Knowledge of self-care practices in diabetes: compasso
DOI:
https://doi.org/10.33448/rsd-v10i5.15062Keywords:
Diabetes mellitus type 2; Self-care; Nursing; Chronic disease; Health education.Abstract
Objective: This study aims to learn about self-care and self-perception practices and difficulties related to complications in people with type 2 diabetes mellitus through a Compasso protocol application over the phone. Methods: Cross-sectional study with a quantitative approach that included 222 people with type 2 diabetes. Two instruments were applied: the first composed of sociodemographic information and clinical variables and the second, the Compasso protocol. Results: The difficulties in managing self-care were: physical activity (33.33%) and following the diet plan (32.43%). The possible complications of diabetes that patients believe to have a higher incidence were vision problems (24.32%), cardiovascular complications (22.52%), followed by amputation (19.82%). Most of the participants reported following the diet plan three to four times a week (27.5%), 44.6% did not perform any physical activity at least once a week. 94.6% of the participants reported using the medication every day of the week. However, regarding clinical variables, 58.6% of participants are out of the glycemic goal, with glycated hemoglobin >7%, 44.6% of patients are obese, 61.5% of men and 88.5% of women have a waist circumference above desirable. Conclusions: This study demonstrated that following the diet plan and doing physical activity have been the biggest barriers to self-care of diabetes. Most patients report that problems with vision and cardiovascular complications are the possible consequences of lack of self-care.
References
Albright, C. L., Pruitt, L., Castro, C., Gonzalez, A., Woo, S., & King, A. C. (2005). Modifying physical activity in a multiethnic sample of low-income women: one-year results from the IMPACT (Increasing Motivation for Physical ACTivity) project. Ann Behav Med, 30(3):191-200.
Andrès, E., Meyer, L., Zulfiqar, A. A., Hajjam, M., Talha, S., Bahougne, T., et al. (2019). Telemonitoring in diabetes: evolution of concepts and technologies, with a focus on results of the more recent studies. J Med Life, 12(3):203-14.
Andrès, E., Talha, S., Jeandidier, N., Meyer, L., Hajjam, M., & Hajjam, A. (2018). Telemedicine in chronic diseases: the time of maturity with telemedicine 2.0 in the setting of chronic heart failure and diabetes mellitus. Cur Res Diabetes Obes J, 6:4.
Anjana, R. M., Deepa, M., Pradeepa, R., Mahanta, J., Narain, K., Das, H. K., et al. (2017). Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR-INDIAB population-based cross-sectional study. Lancet Diabetes Endocrinol, 5(8):585-596.
Arda Sürücü, H., & Büyükkaya, B. D. (2018, Nov). Predictors of Empowerment in Individuals With Type 2 Diabetes Mellitus. J Transcult Nurs, 29(6):506-513.
Association AD. (2020) 2. Classification and Diagnosis of Diabetes. Diabetes Care, 43(Suppl 1):S14-S31.
Association AD. (2020). 9. Pharmacologic Approaches to Glycemic Treatment. Diabetes Care, 43(Suppl 1):S98-S110.
Balaminut, T., Landim, C., Becker, T., Santos, E., Olivatto, G., Zanetti, M., et al. (2012). Cultural adaptation and reliability for Brazil of the Automated Telephone Disease Management: Preliminary results. Acta Paul Enferm, 25(5):6.
Busnelo, E. D. S., Moreschi, C., Silva, S. O., Rodrigues, S. O., Siqueira, D. F., & Soares, A. L. R. (2019). Epidemiological profile of people with diabetes mellitus treated in family health strategies. Rev Enferm atenção saúde, 8(2):12.
Caruso, R., Rebora, P., Dellafiore, F., Fabrizi, D., Riegel, B., Ausili, D., et al. (2019). Clinical and socio-demographic determinants of inadequate self-care in adults with type 1 diabetes mellitus: the leading role of self-care confidence. Acta Diabetol, 56(2):151-161.
Charpentier, G., Benhamou, P. Y., Dardari, D., Clergeot, A., Franc, S., Schaepelynck-Belicar, P., et al. (2011). The Diabeo software enabling individualized insulin dose adjustments combined with telemedicine support improves HbA1c in poorly controlled type 1 diabetic patients: a 6-month, randomized, open-label, parallel-group, multicenter trial (TeleDiab 1 Study). Diabetes Care, 34(3):533-539.
Chaves, F. F., Reis, I. A., Pagano, A. S., & Torres, H. C. (2017). Translation, cross-cultural adaptation and validation of the Diabetes Empowerment Scale - Short Form. Rev Saude Publica, 51(0):16.
Cochran, W. G. Sampling Techniques. (1977) (3rd ed.) John Wiley & Sons.
Coêlho, M. C. V. S., Almeida, C. A. P. L., Silva, A. R. V. D., Moura, L. K. B., Feitosa, L. G. G. C., & Nunes, L. B. (2018). Training in diabetes education: meanings attributed by primary care nurses. Rev Bras Enferm, 71(suppl 4):1611-1618.
Diabetes SBD. 2019-2020. Classificação e diagnóstico do diabetes mellitus. Diretrizes da Sociedade Brasileira de Diabetes.
Federation ID. IDF Diabetes Atlas. 9th ed. Brussels, Belgium: International Diabetes Federation. (2019). https://www.diabetesatlas.org/upload/resources/material/20200302_133351_IDFATLAS9e-final-web.pdf#page=42&zoom=auto.
Fernandes, B., et al (2016). Development, validation and cultural adaptation of the Compasso protocol: Adherence to self-care in diabetes. Acta paul enferm, 29(4):421-9.
Flor, L. S., & Campos, M. R. (2017). The prevalence of diabetes mellitus and its associated factors in the Brazilian adult population: evidence from a population-based survey. Rev Bras Epidemiol, 20(1):16-29.
Harding, J. L., et al (2019). Global trends in diabetes complications: a review of current evidence. Diabetologia, 62(1):3-16.
Iser, B., et al (2015). Self-reported diabetes prevalence in Brazil: results from National Health Survey 2013. Epidemiol Serv Saúde, 24(3):9.
Lao, X. Q., et al (2019). Increased leisure-time physical activity associated with lower onset of diabetes in 44 828 adults with impaired fasting glucose: a population-based prospective cohort study. Br J Sports Med, 53(14):895-900.
Liang, X., et al (2011). Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis. Diabet Med, 28(4):455-63.
Lira, N., et al (2018). Prevalence of the metabolic syndrome and its components in people with type 2 diabetes mellitus. Texto Contexto Enferm, 27(3).
Macedo, M. M. L., et al (2017). Adherence to self-care practices and empowerment of people with diabetes mellitus: a randomized clinical trial. Rev Esc Enferm USP;51:e03278.
Medronho, R., et al (2008). Epidemiologia. (2th ed.).
Polit, D. F., & Hungler, BP. (1995). Fundamentos de pesquisa em enfermagem. (3th ed.), Alegre: Artes Médicas.
Quinn, C. C., et al (2016) Mobile Diabetes Intervention for Glycemic Control in 45- to 64-Year-Old Persons With Type 2 Diabetes. J Appl Gerontol, 35(2):227-243.
Rossi, V., et al (2015). Adherence to drug treatment among people with type 2 diabetes mellitus. Rev Enferm Cent -Oeste Min, 5(3):1820-1830.
Santos, G., et al (2018). Epidemiological profile of diabetic seniors registered in the Hiperdia Program in the state of Piauí, Brazil. Rev atenção saúde, 16(56):5.
Visaria, J., et al (2020). Healthcare Costs of Diabetes and Microvascular and Macrovascular Disease in Individuals with Incident Type 2 Diabetes Mellitus: A Ten-Year Longitudinal Study. Clinicoecon Outcomes Res, 12:423-434.
Von, S. K., et al (2019). Telemedicine-Assisted Self-Management Program for Type 2 Diabetes Patients. Diabetes Technol Ther, 21(9):514-521.
Waitman, J., et al (2017). Social vulnerability and hypoglycemia among patients with diabetes. Endocrinol Diabetes Nutr, 64(2):92-99.
Whitehead, L., et al (2018). The role of the family in supporting the self-management of chronic conditions: A qualitative systematic review. J Clin Nurs, 27(1-2):22-30.
Wild, S. H., et al (2016). Correction: Supported Telemonitoring and Glycemic Control in People with Type 2 Diabetes: The Telescot Diabetes Pragmatic Multicenter Randomized Controlled Trial. PLoS Med, 13(10):e1002163.
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Copyright (c) 2021 Natália Wilcesky Tosini Neves; Jéssica da Silva Cunha Breder; Joaquim Barreto Antunes; Heloisa Carvalho Torres; Andrei Carvalho Sposito; Maria Helena de Melo Lima
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