Adherence to treatment of adolescents with type 1 diabetes mellitus

Authors

  • Renata Simionato Universidade Federal de Ciências da Saúde de Porto Alegre
  • Tayla Karolina da Rocha Universidade Federal de Ciências da Saúde de Porto Alegre
  • Amanda Aires Lombardini Universidade Federal de Ciências da Saúde de Porto Alegre e Universidade do Vale do Rio dos Sinos
  • Karin Viegas Universidade Federal de Ciências da Saúde de Porto Alegre
  • Gisele Pereira de Carvalho Universidade Federal de Ciências da Saúde de Porto Alegre
  • Simone Travi Canabarro Universidade Federal de Ciências da Saúde de Porto Alegre

DOI:

https://doi.org/10.15448/1983-652X.2018.3.30675

Keywords:

chronic disease, self care, adolescent behavior.

Abstract

Introduction: Diabetes mellitus (DM) is one of the most important chronic diseases, affecting millions of people around the world. The effective control of the disease is indispensable to avoid future complications. For this, a balanced diet, practice of regular physical activity, monitoring of capillary glycemia and insulin therapy are necessary.
Objective: To identify the determinants of adherence to treatment of adolescents with DM1, attended at a reference center in DM in southern Brazil.
Materials and Methods: A cross-sectional, descriptive and analytical study was carried out with 45 adolescents diagnosed with DM1. The data collection was performed at a reference center in DM, through a sociodemographic questionnaire and application of scales for the evaluation of self-care and adherence to treatment. The data were analyzed in SPSS® version 20.0 for Windows. The present study was approved by the Ethics and Research Committees of the institutions involved.
Results: Boys aged 10-19 years old, students and white ethnicity prevailed. In the analysis of glycated hemoglobin, 40 participants (88.9%) had values higher than expected, 25 (55.5%) had a score for probable treatment adherence and 34 (75.5%) presented moderate motivation deficit.
Conclusion: It observed a disagreement between the values of glycated hemoglobin and adherence to the treatment, and the factors that contribute to this refer to the therapeutic regimen of multiple doses of insulin and the difficulty that the patients have regarding their application, standing out the low motivation for the healthy living recommendations.

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Published

2018-10-17

Issue

Vol. 11 No. 3 (2018)

Section

Original Articles

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