Knowledge and attitude about diabetes mellitus in hospitalized patients
DOI:
https://doi.org/10.15448/1980-6108.2021.1.37625Keywords:
diabetes mellitus, health education, knowledgeAbstract
Introduction: diabetes education aims to guide people and help to face and act actively in preventing complications that may arise with the disease.
Aims: to characterize patients diagnosed with Diabetes Mellitus (DM) admitted to a tertiary hospital in southern Brazil through the analysis of their knowledge and attitudes towards the disease.
Methods: a cross-sectional study with 69 patients was carried out between September 2019 and January 2020. For data collection, three questionnaires were used: one on knowledge of DM (DKN-A), another on psychological attitudes about the disease (ATT-19) and a last one consisting of objective questions applied through an interview, which assesses the clinical and sociodemographic characteristics of each patient. For statistical analysis, Chi-square or Fisher’s exact tests were used.
Results: regarding the DKN-A questionnaire, 49 patients evaluated (71%) obtained a good score (score greater than 8 points), which is associated with a good knowledge of DM. It was found that these patients underwent medical monitoring of Diabetes on a more regular basis, consulting at least three times a year (p =0.036). Sixty-six participants (95.7%) had low scores on the ATT-19 questionnaire.
Discussion: most of the patients evaluated have good knowledge about DM, however, the low score on the ATT-19 questionnaire presented by most patients indicates difficulty in coping with the disease. More regular medical monitoring of Diabetes may be associated with greater patient involvement in the treatment of the disease, as well as a greater and more frequent flow of information between doctor and patient.
Downloads
References
American Diabetes Association. Introduction: Standards of Medical Care in Diabetes. Diabetes Care. 2019;(Suppl. 1):S1-S2. https://doi.org/10.2337/dc19-Sint01
International Diabetes Federation. IDF Diabetes Atlas, 9th edition. Brussels. 2019.
Cántaro K, Jara J, Taboada M; Mayta-tristan P. Asociación entre las fuentes de información y el nivel de conocimientos sobre diabetes en pacientes diabéticos tipo 2. Endocrinología y Nutrición. 2016;63(5):202-11. https://doi.org/10.1016/j.endonu.2016.01.005
He X, Li J, Wang B, Yao Q, Li L, Song R, Shi X, Zhang J. Diabetes self-management education reduces risk of all-cause mortality in type 2 diabetes patients: a systematic review and meta analysis. Endocrine. 2016;55:712-31. https://doi.org/10.1007/s12020-016-1168-2
Strawbridge, LM, Lloyd, JT, Meadow A., Riley GF, Howell BL. One-Year Outcomes of Diabetes Self-Management Training Among Medicare Beneficiaries Newly diagnosed With Diabetes. Medical Care. 2017;55(4):391-97. DOI: 10.1097/MLR.0000000000000653
Weaver, RG, Hemmelgarn BR, Rabi DM, Sagious PM, Edwards AL, Manns BJ, Tonelli M, James MT. Association between participation in a brief diabetes education programme and glycaemic control in adults with newly diagnosed diabetes. Diabet Med. 2014;31:1610-1614. https://doi.org/10.1111/dme.12513
Hasan R, Firwana B, Elraiyah T, Domecq JP, et al. A systematic review and meta-analysis of glycemic control for the prevention of diabetic foot syndrome. J Vasc Surg. 2016;64(1):264-65. https://doi.org/10.1016/j.jvs.2015.10.005
Boavida JM. Educação do doente terapêutico no tratamento da diabetes. Revista Portuguesa de Cardiologia. 2013;32(Supl. I):32-4. https://doi.org/10.1016/S0870-2551(13)70045-3
Torres HC, Hortale VA, Schall VT. Validação dos questionários de conhecimento (DKN-A) e atitude (ATT-19) de Diabetes Mellitus. Rev de Saúde Pública. 2005;39(6):906-11. https://dx.doi.org/10.1590/S0034-89102005000600006
Oliveira KCS, Zanetti ML. Conhecimento e atitude de usuários com diabetes mellitus em um Serviço de Atenção Básica à Saúde. Rev esc enferm USP. 2011;45(4):862-8. https://dx.doi.org/10.1590/S0080-62342011000400010
Borba AKOT, Arruda IKG, Marques APO, Leal MCC, Diniz AS. Conhecimento sobre o diabetes e atitude para o autocuidado de idosos na atenção primária à saúde. Ciênc saúde coletiva. 2017;24(1):125-36. https://dx.doi.org/10.1590/1413-81232018241.35052016
Santos BMO, Caixeta ACM, Silva AA, Teixeira CRS. Conhecimento e atitudes em diabetes mellitus tipo 2: subsídios para autocuidado e promoção de saúde. Arquivos de Ciência da Saúde. 2016;23(4):31-36. https://doi.org/10.17696/2318-3691.23.4.2016.443
Rodrigues FFL, Santos MA, Teixeira CRS, Gonela JT, Zanetti ML. Relação entre conhecimento, atitude, escolaridade e tempo de doença em indivíduos com diabetes mellitus. Acta paul enferm. 2012;25(2):284-90. https://dx.doi.org/10.1590/S0103-21002012000200020
Brunisholz KD, Briot P, Hamilton S, Joy EA, Lomax M, Barton N, et al. Diabetes self-management education improves quality of care and clinical outcomes determined by a diabetes bundle measure. Journal of Multidisciplinary Healthcare. 2014;7:533-42. https://doi.org/10.2147/JMDH.S69000
Neto JCGL, Xavier MA, Borges JWP, Araujo MFM, Damasceno MMC, Freitas RWJF. Prevalência da Síndrome Metabólica em pessoas com diabetes mellitus tipo 2. Rev Brasil Enferm. 2017;70(2):282-7 https://dx.doi.org/10.1590/0034-7167-2016-0145
Dias AFG, Vieira MF, Rezende MP, Oshima A, Muller MEW, Santos MEX, Serracarbassa PD. Perfil epidemiológico e nível de conhecimento de pacientes diabéticos sobre diabetes e retinopatia diabética. Arq Bras Oftalmol. 2010;73(5):414-8. https://dx.doi.org/10.1590/S0004-27492010000500005
Pettersson S, Hadziabdic E, Marklund H, Hjelm K. Lower knowledge about diabetes among foreign-born compared to Swedishborn persons with diabetes – A descriptive study. Nursing Open. 2019;6(2):367-76. https://doi.org/10.1002/nop2.217
Vieira GLC, Cecilio SG, Torres HC. A percepção dos usuários com diabetes sobre a estratégia de educação em grupos na promoção do autocuidado. Escola Anna Nery. 2017;21(1):e20170017. https://dx.doi.org/10.5935/1414-8145.20170017
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Scientia Medica
This work is licensed under a Creative Commons Attribution 4.0 International License.
