scholarly journals Factors related to negative self-care adherence in individuals with diabetes mellitus

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70902
Author(s):  
Álef Lucas Dantas de Araújo Silva ◽  
Cayane Maria da Silva Santos ◽  
Maria Verônica Gomes de Oliveira ◽  
Waleska de Brito Nunes ◽  
Matheus Figueiredo Nogueira ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
Family Health ◽  
Prevalence Ratio ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Health Strategy ◽  
Care Assessment ◽  
Family Health Strategy

Objective: to detect factors related to negative adherence to self-care in individuals with diabetes mellitus. Methods: observational, cross-sectional, analytical, and exploratory study, conducted with individuals diagnosed with type 2 diabetes mellitus and followed-up by the Family Health Strategy. The sample consisted of 250 participants. The Summary of Diabetes Self-Care Activities Questionnaire was used for self-care assessment. Association tests, prevalence ratio and Poisson regression with robust variance were performed in the analysis. Results: negative attitudes related to self-care increased by 21% for single/divorced/widowed, 20% for retired, 54% for those who did not diet, 28% for those who did not practice physical activity, 24% for hypertensive, 30% for those with dyslipidemia, and 44% for those with retinopathy. Conclusion: socioeconomic factors, behavioral factors, presence of comorbidities and complications related to diabetes mellitus were related to negative adherence to self-care.

scholarly journals Self-care and clinical parameters in patients with type 2 diabetes mellitus

Rev Rene ◽  
2015 ◽  
Vol 16 (4) ◽  
pp. 479
Author(s):  
José Thiago de Sousa ◽  
Suyanne Freire de Macêdo ◽  
Jayne Ramos Araújo Moura ◽  
Ana Roberta Vilarouca da Silva ◽  
Eduardo Emanuel Sátiro Vieira ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Self Care ◽  
Family Health ◽  
Cross Sectional Study ◽  
Clinical Parameters ◽  
Cross Sectional ◽  
Glucose Levels

To verify characteristics related to self-care and clinical parameters in patients with type 2 diabetes mellitus. Methods: descriptive and exploratory, cross-sectional study, conducted with 173 patients assisted in 12 Family Health Units in the urban area of a city in the Northeast region of Brazil. Results: most participants (61.3%) were female, aged less than 60 years old. There were significant differences in the lower glycemic control (p = 0.014), capillary glycemia (p = 0.018) and alcohol consumption (p = 0.015) for men as well as higher central obesity indexes for women (p = 0.000). It was observed high frequency of overweight, abdominal obesity, high blood pressure, elevated blood glucose levels and insufficient levels of physical activity. Conclusion: there is the need for nursing actions aimed at improving self-care and control of the clinical parameters in these patients.

scholarly journals Riscos para o desencadeamento da osteoporose em idosos

2019 ◽  
Vol 13 (1) ◽  
pp. 148
Author(s):  
Vívian Roselany Ferreira Hipólito ◽  
Laura Maria Feitosa Formiga ◽  
Ana Klisse Silva Araújo ◽  
Lorena Mayara Hipólito Feitosa ◽  
Kathelyn Jane Sousa Carvalho ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional ◽  
Vitamina D ◽  
Health Strategy ◽  
Modifiable Factors ◽  
The Family ◽  
Family Health Strategy ◽  
Life Habits

ABSTRACTObjective: to know the risks for the onset of osteoporosis in the elderly. Method: this is a quantitative, cross-sectional and descriptive study in the Family Health Strategy (FHS). An instrument covering sociodemographic characteristics, anthropometry, clinical variables and life habits was used for data collection. The results were analyzed through the SPSS software, version 20.0, and the findings were presented in tables. Results: hypertension and diabetes mellitus prevailed. With respect to the family history, it was found that the elderly never had a fracture, did not have genetic factors on osteoporosis and did not use calcium and vitamin D. As for the modifiable factors, a large part of the elderly said not to practice physical activity, nor get exposed to the sun, and they said they ingested much caffeine and milk. Conclusion: the proposed objective was reached and it is hoped that the results found in this study contribute to the construction of knowledge about this disease that has increasingly affected people, helping to elaborate prevention strategies or avoid possible complications. Descriptors: Nursing; Aged; Osteoporosis; Disease Prevention; Health Care (Public Health); Aging.RESUMOObjetivo: conhecer os riscos para o desencadeamento da osteoporose nos idosos. Método: trata-se de estudo quantitativo, transversal e descritivo na Estratégia Saúde da Família (ESF). Utilizou-se, para a coleta de dados, um instrumento composto por características sociodemográficas, antropometria, variáveis clínicas e hábitos de vida. Analisaram-se os resultados por meio do programa SPSS, versão 20.0, e se apresentaram os achados em tabelas. Resultados: prevaleceram-se as doenças hipertensão arterial e diabetes mellitus. Encontrou-se, sobre o histórico familiar, o fato de os idosos nunca terem apresentado fratura, não possuírem fatores genéticos sobre a osteoporose e não fazerem uso de cálcio e vitamina D. Com relação aos fatores modificáveis, grande parte dos idosos afirmou não praticar atividade física, não se expor ao Sol, ingerir bastante cafeína e leite. Conclusão: atingiu-se o objetivo proposto e espera-se que os resultados encontrados contribuam na construção do conhecimento sobre essa doença de crescente acometimento auxiliando a elaboração de estratégias de prevenção ou evitando possíveis complicações. Descritores: Enfermagem; Idoso; Osteoporose; Prevenção de Doenças; Atenção à Saúde; Envelhecimento.RESUMENObjetivo: conocer los riesgos para el desencadenamiento de la osteoporosis en los adultos mayores. Método: se trata de estudio cuantitativo, transversal y descriptivo en la Estrategia Salud de la Familia (ESF). Se utilizó para la recolección de datos, un instrumento compuesto por características sociodemográficas, antropometría, variables clínicas y hábitos de vida. Se analizaron los resultados por medio del programa SPSS, versión 20.0, y se presentaron los hallados en tablas. Resultados: prevalecieron las enfermedades hipertensión arterial y diabetes mellitus. Se encontró, sobre el histórico familiar, el hecho de los adultos mayores nunca haber presentado fractura, no poseer factores genéticos sobre la osteoporosis y no hacer uso de cálcio y vitamina D. Con relación a los factores modificables, grande parte de los adultos mayores afirmo no practicar actividad física, no exponerse al Sol, ingerir bastante cafeína y leche. Conclusión: se consiguió el objetivo propuesto y se espera que los resultados encontrados contribuyan en la construcción del conocimiento sobre esa enfermedad de creciente acometimiento auxiliando la elaboración de estrategias de prevención o evitando posibles complicaciones. Descriptores: Enfermería; Anciano; Osteoporosis; Prevención de Enfermedades; Atención a la Salud; Envejecimento.

scholarly journals USE OF MEDICATIONS FOR TYPE 2 DIABETES MELLITUS IN THE BRAZIL S FAMILY HEALTH STRATEGY: GENDER DIFFERENCES

2018 ◽  
Vol 38 (1) ◽  
pp. 17-21
Author(s):  
Rinaldo Eduardo Machado de Oliveira ◽  
Anderson Soares da Silva ◽  
Julieta Ueta ◽  
Laercio Joel Franco
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Gender Differences ◽  
Type 2 Diabetes Mellitus ◽  
Family Health ◽  
Health Strategy ◽  
Family Health Strategy

scholarly journals Adherence To Diabetes Mellitus Treatments In Family Health Strategy Units

2014 ◽  
Vol 48 (2) ◽  
pp. 257-263 ◽  
Author(s):  
Heloisa Turcatto Gimenes Faria ◽  
Manoel Antônio dos Santos ◽  
Clarissa Cordeiro Alves Arrelias ◽  
Flávia Fernanda Luchetti Rodrigues ◽  
Jefferson Thiago Gonela ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Drug Therapy ◽  
Family Health ◽  
Cross Sectional Study ◽  
Educational Strategies ◽  
Cross Sectional ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Physical Activity Adherence

This cross-sectional study aimed to analyze the adherence to drug and non-drug treatments in 17 Family Health Strategy units. A total of 423 patients with type 2 diabetes mellitus were selected through stratified random sampling in Family Health Strategy units of a city in the state of Minas Gerais, Brazil, in 2010. The results showed that the prevalence rate of adherence to drug therapy was higher than 60% in the 17 units investigated; in relation to physical activity, adherence was higher than 60% in 58.8% units; and for the diet plan, there was no adherence in 52.9% units. Therefore, we concluded that adherence to drug therapy in most units was high and the practice of physical activity was heterogeneous, and in relation to diet adherence, it was low in all units. We recommend strengthening of institutional guidelines and educational strategies, in line with SUS guidelines, so that, professionals may face the challenges imposed by the lack of adherence.



Self-injection of insulin: attitudes of a group of individuals with diabetes

2011 ◽  
Vol 5 (3) ◽  
pp. 593
Author(s):  
Alexandra Ezoraide Barros ◽  
Emiliane Nogueira de Souza
Keyword(s):  
Diabetes Mellitus ◽  
Family Health ◽  
Signs And Symptoms ◽  
Insulin Injection ◽  
Cross Sectional Study ◽  
Self Administration ◽  
Cross Sectional ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Diabetes Tipo 2

ABSTRACTObjective: to verify the preparation of diabetic users for self administration of insulin. Method: this is a cross-sectional study carried out with diabetic users of insulin registered at two Basic Health Units (BHU) one with Family Health Strategy the other without. A questionnaire with open and closed questions was used. Data were analyzed using descriptive and analytical statistic. The study was approved by the committee of ethical in investigation of the Associação Cultural e Científica Nossa Senhora de Fátima under the protocol nº 020/09. Results: women (67,5%), average age 61,40±11,99. Most were suffering from type 2 diabetes (95%), and were under treatment with insulin for an average time of about 6,33±6,92 years. Signs and symptoms of decompensated diabetes were recognized by 62,5% of users, 67,5% perform self administration of insulin. Most have some type of questions regarding site rotation for the injection. Alcohol swabs are used as an antiseptic in preparation of the skin prior to insulin injection by most respondents (73,7%). Regarding the reuse of syringes and needles, most users carry out this practice. Conclusion: the results suggest that users need professional monitoring, aiming to reinforce guidance on diabetes and insulin therapy. Descriptors: diabetes mellitus; primary health care;  insulin; community health nursing.RESUMOObjetivo: verificar o preparo do usuário diabético para a autoaplicação de insulina. Método: estudo transversal, realizado com usuários diabéticos, cadastrados em duas unidades básicas de saúde (UBS), uma com Estratégia da Saúde da Família e, a outra, sem. Utilizou-se um questionário com perguntas abertas e fechadas, os dados foram analisados por meio de estatística descritiva e analítica. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Associação Cultural e Científica Nossa Senhora de Fátima, sob o número 020/09. Resultados: mulheres (67,5%), idade média de 61,40±11,99 anos. A maioria era portadora de diabetes tipo 2 (95%), com uma média de tempo de tratamento com insulina de 6,33±6,92 anos. Os sinais e sintomas de descompensação da diabetes são reconhecidos por 62,5% dos usuários, e 67,5% realizam a autoaplicação de insulina. A maioria apresenta algum tipo de dúvida em relação ao rodízio e locais de aplicação de insulina. A antissepsia é realizada com algodão e álcool para a limpeza local (73,7%). Em relação à reutilização de seringas e agulhas, grande parte dos usuários realiza essa prática. Conclusão: os resultados evidenciam a necessidade de acompanhamento profissional dos usuários, com o intuito de reforçar as orientações acerca da DM e da insulinoterapia. Descritores: diabetes mellitus; atenção primária à saúde; insulina; enfermagem em saúde comunitária. RESUMENObjetivo: verificar el preparo del usuario diabético para la autoaplicación de insulina. Método: estudio transversal, realizado con usuarios diabéticos registrados en dos unidades básicas de salud (UBS), una de ellas con Estrategia de Salud de la Familia. Se utilizo un cuestionario con preguntas abiertas y cerradas. Los datos fueron analizados utilizando estadística descriptiva y analítica.  El estudio fue aprobado por el comité de ética en investigación de la Associação Cultural e Científica Nossa Senhora de Fátima bajo el protocolo nº 020/09. Resultados: media de edad de 61,4±11,99 años, 67% mujeres. La mayoría portador de diabetes tipo 2 (95%), con media de tiempo de tratamiento con insulina de 6,33±6,92 años. Las señales y síntomas de descompensación de diabetes son reconocidos por 62,5% de los usuarios, 67,5% realiza autoaplicación de insulina. La mayoría de los entrevistados (73,7%) realiza la desinfección local con algodón con alcohol. En relación a la reutilización de jeringas y agujas,  gran parte de los usuarios realiza esta práctica. Conclusión: los resultados ponen en evidencia la necesidad de asesoramiento profesional de los usuarios, reforzando las orientaciones acerca de Diabetes Mellitus e insulinoterapia. Descriptores: diabetes mellitus; atención primaria de la salud, insulina; enfermería en salud comunitaria. 

scholarly journals Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil

2015 ◽  
Vol 18 (2) ◽  
pp. 413-424 ◽  
Author(s):  
Maria Nelly Sobreira de Carvalho Barreto ◽  
Eduarda Ângela Pessoa Cesse ◽  
Rodrigo Fonseca Lima ◽  
Michelly Geórgia da Silva Marinho ◽  
Yuri da Silva Specht ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Antihypertensive Drugs ◽  
Family Health ◽  
The State ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Patients With Diabetes ◽  
Family Health Strategy

OBJECTIVE: To evaluate the access to drugs for hypertension and diabetes and the direct cost of buying them among users of the Family Health Strategy (FHS) in the state of Pernambuco, Brazil. METHODS: Population-based, cross-sectional study of a systematic random sample of 785 patients with hypertension and 823 patients with diabetes mellitus who were registered in 208 randomly selected FHS teams in 35 municipalities of the state of Pernambuco. The selected municipalities were classified into three levels with probability proportional to municipality size (LS, large-sized; MS, medium-sized; SS, small-sized). To verify differences between the cities, we used the χ2 test. RESULTS: Pharmacological treatment was used by 91.2% patients with hypertension whereas 85.6% patients with diabetes mellitus used oral antidiabetic drugs (OADs), and 15.4% used insulin. The FHS team itself provided antihypertensive medications to 69.0% patients with hypertension, OADs to 75.0% patients with diabetes mellitus, and insulin treatment to 65.4%. The 36.9% patients with hypertension and 29.8% with diabetes mellitus that had to buy all or part of their medications reported median monthly cost of R$ 18.30, R$ 14.00, and R$ 27.61 for antihypertensive drugs, OADs, and insulin, respectively. CONCLUSION: It is necessary to increase efforts to ensure access to these drugs in the primary health care network.

scholarly journals Screening and Brief Intervention for the use of alcohol and other drugs

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2258-2263 ◽  
Author(s):  
Ângela Maria Mendes Abreu ◽  
Rafael Tavares Jomar ◽  
Gunnar Glauco de Cunto Taets ◽  
Maria Helena do Nascimento Souza ◽  
Daiane Belisário Fernandes
Keyword(s):  
Brief Intervention ◽  
Family Health ◽  
Cross Sectional Study ◽  
Screening And Brief Intervention ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Substance Involvement ◽  
Alcohol And Other Drugs

ABSTRACT Objective: to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. Method: a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. Results: the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. Conclusion: it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.

scholarly journals Atuação do enfermeiros da Estratégia Saúde da Família na prevenção do pé diabético Practice nurse family health strategy in the prevention of diabetic foot

2016 ◽  
Vol 8 (3) ◽  
pp. 4841 ◽  
Author(s):  
Patrícia Simplício de Oliveira ◽  
Eva Porto Bezerra ◽  
Lidiane Lima de Andrade ◽  
Priscila Laís Ferreira Gomes ◽  
Maria Júlia Guimarães Oliveira Soares ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Practice Nurse ◽  
Family Health ◽  
Health Strategy ◽  
Family Health Strategy

Objetivos: Identificar orientações fornecidas pelos enfermeiros às pessoas com DM sobre o cuidado com os pés; investigar a frequência da realização do exame dos pés e os aspectos avaliados; verificar quais atividades de educação em saúde são realizadas pelos enfermeiros para as pessoas com DM. Métodos: estudo descritivo com abordagem quantitativa, realizado com 38 enfermeiros da Estratégia Saúde da Família, através de um questionário, durante maio a julho/2013. Os dados foram analisados com base na estatística descritiva. Estudo aprovado pelo CEP do CCS/UFPB, CAEE nº 03459112.1.0000.5188.  Resultados: constatou-se que 26 (68,4%) enfermeiros orientam quanto ao uso de calçados confortáveis; 19 (50,0%) enfermeiros avaliam os pelos e as unhas mensalmente; 12 (31,6%) enfermeiros realizam orientações como atividade de educação em saúde. Conclusão: a atuação dos enfermeiros da Estratégia Saúde da Família contribui na prevenção do pé diabético, proporcionando a realização do autocuidado.  Descritores: Enfermagem, Diabetes Mellitus, Pé diabético, Educação em saúde. 

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