Abstract

Objective: This study aims to learn about self-care and self-perception practices and difficulties related to complications in people with type 2 diabetes mellitus through a Compasso protocol application over the phone. Methods: Cross-sectional study with a quantitative approach that included 222 people with type 2 diabetes. Two instruments were applied: the first composed of sociodemographic information and clinical variables and the second, the Compasso protocol. Results: The difficulties in managing self-care were: physical activity (33.33%) and following the diet plan (32.43%). The possible complications of diabetes that patients believe to have a higher incidence were vision problems (24.32%), cardiovascular complications (22.52%), followed by amputation (19.82%). Most of the participants reported following the diet plan three to four times a week (27.5%), 44.6% did not perform any physical activity at least once a week. 94.6% of the participants reported using the medication every day of the week. However, regarding clinical variables, 58.6% of participants are out of the glycemic goal, with glycated hemoglobin >7%, 44.6% of patients are obese, 61.5% of men and 88.5% of women have a waist circumference above desirable. Conclusions: This study demonstrated that following the diet plan and doing physical activity have been the biggest barriers to self-care of diabetes. Most patients report that problems with vision and cardiovascular complications are the possible consequences of lack of self-care.

Highlights

  • Type 2 Diabetes Mellitus (DM2) is a chronic condition considered a public health problem due to the high prevalence, incidence and increase in morbidity and mortality rates

  • These data corroborate with the latest survey of the International Diabetes Federation, where one in five people with diabetes is over 65 years old; this corresponds to 135.6 million people (19.3% of the world population) (IDF, 2019)

  • This study showed that most patients make daily use of the therapeutic scheme but following the diet plan and doing physical activity is one of the biggest barriers to self-care of diabetes

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Summary

Introduction

Type 2 Diabetes Mellitus (DM2) is a chronic condition considered a public health problem due to the high prevalence, incidence and increase in morbidity and mortality rates. The initial treatment of the disease aims to reduce hyperglycemia and for this, lifestyle changes are necessary, such as healthy eating, performing physical activity of moderate intensity, not less than 150 minutes per week, and weight control (SBD, 2019-2020). The systematization of educational strategies aimed at self-care of people with DM2 aims to empower and involve the person in solving the problems that prevent them from performing self-care practices, and may be related to lifestyle changes or drug adherence (Coêlho et al, 2018, p.1611). It is possible to motivate and promote co-responsibility for self-care, encourage the overcoming of barriers, in order to empower the individual to effectively control diabetes (Arda & Büyükkaya, 2018, p.506)

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