Emotional factors, life quality and adhesion of treatment in adult with diabetes type 2

Authors

  • Luciane Ramos Universidade Federal do Pará; Núcleo de Teoria e Pesquisa do Comportamento
  • Eleonora Arnaud Pereira Ferreira Universidade Federal do Pará; Núcleo de Teoria e Pesquisa do Comportamento

DOI:

https://doi.org/10.7322/jhgd.20039

Keywords:

diabetes, stress, anxiety, depression, life quality, adherence of treatment

Abstract

This study has the purpose of verifying the relationship between emotional factors (stress, anxiety and depression) life quality and adherence to the treatment in adults suffering from type 2 diabetes. Thirty people (18 women and 12 men aging from 33 to 59) participated in the study. All enrolled in the Hiperdia program of a municipal health unit. Instruments used were the inventories of anxiety and Beck's depression, Lipp's inventory of Stress Symptoms The adherence to the treatment was measured by means of the latest result of glycated hemoglobin exam. The results showed that there was no relation between emotional factors and adherence to the treatment. However it was verified a significant correlation between diabetes diagnosis time and adherence, thus suggesting that the longer the time the participant presented the illness, the bigger the difficulty in maintaining the glucose levels stabilized and adhering to the prescribed orientations. It was also observed the positive correlation between low adherence and family structure, predominantly nuclear. The results suggest that other factors besides the emotional ones must be considered in the analysis of adherence to treatment.

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References

World Health Organization. Diabetes, Fact sheet, [online journal].2011 Jan[access on Mar 3rd 2011]. Availableat http:// www.who.int/mediacentre/factsheets/fs312/en/.

Sociedade Brasileira de Diabetes -SBD. Cuidados de Enfermagem em diabetes mellitus. Em ‘Manual de Enfermagem da Sociedade Brasileira de Diabetes. Cited on 03/25/2011 Availableat: http://www.diabe-tes.org.br/attachments/1118_1324_manual_enfermagem.pdf.

American Diabetes Association. Standards of medical care in diabetes. Diabetes Care, 34 (1, Supple-ment). 2011 [access on Mar 25 2011, Available at: http://care.diabe-tesjournals.org/content/34/Supple-ment_1/S11.extract.

Ataíde MBC, Damasceno MMC. Fatores que interferem na adesão ao autocuidado em diabetes. 2006 Rev Enfermagem UERJ, RJ, 14(4): 518-23.Extracted on 07/09/2008, Available at: http://www.portalbvsenf.eerp.usp.br/scielo.php?script=sci_pdf&pid=S0104-35522006000400005&lng=pt&nrm=iso&tlng=.

Carvalho NS, Ribeiro PR, Ribeiro M, Nunes MPT, Cukier A, Stelmach R. Asma e doença pulmonar obstrutiva crônica: Uma comparação entre variáveis de ansiedade e depressão. J Bras Pneumologia, 2007; 33(1), 1-6.

Chaves EC, Cade NV. Efeitos da ansiedade sobre a pressão arterial em mulheres com hipertensão Rev Latino-americana de Enfermagem. 2004; 12(2), 162-167.

Silva I, Pais-Ribeiro J, Cardoso H. Dificuldades em perceber o lado positivo da vida? Stress em doentes diabéticos com e sem complicações crónicas da doença. Avaliação Psicológica. 3(22), 597-605. 2004. Extrac-ted on11/27/2007, Available at: www.scielo.oces.mctes.pt/pdf/aps/v22n3/v22n3a14.pdf.

Maia FFR, Araújo LR. Aspectos psicológicos e controle glicêmico de um grupo de pacientes com diabetes mellitus tipo 1em Minas Gerais. Arq Bras Endocrinol Metabologia. 2004;48(2): 261-266.

Santos-Filho CV, Rodrigues WHC, Santos RB. Papéis de autocuidado – Subsídios para enfermagem diante das reações emocionais dos portadores de diabetes mellitus. Escola Anna Nery – Rev Enfermagem. 2008, 12(1), 125–129.

Surwit RS, van Tilburg MA, Zucker N, McCaskill CC, Parekh P, FeinglosMN, Edwards CL, Williams P, Lane JD. Stress management improves long-term glycemic control in type 2 dia-betes. Diabetes Care, 2002,25(1):30-4.

Thomas J, Jones G, Scarinci I. Brantley P. A descriptive and comparative study of the prevalence of depressive and anxiety disorders in low-income adults with type 2 diabetes and other chronic illnesses. Diabetes Care, 2003, 26(8).

Silva I, Pais-Ribeiro J, Cardoso H, Ramos H. Contributo para a adaptação da Life Events Survey (LES) à população diabética portuguesa. Rev Portuguesa Saúde Pública. 2003;2: 49-60.

Riveros A, Cortazar-Palapa J, Alcazar FL, Sánchez-Sosa JJ. Efectos de una intervención cognitivo-conductual en la calidad de vida, ansiedad, depression y condición médica de pacientes diabeticos e hipertensos esenciales. Int J Clinical and healthpsychology. 2004; 5(3): 445– 462.

Riveros A, Sánchez-Sosa JJ, Groves M. Inventario de calidad devida y salud, In CaVisa: México Universidad Nacional Autonóma de México; 2004.

Moos R, Cronkite R, Billings A, Finney J. Health and daily living form manual. Social Ecologic Laboratory, Department of Psychiatry and Behavioral Science. Palo Alto, CA: Veterans Administration and Standford Univer-sity medical Center; 1986.

Cortazar-Palapa J, Riveros A, Sánchez-Sosa JJ. Herramientas parala toma de decisiones en terapia cognitivo-conductual en escenarios médicos: el uso del sistema de autor-resgistro. Ponencia presentada en elXII Congreso Mexicano de Psicología, Guanajuato, México; 2004.

Spielberger CD, Biaggio A, Natalicio LF. Manual do Idate- Rio de Janeiro: CEPA, 1979.

Associação Brasileira de Empresas de Pesquisa Critério de Classificação Econômica Brasil. Extracted on 01/03/2010. Available at: http://www.abep.org/novo/Content.aspx?ContentID=302.

Lipp MEN. Inventário de sintomas de stress para adultos de Lipp. São Paulo: Casa do Psicólogo; 2000.

Cunha, J. A.. Escalas Beck. São Paulo: Casa do Psicólogo; 2001.

Silva, I. Pais-Ribeiro, J. Cardoso, H. Adesão ao tratamento da diabetes Mellitus: A importância das características demográficas e clínicas. Rev Referência IIª Série, 2006;nº 2.

Lopes MCL, Marcon SS. A hipertensão arterial e a família: a necessidade do cuidado familiar Rev Esc Enfermagem USP. 2009;43(2): 343-50.

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Published

2011-12-01

Issue

Vol. 21 No. 3 (2011)

Section

Original Research

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