adherence to drug therapy in diabetic elderly. Rev Rene. 2013;14(2):394-404.

Santos FS, Oliveira KR, Colet CF. Adherence to medical treatment in patients with diabetes mellitus attended at a Public Health Unit in the city of Ijuí (RS, Brazil): an exploratory study. Rev Ciênc Farm Básica Apl. 2010;3(3):223-7.

Goulart D, Engroff P, Ely LS, Sgnaolin V, Santos EF, Terra NL, Carli GA. Tabagismo em Idoso. Rev Bras Geriatr Gerontol. 2010;13(2):313-20.

Sachs-Ericsson N, Schmidt NB, Zvolensky MJ, Mitchell M, Collins N, Blazer DG. Smoking cessation behavior in older adults by race and gender: the role of health problems and psychological distress. Nicotine Tob Res. 2009;11(4):433-43.

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Published

2016-12-19

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Section

Primary Care

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