Browsing by Author "Madureira, António"
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- Adherence to therapeuthic regimen and metabolic control of type 1 diabetesPublication . Cunha, Madalena; Matos, Ana Paula; Almeida, Vera; Albuquerque, Carlos; Madureira, António; Estudantes 28º CLAbstract Objectives: To assess the adherence to therapeutic regimen; to determine the Hemoglobin Glycation Index (HbA1c); to analyse the relationship that exists between the adherence to therapeutic regimen and metabolic control. Design: correlational analytical study, carried out according to a cross-sectional perspective. Participants: A non-probabilistic sample of 266 people with type 1 diabetes aged between 18 and 78 years old (mean M = 51.02 ± SD = 18.710), attending follow-up diabetes consultations. Mostly male individuals (51.88%), with low schooling level (50.75% had only inished elementar school). Measuring Instruments: We used the following data collection tools: a questionnaire on clinical and socio-demographic data, blood analysis of venous blood to determine the glycated hemoglobin level (HbA1c).Three self-report scales were used: Accession to Diabetes Treatment (Matos, 1999), Self-perception Scale (Vaz Serra, 1986) and Social Support Scale (Matos & Rodrigues, 2000). Results: In a sample in which the mean disease duration is 12.75 years, 69.17% of the sample run glycemic control tests between once a day and four times a year and 42.86% of them undergo insulin treatment. In the last 3 weeks, 26.32% of these people have experienced an average of 4.22 to 44.36%, hypoglycemic crises and experienced an average of 6.18 hyperglycemic crises. 57% of the individuals have showed a poor metabolic control (mean HbA1c higher than 7.5% (HbA1c mean M ≥ 7.50%). The mean psychosocial proile revealed individuals who show a decent self-esteem (M = 70.81) and acceptable social support (M = 58.89). Conclusions: The results suggest we should develop a kind of investigation that could be used to monitor the strenght of the mediation effect effect of the psychosocial predictive dimension of the adherence, since it has become essential to support a multidisciplinary approach which center lays in the promotion of a co-responsible self-management from the person who suffers from diabetes. This will enable a better quality of life; fewer years of people’s lives lost prematurely and a better health with less economical costs for citizens and healthcare systems.
- Emotional intelligence and life satisfaction in Portuguese older adultsPublication . Andrade, Ana; Martins, Rosa; Duarte, João; Moreira, Helena; Madureira, António; Albuquerque, CarlosAbstract Aims: To assess the level of emotional intelligence of older adults; to verify if sociodemographic variables and life satisfaction are related to emotional intelligence and its dimensions (empathy, self-motivation, self-awareness, self-control and sociability). Methods: Cross-sectional study, correlational-descriptive of quantitative characteristics. Location: Portuguese older adults resident in the district of Viseu. Participants: 1040 older adults, aged between 65 and 96 years, with an average of 74.14 years. All of them are resident in the Viseu district, retired and participated voluntarily in the study. Main scales: Emotional Intelligence Measuring Scale (EIMS), Life Satisfaction Rating Scale and a sociodemographic characterization record. Results: Of the surveyed older adults population, 39.7% have high emotional intelligence and 37.4% low emotional intelligence. Life satisfaction is related to the level of emotional intelligence. More than half (55.9%) of the population have high emotional intelligence and high life satisfaction. For the dimensions of Emotional Intelligence (Empathy, Self Motivation, Self-Awareness and Sociability) and Life satisfaction (Health and physical ability, Mental and social engagement capacity) it was shown a statistical significance in the results. Conclusions: The high emotional intelligence of older adults is related to a better life satisfaction. These two aspects should be considered when healthcare professionals are handling with older adults and this study contributes to procedures that should be regarded during the aging process in order to provide a better quality of life and well-being to the older adults.
- Empowerment and adherence to the therapeutic regimen in people with diabetesPublication . Cunha, Madalena; André, Suzana; Granado, João; Albuquerque, Carlos; Madureira, AntónioA Diabetes Mellitus é uma doença crónica responsável por complicações que, não só limitam a vida do indivíduo, como também contribuem para um elevado índice de morbi-mortalidade. Desta forma, torna-se importante capacitar a pessoa para a gestão adequada do seu regime terapêutico. Promover o empowerment do individuo com diabetes assume-se como uma estratégia facilitadora da obtenção de ganhos em saúde e em qualidade de vida. Como objectivos, pretendeu-se analisar a relação das variáveis sociodemográficas e clínicas com a adesão ao regime terapêutico em pessoas com diabetes e determinar o efeito preditivo do empowerment no processo de adesão. A maioria dos participantes pontuou com elevado empowerment (38,7%), verificando-se ainda existir uma associação positiva e significativa entre este e a adesão ao regime terapêutico, ou seja, quanto maior o empowerment, maior é a adesão. Os resultados do estudo mostram que o empowerment e as variáveis sociodemográficas e clínicas se relacionam significativamente com a adesão ao regime terapêutico pelo que devem ser consideradas quando se planeiam intervenções de educação terapêutica e clínica para as pessoas com diabetes.
- Psychological features associated with health in higher education studentsPublication . Cunha, Madalena; Albuquerque, Carlos; Martins, Rosa; Madureira, António; Bica, Isabel; Albuquerque, Cristina OliveiraAbstract Background: The social and human sciences have enormously contributed to the study of health and well being of populations as well as to the risk factors and individual resilience that are associated to them. Thus, it is a general thought that one of the main functions of health professionals is to promote healthy behaviours in people. Aim: To verify if some psychological characteristics (Self-Esteem, Locus of Control, Internal Sense of Coherence) are associated to health(lifestyle, health state, general health perception) in higher education students. Method: The sample was made up by 548 students, men and women, who were attending Nursing School (n= 322) and other graduations without any health studies- Management, Languages, Secretarial and Administration (n=226). The protocol included: Inventory “My Lifestyle” Scale “State of Health”; To measure psychological variables: Sense of Coerence Questionnaire; Self-Esteem Clinical Inventory; Self-Esteem Physical Inventory; and Locus of Control Questionnaire. Results: There is an association, statistically significant between health variables and psychological variables, in the expected sense. Also, the results suggest that the Internal Sense of Coherence factors - understanding(ß= .336) and generalised significance(ß= .294)- are, in interaction with General Health Perception, predictors in a positive and highly significant way, for Health State, specifically in Nursing School Students. Conclusion: We believe this study points to a growing need of a bigger participation of psychologists (along with other health professionals) in the development of programs related to public health. Apart from an involvement in primary health care it will also be important for these professionals to participate in differentiated care.