0176/2017 - Conhecimento sobre o diabetes e atitude para o autocuidado de idosos na atenção primária à saúde. Knowledge and attitude about diabetes self-care of older adults in primary health care
Objetivou-se avaliar o conhecimento sobre o diabetes, a atitude para o autocuidado e os fatores associados, por meio de estudo transversal, na linha de base de um ensaio clínico randomizado, com idosos diabéticos na atenção primária de saúde do Recife, Nordeste do Brasil. Utilizou-se o Diabetes Knowledge Scale (DKN-A) e o Diabetes Attitudes Questionnaire (ATT-19). Dos 202 idosos, 77,7% apresentaram conhecimento insuficiente sobre a doença, com destaque para a cetonúria, substituição de alimentos e desconhecimento das causas e cuidados com a hipoglicemia. Quanto à atitude, 85,6% tiveram ajustamento psicológico negativo em relação ao diabetes. O modelo de regressão logística mostrou que morar sozinho foi fator de proteção (OR=0,24; IC95% 00,9-0,65; OR=0,22; IC95% 0,07-0,71) e baixa escolaridade fator de risco (OR=7,78; IC95% 3,36-18,01; OR=13,05; IC95% 4,63-36,82) para conhecimento insuficiente e atitude negativa para o autocuidado, respectivamente. Os achados reforçam a necessidade de ações educativas interdisciplinares que incluam aspectos socioeconômicos, psicoemocionais e educacionais na gestão do diabetes com vistas à manutenção da autonomia e funcionalidade do idoso.
Palavras-chave:
Diabetes MellitusIdosoConhecimentoAtitude Frente à SaúdeAtenção Primária à Saúde
Abstract:
This study aimed to assess the knowledge about diabetes, the attitude for self-care and associated factors through cross-sectional study, the baseline of a randomized clinical trial with elderley diabetic in primary health care in Recife, Northeastern Brazil. Used the Diabetes Knowledge Scale (DKN-A) and Diabetes Attitudes Questionnaire (ATT-19). The logistic regression model evaluated the association of knowledge and attitude for self-care with the sociodemographic and clinical variables. Of the 202 elderly, 77.7% had insufficient knowledge of the disease, especially for ketonuria, replacement of food and ignorance of the causes and care of hypoglycemia. As for attitude, 85.6% had negative psychological adjustment for diabetes. The logistic regression model showed that living alone was protective factor (OR = 0.24 ; 95% CI 00,9-0,65 ; OR = 0.22 , 95% CI 0.07 to 0.71 ) and low education risk factor ( OR = 7.78, 95% CI 3.36 to 18.01 ; OR = 13.05 , 95% CI 4.63 to 36.82 ) for the insufficient knowledge and the negative attitude to self-care, respectively. The findings reinforce the need for interdisciplinary educational actions that include socioeconomic, psychoemotional and educational aspects in diabetes management in order to maintain autonomy and functionality of the elderly.
Keywords:
Diabetes MellitusElderlyKnowledgeAttitude to HealthPrimary Health Care
Knowledge and attitude about diabetes self-care of older adults in primary health care
Resumo (abstract):
This study aimed to assess the knowledge about diabetes, the attitude for self-care and associated factors through cross-sectional study, the baseline of a randomized clinical trial with elderley diabetic in primary health care in Recife, Northeastern Brazil. Used the Diabetes Knowledge Scale (DKN-A) and Diabetes Attitudes Questionnaire (ATT-19). The logistic regression model evaluated the association of knowledge and attitude for self-care with the sociodemographic and clinical variables. Of the 202 elderly, 77.7% had insufficient knowledge of the disease, especially for ketonuria, replacement of food and ignorance of the causes and care of hypoglycemia. As for attitude, 85.6% had negative psychological adjustment for diabetes. The logistic regression model showed that living alone was protective factor (OR = 0.24 ; 95% CI 00,9-0,65 ; OR = 0.22 , 95% CI 0.07 to 0.71 ) and low education risk factor ( OR = 7.78, 95% CI 3.36 to 18.01 ; OR = 13.05 , 95% CI 4.63 to 36.82 ) for the insufficient knowledge and the negative attitude to self-care, respectively. The findings reinforce the need for interdisciplinary educational actions that include socioeconomic, psychoemotional and educational aspects in diabetes management in order to maintain autonomy and functionality of the elderly.
Palavras-chave (keywords):
Diabetes MellitusElderlyKnowledgeAttitude to HealthPrimary Health Care
Borba, Anna Karla de Oliveira Tito, Arruda, Ilma Kruze Grande, Leal, MCC, Diniz, A.S., Marques, APO. Conhecimento sobre o diabetes e atitude para o autocuidado de idosos na atenção primária à saúde.. Cien Saude Colet [periódico na internet] (2017/mai). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/conhecimento-sobre-o-diabetes-e-atitude-para-o-autocuidado-de-idosos-na-atencao-primaria-a-saude/16222?id=16222
