Detalhes bibliográficos
| Ano de defesa: |
2022 |
| Autor(a) principal: |
Domingues, Natacha Fydryzewski Teixeira |
| Orientador(a): |
Colpo, Elisangela |
| Banca de defesa: |
Schimith, Maria Denise,
Ilha, Silomar |
| Tipo de documento: |
Dissertação
|
| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade Franciscana
|
| Programa de Pós-Graduação: |
Mestrado em Ciências da Saúde e da Vida
|
| Departamento: |
Ciências da Saúde e da Vida
|
| País: |
Brasil
|
| Palavras-chave em Português: |
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| Palavras-chave em Inglês: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/1126
|
Resumo: |
DM2 is considered one of the main public health problems in Brazil, being the third cause of premature mortality. The care provided by primary care is of paramount importance, as it can prevent hospitalizations and complications related to diabetes, reducing the socioeconomic impact and improving the quality of life of people with DM2. Objective: The objective of this study was to evaluate factors that influence the quality of life of people with DM2 at the level of primary care. Exploratory study with cross-sectional typology and descriptive design of quantitative research character, carried out in a group of people with diabetes and hypertension in a BHU, located in the southern region of Brazil. Inclusion criteria were: users diagnosed with T2DM of both sexes, aged over 18 years and laboratory tests in the last six months. The collections were carried out between the months of May and December 2021, after the approval of the study by the Ethics Committee of the Franciscana University – UFN (CAAE: 44805421.3.0000.5306). Data collection was performed using the instrument diabetes 39 (D-39) composed of sociodemographic, clinical and other variables to assess the quality of life. There was a predominance of women (60.6%) of advanced age, married (51.2%), white (55.9%), low education (58.2%) and low income (68.8%). Most of participants did not perform physical exercises (71.1%). The most prevalent comorbidity was systemic arterial hypertension (80%), with a DM diagnosis time of less than nine years (57.6%), with the majority of the sample having inadequate glycemic control being 7.6% with fasting glycemia ≤ 100 mg/dL and 28.2% with glycemic goal HbA1c ≤ 7.0 mg/dL. Regarding the assessment of quality of life, it was observed that most did not have the general quality of life affected by DM2 in the domains “energy and mobility”, “social burden” and “sexual functioning”. However, in the domains “diabetes control” and “anxiety and concerns” they demonstrated a certain commitment in quality of life in the questions “dietary restrictions necessary for the control of their DM” and “concern related to financial issues”. These findings reveal that there was partial impairment of quality of life. When stratified by sex with the domains of D-39, it was observed that men were more affected in relation to sexual functioning. Regarding the correlations between the linear transformation of the five dimensions of the D-39 questionnaire with glycated hemoglobin and total cholesterol; the question of general quality of life with neck circumference, and the question what you think about the severity of your DM with physical activity, weight and neck circumference, were statistically weak, but positive. Therefore, it was possible to observe that the quality of life was not affected in people with DM2 in most of the questions made in D-39. Questions such as dietary restrictions necessary for the control of DM, having DM and concern related to financial issues had a greater impairment in quality of life. Factors such as lack of glycemic control, hypercholesterolemia, physical inactivity and anthropometric measures such as NC and weight may have influenced for the poorer quality of life of the population studied. |
