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Adherence to therapeuthic regimen and metabolic control of type 1 diabetes

2016Journal article Open access
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dc.contributor.authorCunha, Madalena
dc.contributor.authorMatos, Ana Paula
dc.contributor.authorAlmeida, Vera
dc.contributor.authorAlbuquerque, Carlos
dc.contributor.authorMadureira, António
dc.contributor.authorEstudantes 28º CL
dc.date.accessioned2017-01-09T10:26:45Z
dc.date.available2020-09-01T00:30:11Z
dc.date.issued2016
dc.date.updated2016-12-06T11:20:02Z
dc.description.abstractAbstract 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier0212-6567en_US
dc.identifier.citationCunha, 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-X0212656716593654pt_PT
dc.identifier.issn0212-6567
dc.identifier.urihttp://hdl.handle.net/10400.19/3635
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttp://www.elsevier.es/a-revista-atencion-primaria-27-articulo-adherence-therapeuthic-regimen-metabolic-control-X0212656716593654pt_PT
dc.subjectDiabetespt_PT
dc.subjectAdherencept_PT
dc.subjectMetabolic controlpt_PT
dc.titleAdherence to therapeuthic regimen and metabolic control of type 1 diabetespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceEspanhapt_PT
oaire.citation.endPage156pt_PT
oaire.citation.startPage151pt_PT
oaire.citation.titleAtención Primariapt_PT
oaire.citation.volume48(Espec Cong 1)pt_PT
person.familyNameMadalena Jesus Cunha Nunes
person.familyNameDE SOUSA ALBUQUERQUE
person.givenNameMaria
person.givenNameCARLOS MANUEL
person.identifier.ciencia-id5C12-8847-309C
person.identifier.ciencia-id9B1E-D9AA-1C3F
person.identifier.orcid0000-0003-0710-9220
person.identifier.orcid0000-0002-2297-0636
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication2249e3ea-8fe6-4459-a224-37c724622128
relation.isAuthorOfPublication8a37caa0-40ca-4f15-b8d7-11bb6f4f4515
relation.isAuthorOfPublication.latestForDiscovery8a37caa0-40ca-4f15-b8d7-11bb6f4f4515

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