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

• Main Authors: Álef Lucas Dantas de Araújo Silva, Cayane Maria da Silva Santos, Maria Verônica Gomes de Oliveira, Waleska de Brito Nunes, Matheus Figueiredo Nogueira, Marta Miriam Lopes Costa, Lidiane Lima de Andrade
• Format: Article
• Language: English
• Published: Universidade Federal do Ceará 2021-09-01
• Series: Rev Rene
• Subjects: diabetes mellitus; diabetes complications; self care; nursing; medication adherence; patient compliance.
• Online Access: http://periodicos.ufc.br/rene/article/view/70902

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.