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Advisor(s)
Abstract(s)
Introdução: Dada a crescente incidência da Diabetes tipo 2 e considerando que parte do seu controlo metabólico se deve à atitude do paciente face à doença, torna-se importante munir os profissionais de saúde com ferramentas capazes de determinar as carências educacionais dos utentes, permitindo uma intervenção mais personalizada na correção de hábitos nocivos.
Objetivos: Verificação da fiabilidade da “Escala de Conhecimentos da Diabetes” em Portugal. Análise e correlação das diferentes variáveis sociodemográficas e patológicas com o número de respostas corretas.
Metodologia: Aplicação da escala a uma amostra de conveniência de diabéticos tipo 2 do Centro de Saúde da Covilhã. Foi realizada análise descritiva, teste “Alfa de Chronbach”, teste t-Student, teste “one way ANOVA”, teste U de Mann-Whitney e correlações com o teste de Pearson, tendo sido considerados significativos os valores de p <0,05.
Resultados: Na generalidade, as questões obtiveram um valor de alfa de Cronbach>0,800. Diabéticos com melhores resultados demonstraram melhor valor de hemoglobina glicosilada, estabelecendo uma relação positiva entre o conhecimento e o controlo metabólico da diabetes. Apenas 9,2% dos diabéticos apresentou bom conhecimento sobre a doença, sendo que a maioria (65,8%) demonstrou um conhecimento mediano. Os insulinotratados exibiram os piores resultados (77,6% com baixo conhecimento). As variáveis “Via de tratamento” e “Complicações” demonstraram ter impacto no desempenho obtido no questionário (valores p iguais a 0,00 e 0,048, respetivamente). Os diabéticos residentes em áreas rurais, os casados, os sem complicações e os não insulinotratados revelaram-se os mais cumpridores e conhecedores.
Conclusão: Demonstrou-se a fidelidade psicométrica moderada a elevada do teste, assim como uma correlação positiva entre o controlo da diabetes e o desempenho no inquérito. Espera-se que a sua futura aplicação possibilite identificar as razões do descontrolo dos diabéticos, permitindo uma atuação mais individualizada pelos profissionais de saúde.
Introduction: Given the rising incidence of type 2 diabetes and taking into account that much of its control depends on the patient's attitude towards his illness, loomed the need to equip health professionals with capable tools to determine the educational needs of their patients, allowing a more personalized intervention to correct habits that could be harmful to the diabetics’ health. Objective: Verify the “Diabetes Knowledge Test’s” reliability in Portugal. Analysis of socio-demographic and pathologic variables’ correlation with the number of correct answers in the test. Methodology: Application of the translated version of "Diabetes Knowledge Test" to a convenience sample of Covilha’s primary care center. Descriptive analysis was performed, as well as Cronbach’s Alpha test, t-test, one way ANOVA test, Mann-Whitney test and correlations with the Pearson test, which were considered significant on p-value <0.05. Results: In general, the questions obtained a Cronbach’s alpha>0.800. Diabetics with better results in the survey proved to be more compliant, with a positive relationship between knowledge and diabetes’ control. However, only 9.2% of diabetics have good knowledge about their disease, and the majority (65.8%) shows an average one. The insulin treated patients show the worst results (77.6% with low knowledge). The variables "Treatment route" and "Complications" show statistical impact on the level of knowledge that diabetics have about their pathology (p-values 0.00 and 0.048, respectively). Inhabitants of rural areas, married, without complications secondary to diabetes and treated orally, proved to be more compliant and to have better knowledge about the disease. Conclusion: It has been proved a moderate to high psychometric reliability of the test, as its value establishing a correlation between diabetes knowledge and control. It is expected that its future application will help identifying the reasons for uncontrolled diabetics, allowing a more individualized intervention by the health professionals.
Introduction: Given the rising incidence of type 2 diabetes and taking into account that much of its control depends on the patient's attitude towards his illness, loomed the need to equip health professionals with capable tools to determine the educational needs of their patients, allowing a more personalized intervention to correct habits that could be harmful to the diabetics’ health. Objective: Verify the “Diabetes Knowledge Test’s” reliability in Portugal. Analysis of socio-demographic and pathologic variables’ correlation with the number of correct answers in the test. Methodology: Application of the translated version of "Diabetes Knowledge Test" to a convenience sample of Covilha’s primary care center. Descriptive analysis was performed, as well as Cronbach’s Alpha test, t-test, one way ANOVA test, Mann-Whitney test and correlations with the Pearson test, which were considered significant on p-value <0.05. Results: In general, the questions obtained a Cronbach’s alpha>0.800. Diabetics with better results in the survey proved to be more compliant, with a positive relationship between knowledge and diabetes’ control. However, only 9.2% of diabetics have good knowledge about their disease, and the majority (65.8%) shows an average one. The insulin treated patients show the worst results (77.6% with low knowledge). The variables "Treatment route" and "Complications" show statistical impact on the level of knowledge that diabetics have about their pathology (p-values 0.00 and 0.048, respectively). Inhabitants of rural areas, married, without complications secondary to diabetes and treated orally, proved to be more compliant and to have better knowledge about the disease. Conclusion: It has been proved a moderate to high psychometric reliability of the test, as its value establishing a correlation between diabetes knowledge and control. It is expected that its future application will help identifying the reasons for uncontrolled diabetics, allowing a more individualized intervention by the health professionals.
Description
Keywords
Conhecimento Controlo Metabólico Diabetes Diabetes Knowledge Test Validação