ABSTRACT
Objective:
To evaluate adherence to self-care among people with diabetes mellitus cared for at the three levels of health care.
Method:
Quantitative, descriptive, cross-sectional study addressing a sample of 143 people from a city in the interior of São Paulo, Brazil from primary (45), secondary (48) and tertiary (50) units. Adherence to self-care was assessed using the "The Summary of Diabetes Self-Care Activities Measure" and "Measurement of Treatment Adherence".
Results:
Adherence to exercises, blood glucose monitoring, shoe inspection, and the use of insulin differed between units; better results were obtained for those in tertiary care.
Conclusion:
The results indicate a need for greater investment in the initial phase of treatment to improve self-care adherence.
Implications for practice:
The study enabled identifying the profile of individuals in terms of self-care adherence and supporting the planning of nursing interventions in diabetes mellitus.
Keywords:
Medication adherence; Self-care; Diabetes Mellitus; Nursing Care
