Factors related to nursing diagnosis, ineffective self-health management, among diabetics

OBJECTIVE: To investigate the related factors of the nursing diagnosis, ineffective self-health management, in clients with Type 2 diabetes mellitus treated with oral antidiabetic (AO), receiving primary health care services, according to gender. METHODS: A secondary analysis of database research conducted between January and July 2009, in the homes of 377 users of 12 family health centers in Fortaleza-CE. To determine the presence of the nursing diagnosis, an analogy was made between the test questions Measure Treatment Adherence and four of the five defining characteristics of the diagnostic search. RESULTS: Men had a greater sense of powerlessness (30.4%) than women (18.4%) about the need for taking the AO (p = 0.034). Women were better able to understand the benefits of taking AO to ensure proper control of their diabetes (p = 0.002). CONCLUSION: Socioeconomic factors important in controlling the disease, such as excessive demand and social support deficit, were prevalent and significant among men.

Patient compliance; Diabetes mellitus type 2; Hypoglycemic agents; Nursing diagnosis

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br