Factors that interfer with adhesion to the treatment of Diabetes Mellitus type 2

Authors

DOI:

https://doi.org/10.33448/rsd-v11i1.24861

Keywords:

Diabetes Mellitus, Type 2; Self-care; Physical activity.

Abstract

Objective: This study aimed to identify and define which factors interfere with adherence to type 2 Diabetes Mellitus (DM2) self-care activities. Methods: A hundred three (103) adults both sexes, diagnosed with Type 2 Diabetes Mellitus, have participated in this study. They were assessed through a socioeconomic questionnaire, Diabetes Self-Care Activities Questionnaire (DSCAQ) and International Physical Activity Questionnaire. (IPAQ). The study was carried out in the city of Três Corações-MG, from August 2018 to October 2019. Results: In the DSCA questionnaire, the activity with the highest adherence was related to medication intake (6,52 days ±1,52) and the lowest adherence was the activity related to the practice of specific physical exercises (1,29 days ±2,11). The IPAQ questionnaire determined that 66.0% of the participants reached the physical activity recommendations from the American Diabetes Association. By identifying the factors that interfere with adherence to self-care activities with DM2 and physical activity recommendation it was found through the cluster analysis Pearson's chi-square that the education low level (p <0,001) and glycated hemoglobin low index (p = 0,032) were significant in the discrimination of groups when considering the variables of non-adherence to self-care activities. The education low level (p<0,001), in turn, was a significant factor in discrimination of groups, considering the variables of non-adherence to physical activity recommendations. Conclusion: It was possible to demonstrate that social and clinical factors may influence adherence to the patients diagnosed with DM2 treatment.

References

American Diabetes Association. (2019). Diabetes Care: Standards of Medical Care in Diabetes. Diabetes Care. Virgínia.

Ausili, D., Bulgheroni, M., Ballatore, P., Specchia, C., Ajdini, A., Bezze, S., Di Mauro, S., & Genovese, S. (2017). Self-care, quality of life and clinical outcomes of type 2 diabetes patients: an observational cross-sectional study. Acta Diabetologica, 54 (11), 1001-1008.

Borba, A. K. O. T., Marques, A. P. O., Ramos, V. P., Leal, M. C. C., Arruda, I. K. G., & Ramos, R. S. R. S. (2018). Fatores associados à adesão terapêutica em idosos diabéticos assistidos na atenção primária de saúde. Ciência e Saúde Coletiva, 23 (3), 953-961.

Gibicoski, F. S., Moreschi, C., Rodrigues, S. O., Silva, S. O., Tolfo, A. P. D., & Busnelo, E. D. S. (2020). Adesão de atividades de autocuidado de usuários com diabetes atendidos na atenção primária. Research, Society and Development, 9 (5), e20952977.

Gomides, D. S., Villas-Boas, L. C. G., Coelho, A. C. M., & Pace, A. E. (2013). Autocuidado das pessoas com diabetes mellitus que possuem complicações em membros inferiores. Acta Paulista de Enfermagem, 26 (3), 289-293.

Instituto Brasileiro De Geografia e Estatística. Índice de desenvolvimento humano. Rio de Janeiro: Instituto Brasileiro De Geografia e Estatística

International Diabetes Federation. IDF Diabetes Atlas: Ninth edition 2019. (2019). Brussels: International Diabetes Federation.

Jannoo, Z., & Khan, N. M. (2018). Summary of Diabetes Self-care Activities: A confirmatory factor analytic approach. Primary Care Diabetes, 12 (5), 425-431.

Kassahun, T., Gesesew, H., Mwanri, L., & Eshetie, T. (2016). Diabetes related knowledge, self-care behaviours and adherence to medications among diabetic patients in Southwest Ethiopia: a cross-sectional survey. BMC Endocrine Disorders, 16 (1), 28.

Lu, Y., XU, J., Zhao, W., & Han, H. (2016). Measuring Self-Care in Persons With Type 2 Diabetes: A Systematic Review. Evaluation and the Health Professions, 39(2), 131-184.

Marinho, F. S., Moram, C. B. M., Rodrigues, P. C., Leite, N. C., Salles, G. F., & Cardoso, C. R. L. (2018). Treatment Adherence and Its Associated Factors in Patients with Type 2 Diabetes: Results from the Rio de Janeiro Type 2 Diabetes Cohort Study. Journal of Diabetes Research, (8970196), 1-8.

Matsudo, S., Araújo, T., Matsudo, V., Andrade, D., Andrade, E., Oliveira, L. C., & Braggion, G. (2001). Questionário Internacional de Atividade Física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Revista Brasileira de Atividade Física e Saúde, 6 (2), 5-18.

Michels, M. J., Coral, M. H. C., Sakae, T. M., Damas, T. B., & Furlanetto, L. M. (2010). Questionário de Atividades de Autocuidado com o Diabetes: tradução, adaptação e avaliação das propriedades psicométricas. Arquivos Brasileiros de Endocrinologia & Metabologia, 54(7), 644-651.

Nolan R C, Raynor, A. J., Berry, N. M., & May, E. J. (2016). Self-reported physical activity using the International Physical Activity Questionnaire (IPAQ) in Australian adults with type 2 Diabetes, with and without peripheral neuropathy. Canadian Diabetes Association, 40 (6), 576-579.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. Santa Maria/RS: UAB/NTE/UFSM.

Pereira, P. F., Santos, J. C., Cortez, D. N., Reis, I. A., & Torres, H. C. (2021). Avaliação das estratégias de educação em grupo e intervenção telefônica para o diabetes tipo 2. Revista da Escola de Enfermagem da USP, 55, e03746.

Simpson, S. H., Lin, M., & Eurich, D. T. (2016). Medication Adherence Affects Risk of New Diabetes Complications: A Cohort Study. Annals of Pharmacotherapy, 50 (9), 741-746.

Sociedade Brasileira De Diabetes. (2019). Diretrizes da Sociedade Brasileira de Diabetes 2019-2020. São Paulo: Editora Clannad.

Van De Velden, M., D’enza, A. I., & Palumbo, F. (2017). Cluster Correspondence Analysis. Psycometrika, 82 (1), 158-185.

World Health Organization. (2003). Adherence to long-term therapies: evidence for action. Geneva: World Health Organization.

World Health Organization. (2016). Global report on diabetes. Geneva: World Health Organization.

World Health Organization. (2019). Classification of diabetes mellitus. Geneva: World Health Organization.

Published

07/01/2022

How to Cite

SANTOS, P. T. dos .; PEREIRA, R. C. .; NAKAMURA, P. M. .; MOURA, R. F. de . Factors that interfer with adhesion to the treatment of Diabetes Mellitus type 2. Research, Society and Development, [S. l.], v. 11, n. 1, p. e29711124861, 2022. DOI: 10.33448/rsd-v11i1.24861. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/24861. Acesso em: 18 nov. 2024.

Issue

Section

Health Sciences