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Self-care competence in the administration of insulin in older people aged 70 or over1 1 Paper extracted from Master’s Thesis “Competence for self-care insulin administration by septuagenarian or more older”, presented to Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

ABSTRACT

Objective:

to analyze the self-care competence in the administration of insulin performed by older people aged 70 or over.

Method:

cross-sectional study carried out with 148 older people aged 70 or over, who performed self-administration of insulin. Data collection was carried out using a structured questionnaire and an adapted guide for the application of the Scale to Identify Self-Care Competence of Patients with Diabetes, at the participants’ home. Data analysis included descriptive and inferential statistical tests, with forward logistic regression.

Results:

the prevalence of self-care competence in the administration of insulin was 35.1%. Handwashing error was the most frequent in self-administration of insulin. Self-care competence was negatively associated with retirees and positively associated with senior patients who performed capillary blood glucose monitoring and skin pinching during insulin application.

Conclusion:

there was low self-care competence and it was associated with both the sociodemographic and the clinical characteristics with regard to self-application of insulin by the older people.

Descriptors:
Insulin; Elderly; Self-administration; Diabetes Mellitus; Nursing

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