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Satisfação do doente diabético com os cuidados de enfermagem: influência na adesão ao regime terapêutico
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Advisor(s)
Abstract(s)
A satisfação dos utentes com os cuidados de saúde tem sido
referida como um dos factores que poderão influenciar a
adesão. Assim, este estudo pretende determinar o nível de
satisfação dos utentes com diabetes mellitus tipo 2 com a
consulta de enfermagem; identificar a sua adesão ao regime
terapêutico e compreender de que modo esta se relaciona com
a satisfação do utente. Desenvolvemos um estudo transversal e
correlacional, com uma amostra sequencial de 212 utentes que
frequentam a consulta de diabetes de dois Centros de Saúde e
de um hospital da área do grande Porto. A amostra apresenta
uma média de idades de 62,6 anos, é maioritariamente
feminina (54,7%), com baixas habilitações literárias (M=4,0
anos), apresentando um tempo médio de doença de 10,8
anos. Os participantes demonstraram mais dificuldade em
aderir ao exercício físico. Nos cuidados com a alimentação
encontramos diferenças estatisticamente significativas entre
os sexos (Homens M=71,2 DP=19,0; Mulheres M=77,8
DP=17,4; p<0,01). Os diabéticos mais jovens aderem mais
à prática de actividade física (r = -0,19; p <0,01) e à dieta
aconselhada (r =-0,23; p <0,01). Encontraram-se valores
médios indicativos de uma boa satisfação com a consulta de
enfermagem verificando-se que esta variável prediz em 12%
a adesão ao regime terapêutico. Estes resultados apontam
para a influência que os profissionais de enfermagem têm na
adesão do doente ao regime terapêutico.
The patients´ satisfaction with health cares has been referred as one of the factors that might influence the adherence. Thus, the aim of this study is: to determine the level of satisfaction of the patients with diabetes mellitus type 2 with the nursing care; to identify their adherence to the therapeutic regime and to understand the way that this relates itself to the patients’ satisfaction. We develop a cross-sectional study with 212 diabetics of two health centres and a hospital of Oporto area. The sample presents a mean of ages of 62,6 years, is mostly feminine (54.7%), with low literacy qualifications (M=4,0 years), presenting a mean of illness time of 10,8 years. The participants showed more difficulty in adhering to the physical exercise. According to the diet cares we find significantly differences statistics between the sexes (Men M =71,2 DP=19,0; Women M= 77,8 DP=17,4; p<0,01��������). The youngest diabetics adhere more to the practical physical activity (r = -0,19; p <0,01) and to advised diet (r =-0,23; p <0,01). Indicative mean values of a good satisfaction were found with the nursing consultation. We verify that this variable predicts in 12% the adhesion to the therapeutic regime. These results show the influence that the nursing professionals have in the adherence of the patient to the advised therapeutic regime.
The patients´ satisfaction with health cares has been referred as one of the factors that might influence the adherence. Thus, the aim of this study is: to determine the level of satisfaction of the patients with diabetes mellitus type 2 with the nursing care; to identify their adherence to the therapeutic regime and to understand the way that this relates itself to the patients’ satisfaction. We develop a cross-sectional study with 212 diabetics of two health centres and a hospital of Oporto area. The sample presents a mean of ages of 62,6 years, is mostly feminine (54.7%), with low literacy qualifications (M=4,0 years), presenting a mean of illness time of 10,8 years. The participants showed more difficulty in adhering to the physical exercise. According to the diet cares we find significantly differences statistics between the sexes (Men M =71,2 DP=19,0; Women M= 77,8 DP=17,4; p<0,01��������). The youngest diabetics adhere more to the practical physical activity (r = -0,19; p <0,01) and to advised diet (r =-0,23; p <0,01). Indicative mean values of a good satisfaction were found with the nursing consultation. We verify that this variable predicts in 12% the adhesion to the therapeutic regime. These results show the influence that the nursing professionals have in the adherence of the patient to the advised therapeutic regime.
Description
Keywords
Diabetes Satisfação do doente
Citation
Referência - Revista de Enfermagem, vol. II, núm. 8, diciembre, 2008, pp. 59-67
Publisher
Escola Superior de Enfermagem de Coimbra