A carregar...
Publicação
Adesão ao Autocuidado, Sintomatologia Psicopatológica e Perceção da Qualidade de Vida em Indivíduos com Diabetes Mellitus Tipo 2
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.31 MB | Adobe PDF |
Autores
Resumo(s)
Introdução: A diabetes mellitus tipo 2, caracterizada por hiperglicemia, é uma
doença crónica de acentuada prevalência que impõe múltiplos desafios. O presente
estudo teve como objetivo avaliar a adesão ao autocuidado, a presença de sintomas
depressivos e ansiosos e a perceção da qualidade de vida. Método: A investigação foi
empírica, quantitativa, transversal e não experimental, com enfoque descritivo,
comparativo e correlacional. Participaram oitenta indivíduos que responderam ao
questionário sociodemográfico e às versões portuguesas da Escala de Atividades de
Autocuidado com a Diabetes, da Escala Hospitalar de Ansiedade e Depressão e da
Auditoria da Qualidade de Vida Dependente da Diabetes 18. Resultados: Observou-se
maior adesão à alimentação geral, sintomas ansiosos e depressivos em alguns
participantes e impacto negativo na qualidade de vida, sobretudo na liberdade de
comer. A idade e o tempo de diagnóstico associaram-se positivamente à monitorização
da glicemia, e o tempo de diagnóstico também à alimentação geral. Os doentes que
realizavam insulina e eram seguidos no hospital apresentaram maior frequência de
alimentação geral e monitorização da glicemia, mas quem fazia insulina tinha menor
frequência de atividade física, e ainda aqueles sem comorbilidade crónica revelaram
maior frequência de alimentação geral. A idade e o tempo de diagnóstico
correlacionaram-se positivamente com a depressão, as mulheres apresentaram
sintomas ansiosos e depressivos mais elevados, e os doentes seguidos no centro de
saúde revelaram maior sintomatologia depressiva. A qualidade de vida geral
correlacionou-se negativamente com o tempo de diagnóstico e foi menor nos doentes
seguidos no hospital e que faziam insulina. Conclusão: Esta investigação pretendeu
compreender a experiência de viver com diabetes mellitus tipo 2 visando orientar
práticas clínicas que promovam a saúde física e psicológica.
Introduction: Type 2 diabetes mellitus, characterised by hyperglycaemia, is a chronic disease with a high prevalence that poses multiple challenges. The aim of this study was to assess adherence to self-care, the presence of depressive and anxiety symptoms, and the perception of quality of life. Method: The research was empirical, quantitative, cross-sectional, and non-experimental, with a descriptive, comparative, and correlational approach. Eighty individuals participated, responding to a sociodemographic questionnaire and the Portuguese versions of the Summary of Diabetes Self-Care Activities, the Hospital Anxiety and Depression Scale, and the Audit of Diabetes-Dependent Quality of Life 18. Results: Greater adherence to general nutrition, anxiety and depressive symptoms were observed in some participants, as well as a negative impact on quality of life, especially in terms of freedom to eat. Age and time since diagnosis were positively associated with blood glucose monitoring, and time since diagnosis was also associated with general diet. Patients who used insulin and were followed up at the hospital had a higher frequency of general diet and blood glucose monitoring, but those who used insulin had a lower frequency of physical activity, and those without chronic comorbidity had a higher frequency of general diet. Age and time of diagnosis were positively correlated with depression, women had higher anxiety and depressive symptoms, and patients followed up at the health centre showed greater depressive symptoms. Overall quality of life was negatively correlated with time since diagnosis and was lower in patients followed up at the hospital and those taking insulin. Conclusion: This research aimed to understand the experience of living with type 2 diabetes mellitus in order to guide clinical practices that promote physical and psychological health.
Introduction: Type 2 diabetes mellitus, characterised by hyperglycaemia, is a chronic disease with a high prevalence that poses multiple challenges. The aim of this study was to assess adherence to self-care, the presence of depressive and anxiety symptoms, and the perception of quality of life. Method: The research was empirical, quantitative, cross-sectional, and non-experimental, with a descriptive, comparative, and correlational approach. Eighty individuals participated, responding to a sociodemographic questionnaire and the Portuguese versions of the Summary of Diabetes Self-Care Activities, the Hospital Anxiety and Depression Scale, and the Audit of Diabetes-Dependent Quality of Life 18. Results: Greater adherence to general nutrition, anxiety and depressive symptoms were observed in some participants, as well as a negative impact on quality of life, especially in terms of freedom to eat. Age and time since diagnosis were positively associated with blood glucose monitoring, and time since diagnosis was also associated with general diet. Patients who used insulin and were followed up at the hospital had a higher frequency of general diet and blood glucose monitoring, but those who used insulin had a lower frequency of physical activity, and those without chronic comorbidity had a higher frequency of general diet. Age and time of diagnosis were positively correlated with depression, women had higher anxiety and depressive symptoms, and patients followed up at the health centre showed greater depressive symptoms. Overall quality of life was negatively correlated with time since diagnosis and was lower in patients followed up at the hospital and those taking insulin. Conclusion: This research aimed to understand the experience of living with type 2 diabetes mellitus in order to guide clinical practices that promote physical and psychological health.
Descrição
Palavras-chave
Ansiedade Autocuidado Depressão Diabetes Mellitus Tipo 2 Qualidade de Vida