Danielle Mendonça Oliveira, Giovanna Lanna Araújo Carvalho, Laura Andrade Pinto, Thallita Cláudia Moraes Barbosa, Andreza Oliveira-Cortez, Manuela de Mendonça Figueirêdo Coelho, Juliano Teixeira Moraes, Daniel Nogueira Cortez
adherence to self-care remains centered on biomedical practices. More than half of the sample presented a risk for foot ulceration, which reinforces the need for more effective preventive actions in Primary Care.
OBJECTIVES: to analyze sociodemographic, clinical, and ulceration risk factors associated with adherence to self-care in people with diabetes mellitus in Primary Health Care.
METHODS: this cross-sectional study included 769 people with diabetes mellitus using the Diabetes Self-Care Activities Questionnaire. Univariate analysis and confirmatory factor analysis were employed to verify the associations.
RESULTS: 44.1% of participants presented a risk for foot ulceration. Factor analysis indicates that blood sugar testing and medication adherence have the highest factor loadings (λ=0.76 and λ=0.54, respectively) in adherence to self-care for diabetes mellitus. The number of appointments, diagnosis time, and polypharmacy were associated with blood sugar testing and medication adherence.
CONCLUSIONS: adherence to self-care remains centered on biomedical practices. More than half of the sample presented a risk for foot ulceration, which reinforces the need for more effective preventive actions in Primary Care.