Functional capacity and self-care in older adults with diabetes mellitus

Mateus Carneiro Vicente, Cleane Rosa Ribeiro da Silva, Cláudia Jeane Lopes Pimenta, Thaíse Alves Bezerra, Hannah Karolyne Vieira de Lucena, Stella Costa Valdevino, Kátia Neyla de Freitas Macedo Costa

Resumen


Capacidad funcional y autocuidado en ancianos con diabetes mellitus

Capacidade funcional e autocuidado em idosos com diabetes mellitus

Objetivo: correlacionar la capacidad funcional y el autocuidado en adultos mayores con diabetes.

Método: estudio transversal y cuantitativo, llevado a cabo con 189 ancianos con diabetes Mellitus atendidos en un ambulatorio de endocrinología. Se utilizó del instrumento estructurado para obtener los datos sociodemográficos y clínicos, el Índice de Barthel y el Cuestionario de Actividades de Autocuidado con la diabetes. Se analizaron los datos por medio de estadística descriptiva e inferencial.

Resultados: la gran parte de los ancianos era independiente y presentaba promedios elevados de adherencia al autocuidado. Se observó correlación positiva con significancia estadística entre la capacidad funcional y los dominios de las actividades de autocuidado relacionados a la actividad física y el cuidado con los pies.

Conclusiones: la capacidad funcional presentó una relación positiva con los ítems referentes a la práctica de actividad física y el cuidado con los pies. La independencia funcional en el adulto mayor puede influenciar en la adherencia a las prácticas de autocuidado hacia la diabetes Mellitus.

Para citar este artigo / Para citar este artículo / To reference this article

Vicente MCSilva CRRPimenta CJLBezerra TALucena HKVValdevino SCCosta KNFM. Functional capacity and self-care in older adults with diabetes mellitus. Aquichan. 2020;20(3):e2032. DOI: https://doi.org/10.5294/aqui.2020.20.3.2

Recibido: 17/12/2019

Aceptado: 27/04/2020

Publicado: 07/09/2020


Palabras clave


Actividades cotidianas; autocuidado; diabetes mellitus; anciano; enfermería.

Referencias


Galenkamp H, van Oers HAM, Kunst AE, Stronks K. Is quality of life impairment associated with chronic diseases dependent on educational level? Eur J Public Health. 2019;29(4):634-9. DOI: https://doi.org/10.1093/eurpub/cky276

International Diabetes Federation. Diabetes Atlas Eighth Edition [Internet]. 2017 [acesso em 4 set. 2018]. Available from: https://idf.org/e-library/epidemiology-research/diabetes-atlas/159-idf-diabetes-atlas-ninth-edition-2019.html

Guía de práctica clínica para la prevención, diagnóstico, tratamiento y seguimiento de la diabetes mellitus tipo 2 en la población mayor de 18 años. Colomb Med (Cali). 2016;47(2):109-31. Disponible en: http://gpc.minsalud.gov.co/gpc_sites/Repositorio/Conv_637/GPC_diabetes/DIABETES_TIPO_2_COMPLETA.pdf

Minoso JSM, Amendola F, Alvarenga MRM, Oliveira MAC. Validation of the Barthel Index in elderly patients attended in outpatient clinics, in Brazil. Acta Paul Enferm. 2010;23(2):218-23. DOI: https://doi.org/10.1590/S0103-21002010000200011

Frazão MCLO, Pimenta CJL, Silva CRR, Vicente MC, Costa TF, Costa KNFM. Resilience and functional capacity of elderly people with diabetes mellitus. Rev Rene. 2018;19:e3323. DOI: https://doi.org/10.15253/2175-6783.2018193323

Al-Rubeaan K, Almashouq MK, Youssef AM, Al-Qumaidi H, Al Derwish M, Ouizi S et al. All-cause mortality among diabetic foot patients and related risk factors in Saudi Arabia. PLoS One. 2017;12(11):e0188097. DOI: https://doi.org/10.1371/journal.pone.0188097

Wang X, He L, Zhu K, Zhang S, Xin L, Xu W et al. An integrated model to evaluate the impact of social support on improving self-management of type 2 diabetes mellitus. BMC Med Inform Decis Mak. 2019;19(179):1-12. DOI: https://doi.org/10.1186/s12911-019-0914-9

Pinchera B, Dellolacono D, Lawless CA. Best practices for patient self-management: Implications for nurse educators, patient educators, and program developers. J Contin Educ Nurs. 2018;49(9):432-40. DOI: https://doi.org/10.3928/00220124-20180813-09

Wilson AL, McNaughton D, Meyer SB, Ward PR. Understanding the links between resilience and type-2 diabetes self-management: A qualitative study in South Australia. Arch Public Health. 2017;75(56):1-13. DOI: https://doi.org/10.1186/s13690-017-0222-8

Lee AA, Piette JD, Heisler M, Janevic MR, Rosland AM. Diabetes self-management and glycemic control: The role of autonomy support from informal health supporters. Health Psychol. 2019;38(2):122-32. DOI: https://doi.org/10.1037/hea0000710

Orem DE. Nursing: concepts of practice. St. Louis: Mosby; 2005.

Teston EF, Sales CA, Marcon SS. Perspectives of individuals with diabetes on selfcare: Contributions for assistance. Esc Anna Nery Rev Enferm. 2017;21(2):e20170043. Available from: https://www.scielo.br/pdf/ean/v21n2/en_1414-8145-ean-21-02-e20170043.pdf

Wang T, Feng X, Zhou J, Gong H, Xia S, Wei Q et al. Type 2 diabetes mellitus is associated with increased risks of sarcopenia and pre-sarcopenia in Chinese elderly. Sci Rep. 2016;6(38937):1-7. DOI: https://doi.org/10.1038/srep38937

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. BMJ. 2007;335(7624):806-8. DOI: https://doi.org/10.1136/bmj.39335.541782.AD

Folstein MF, Folstein SE, McHugh PR. Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. J Psychiat Res. 1975;12(3):189-98. DOI: https://doi.org/10.1016/0022-3956(75)90026-6

Granger CV, Albrecht GL, Hamilton BB. Outcome of comprehensive medical rehabilitation: Measurement by PULSES Profile and the Barthel Index. Arch Phys Med Rebabil. 1979;60(4):145-54. Available from: https://www.ncbi.nlm.nih.gov/pubmed/157729

Michels MJ, Coral MHS, Sakae TM, Damas TB, Furlanetto LM. Questionário de Atividades de Autocuidado com o Diabetes: tradução, adaptação e avaliação das propriedades psicométricas. Arq Bras Endocrinol Metab. 2010;54(7):644-51. DOI: https://doi.org/10.1590/S0004-27302010000700009

Chhetri JK, Zheng Z, Xu X, Ma C, Chan P. The prevalence and incidence of frailty in pre-diabetic and diabetic community-dwelling older population: Results from Beijing longitudinal study of aging II (BLSA-II). BMC Geriatr. 2017;17(47):1-8. DOI: https://doi.org/10.1186/s12877-017-0439-y

Downer B, Rote S, Markides KS, Snih AS. The comorbid influence of high depressive symptoms and diabetes on mortality and disability in Mexican Americans aged 75 and above. Gerontol Geriatr Med. 2016;2:1-8. DOI: https://doi.org/10.1177/2333721416628674

Ong SE, Koh JJK, Toh SAES, Chia KS, Balabanova D, McKee M et al. Assessing the influence of health systems on Type 2 Diabetes Mellitus awareness, treatment, adherence, and control: A systematic review. PLoS One. 2018;13(3):e0195086. DOI: https://doi.org/10.1371/journal.pone.0195086

Devarajooh C, Chinna K. Depression, distress and self-efficacy: The impact on diabetes self-care practices. PLoS One. 2017;12(3):e0175096. DOI: https://doi.org/10.1371/journal.pone.0175096

Borba AKOT, Marques APO, Ramos VP, Leal MCC, Arruda IKG, Ramos RSPS. Factors associated with elderly diabetic adherence to treatment in primary health care. Ciênc Saúde Colet. 2018;23(3):953-61. DOI: https://doi.org/10.1590/1413-81232018233.03722016

Fink A, Buchmann N, Tegeler C, Steinhagen-Thiessen E, Demuth I, Doblhammer G. Physical activity and cohabitation status moderate the link between diabetes mellitus and cognitive performance in a community-dwelling elderly population in Germany. PLoS One. 2017;12(10):e0187119. DOI: https://doi.org/10.1371/journal.pone.0187119

Bermeo-Cabrera J, Almeda-Valdes P, Riofrios-Palacios J, Aguilar-Salinas CA, Mehta R. Insulin Adherence in Type 2 Diabetes in Mexico: Behaviors and Barriers. J Diabetes Res. 2018;3190849:1-8. DOI: https://doi.org/10.1155/2018/3190849

Becker TAC, Teixeira CRS, Zanetti ML, Pace AE, Almeida FA, Torquato MTCG. Effects of supportive telephone counseling in the metabolic control of elderly people with diabetes mellitus. Rev Bras Enferm. 2017;70(4):704-10. DOI: https://doi.org/10.1590/0034-7167-2017-0089

Bernini LS, Barrile SR, Mangili AF, Arca EA, Correr R, Ximenes MA et al. O impacto do diabetes mellitus na qualidade de vida de pacientes da Unidade Básica de Saúde. Cad Bras Ter Ocup. 2017;25(3):533-41. DOI: https://doi.org/10.4322/2526-8910.ctoAO0899

Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC et al. Physical activity/exercise and diabetes: A position statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065-79. DOI: https://doi.org/10.2337/dc16-1728

Joseph JJ, Echouffo-Tcheugui JB, Carnethon MR, Bertoni AG, Shay CM, Ahmed HM et al. The association of ideal cardiovascular health with incidente type 2 diabetes mellitus: The Multi-Ethnic Study of Atherosclerosis. Diabetologia. 2016;59(9):1893-903. DOI: https://doi.org/10.1007/s00125-016-4003-7

Pan A, Wang Y, Talaei M, Hu FB. Relation of smoking with total mortality and cardiovascular events among patients with diabetes mellitus: A meta-analysis and systematic review. Circulation. 2015;132(19):1795-804. DOI: https://doi.org/10.1161/CIRCULATIONAHA.115.017926

Andrade TM, Alves ELM, Figueiredo MLF, Batista MEM, Alves CMS. Evaluation of functional capacity of elderly through the test of six-minute walk. J Res: Fundam Care Online. 2015;7(1):2042-50. DOI: https://doi.org/10.9789/2175-5361.2015.v7i1.2042-2050

Roos AC, Baptista DR, Miranda RC. Compliance with the treatment of patients with type 2 Diabetes Mellitus. Demetra. 2015;10(2):329-46. DOI: https://doi.org/10.12957/demetra.2015.13990

Younas A, Quennell S. Usefulness of nursing theory-guides practice: An integrative review. Scand J Caring Sci. 2019;33:1-16. DOI: https://doi.org/10.1111/scs.12670




DOI: https://doi.org/10.5294/aqui.2020.20.3.2

Enlaces refback

  • No hay ningún enlace refback.


Copyright (c) 2020 Aquichan

URL de la licencia: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es

Indexada en: Scopus (Q4)SciELO Citation IndexRedalycPublindex (C), Lilacs, EBSCO-Fuente Académica, DOAJDialnetCuidenLatindex (catálogo)PERIÓDICA, Ulrich's, Google AcadémicoProQuest - Social Science Journals

Correo electrónico: aquichan@unisabana.edu.co
Canje: canje.biblioteca@unisabana.edu.co