Evaluation of home visits for the empowerment of diabetes self-care

Souza, Débora Aparecida Silva; Reis, Ilka Afonso; Cortez, Daniel Nogueira; Afonso, Gesana de Souza; Torres, Heloísa de Carvalho

doi:10.1590/1982-0194201700052

Débora Aparecida Silva Souza Corresponding author Débora Aparecida Silva Souza Prof. Alfredo Balena Avenue, 190, room 520, Santa Efigênia, 30130-100, Belo Horizonte, MG, Brazil. deboraass@yahoo.com.br

Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

Ilka Afonso Reis

Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

Daniel Nogueira Cortez

Universidade Federal de São João Del-Rei, Divinópolis, MG, Brazil

Gesana de Souza Afonso

Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

Heloísa de Carvalho Torres

Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

Corresponding author Débora Aparecida Silva Souza Prof. Alfredo Balena Avenue, 190, room 520, Santa Efigênia, 30130-100, Belo Horizonte, MG, Brazil. deboraass@yahoo.com.br

Conflicts of interest: no conflicts of interest to declare. Article extracted from the Master’s thesis “Evaluation of the educational strategy of home visits for adherence and empowerment of self-care practices in type 2 diabetes mellitus” presented to the Nursing School of the Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil, March 6^th 2017.

Collaborations

Souza DAS collaborated with the project design, planning, analysis and interpretation of data, and writing of the article. Reis IA contributed with analysis and interpretation of data and relevant critical review of intellectual content, and final approval of the version to be published. Cortez DN collaborated with the project design and relevant critical review of intellectual content, and final approval of the version to be published. Afonso GS collaborated with the project design. Torres HC collaborated with the project design, planning, analysis and interpretation of data and writing of the article, relevant critical review of intellectual content, and final approval of the version to be published.

Variable		Mean ± SD or Median (Minimum - Maximum)		p-value^* * Student’s t test. IG - intervention group; CG - control group; SD - standard deviation
		IG(n=34)	CG(n=111)
Age, mean±SD		56.1±10.6	57.5±9.7	0.228
Female, n (%)		26(76.5)	73(65.8)	0.224
Educational level, n (%)
	Up to incomplete primary school	25(73.53)	73(65.8)	0.128
	Complete primary school until post-graduation	9(26.47)	38(34.2)
Marital status, n (%)
	With partner	28(82.3)	87(78.4)	0.617
	Without partner	6(17.7)	24(21.6)
Occupation, n (%)
	Active	17(50.0)	55(49.6)	0.963
	Inactive	17(50.0)	56(50.5)
Time of diabetes diagnosis, n (%)
	≤ 5 years	19(55.9)	21(18.9)	0.001
	> 5 years	15(44.1)	90(81.1)

	Intervention Group			Control Group			Intervention Group - Control Group
Variables	Initial time Median (Minimum-Maximum)	Final time Median (Minimum-Maximum)	p-value^* * Wilcoxon test for intragroup comparison (before and after the study period);	Initial time Median (Minimum-Maximum)	Final time Median (Minimum-Maximum)	p-value^* * Wilcoxon test for intragroup comparison (before and after the study period);	p-value^ Mann-Whitney test for comparison between groups at baseline. ESM - Diabetes self-care questionnaire; DES-SF - Diabetes Empowerment Scale-Short Form
ESM	3.0(2.0-6.0)	5.0(2.7-6.2)	<0.001	3.2(1.0-6.8)	3.0(1.2-6.1)	0.970	0.894
DES-SF	4.0(2.5-4.7)	4.2(3.5-4.9)	0.005	3.6(2.7-4.7)	4.0(2.5-4.9)	<0.001	<0.001

	Intervention Group	Control Group	Intervention Group - Control Group
Variables	Median Δ (Minimum-Maximum)	Median Δ (Minimum-Maximum)	p-value^* * Mann-Whitney test for intergroup comparison. Δ - percentage variation of the measurement between the beginning and end of the study. ESM - Diabetes self-care questionnaire; DES-SF - Diabetes Empowerment Scale-Short Form
ESM	43.22(-35.29 - 179.23)	0(-61.54 - 435)	<0.001
DES-SF	4.70(-20 - 55)	9.27(-42.66 - 59.09)	0.607

[1] Corresponding author Débora Aparecida Silva Souza Prof. Alfredo Balena Avenue, 190, room 520, Santa Efigênia, 30130-100, Belo Horizonte, MG, Brazil. deboraass@yahoo.com.br

Brasil

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Evaluation of home visits for the empowerment of diabetes self-care

Abstract

Objective

Methods

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