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Knowledge about diabetes in patients hospitalized for heart disease: a descriptive research

Daila Raenck da Silva, Raquel Lutkmeier, Emiliane Nogueira de Souza, Maria Antonieta de Moraes

Abstract


Aim: To assess the knowledge of patients hospitalized for cardiovascular co-morbidities in diabetes mellitus (DM), and its relationship to the confrontation and attitudes towards the disease. Methods: This was a prospective cross-sectional study, conducted in the inpatient unit with cardiac patients affected by DM. Their level of knowledge about diabetes was assessed using the Diabetes Knowledge Scale (DKN-A) and the psychological and emotional aspects were assessed by use of the Diabetes Attitudes Questionnaire (ATT-19). Results: We included 220 patients with 63.0 ± 9.4 years, of which 119 (54.1%) were male. The punctuation of the scores ≥ eight in DKN-A was found in 55 patients (25%), and a score ≥ 60 on ATT-19 occurred in 37 patients (17.7%). Discussion: The patients who presented with relatively good knowledge about DM had a score of ≥ eight; those individuals who had a score ≥ 60 on the scale ATT-19 had an appropriate response to the disease. Conclusion: The patients generally had a low level of knowledge of DM and had difficulty in coping with the disease.

Keywords


Medicine; Medical Clinic; Endocrinology

References


Buse JB, Ginsberg HN, Bakris GL, Clark NG, Costa FM, Eckel R, et al. Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association. Circulation. 2007;115 (1):114-26.

Sociedade Brasileira de Diabetes. Diagnóstico e Tratamento do Diabetes tipo 1 e 2 mellitus. Posicionamento oficial SBD n°1 – 2012. São Paulo: SBD; 2012.

Haffner SM, Lehto S, Ronnemaa T, Pyorala K, Laakso M. Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction. N engl j med. 1998;339 (4):229-34.

Rodrigues FFL, Zanetti ML, Santos MA, Martins TA, Souza VD, Teixeira CRS. Conhecimento e atitudes: componentes para a educação em diabetes. Rev latino-am enfermagem. 2009; 17 (4): 468-73.

Richardson A, Adner N, Nordstrum G. Persons with insulin-dependent diabetes mellitus: acceptance and coping ability. J adv nurs. 2001;33(6):758-63.

Torres HC, Hortale VA, Virginia TS . Validation of Diabetes Mellitus knowledge (DKN-A) and attitude (ATT-19) questionnaires. Rev saúde pública. 2005;39 (6):906-11.

Nunes JM, Martins AKL, Nóbrega MAFB, Souza AMA, Fernandes AFC, Vieira NFC. Promoção da saúde no hospital sob a ótica do enfermeiro: estudo descritivo-exploratório. Online braz j nurs [Internet]. 2009 [Cited 2013 Feb 20]; 8(3). Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/j.1676-4285.2009.2568.

Mickus S, Quaile B. Client management and knowledge outcomes of diabetes education program. Can j diabetes care. 1997;21(3):14-8.

Otero LM, Zanetti ML, Ogrizio MD. Conhecimento do paciente diabético a cerca de sua doença, antes e depois da implementação de um programa de educação em diabetes. Rev latino-am enfermagem. 2008;16(2):231-7.

Anderson RM, Fitzgerald JT, Gorenflo DW, Oh MS. A comparison of the diabetes-related attitudes of health care professionals and patients. Patient educ counseling. 1993;21(1-2):41-50.

Gagliardino JJ, González C, Caporale JE. The diabetes-related attitudes of health care professionals and persons with diabetes in Argentina. Rev panam salud publica. 2007; 22(5):304-7.

Baquedano IR, Santos MA, Martins TA, Zanetti ML. Autocuidado de pessoas com diabetes mellitus atendidas em serviço de urgência no México. Rev latino-Am enfermagem. 2010;18(6):1195-202.




DOI: https://doi.org/10.5935/1676-4285.20133876