Adherence to diabetes mellitus care at three levels of health care

Author(s)

Jackline Duran Souza ^[1] ; Marcelo Henrique Barbosa Baptista ^[2] ; Danielle dos Santos Gomides ^[3] ; Ana Emilia Pace ^[4]

Affiliation

^[1] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto - Brasil

^[2] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto - Brasil

^[3] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto - Brasil

^[4] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto - Brasil

• Document type: Journal article
• Source: Escola Anna Nery; v. 21, n. 4 2017-10-19.

Abstract

ABSTRACT Objective: To evaluate adherence to self-care among people with diabetes mellitus cared for at the three levels of health care. Method: Quantitative, descriptive, cross-sectional study addressing a sample of 143 people from a city in the interior of São Paulo, Brazil from primary (45), secondary (48) and tertiary (50) units. Adherence to self-care was assessed using the "The Summary of Diabetes Self-Care Activities Measure" and "Measurement of Treatment Adherence". Results: Adherence to exercises, blood glucose monitoring, shoe inspection, and the use of insulin differed between units; better results were obtained for those in tertiary care. Conclusion: The results indicate a need for greater investment in the initial phase of treatment to improve self-care adherence. Implications for practice: The study enabled identifying the profile of individuals in terms of self-care adherence and supporting the planning of nursing interventions in diabetes mellitus. (AU)

• FAPESP's process: 11/08937-6 - Family-centered social support program of care for people with Diabetes Mellitus: a randomized controlled trial
• Grantee: Ana Emilia Pace
• Support Opportunities: Regular Research Grants