| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 122.96 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Abstract
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.
Description
Keywords
Diabetes Adherence Metabolic control
Citation
Cunha, M., Matos, A. P., Almeida, V., Albuquerque, C., Madureira, A., & Estudantes 28º CLE. (2016). Adherence to therapeutic regimen and metabolic control of type 1 diabetes. Atención Primaria, 48(Espec Cong 1), 151-156. Retrieved from http://www.elsevier.es/a-revista-atencion-primaria-27-articulo-adherence-therapeuthic-regimen-metabolic-control-X0212656716593654
Publisher
Elsevier