Risk of ulceration in people with diabetes mellitus and factors associated with adherence to self-care.

IF 1.2 Q3 NURSING

Revista Brasileira De Enfermagem Pub Date : 2026-08-17 eCollection Date: 2026-01-01 DOI:10.1590/0034-7167-2024-0626

Danielle Mendonça Oliveira, Giovanna Lanna Araújo Carvalho, Laura Andrade Pinto, Thallita Cláudia Moraes Barbosa, Andreza Oliveira-Cortez, Manuela de Mendonça Figueirêdo Coelho, Juliano Teixeira Moraes, Daniel Nogueira Cortez

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Abstract

Objectives: to analyze sociodemographic, clinical, and ulceration risk factors associated with adherence to self-care in people with diabetes mellitus in Primary Health Care.

Methods: this cross-sectional study included 769 people with diabetes mellitus using the Diabetes Self-Care Activities Questionnaire. Univariate analysis and confirmatory factor analysis were employed to verify the associations.

Results: 44.1% of participants presented a risk for foot ulceration. Factor analysis indicates that blood sugar testing and medication adherence have the highest factor loadings (λ=0.76 and λ=0.54, respectively) in adherence to self-care for diabetes mellitus. The number of appointments, diagnosis time, and polypharmacy were associated with blood sugar testing and medication adherence.

Conclusions: adherence to self-care remains centered on biomedical practices. More than half of the sample presented a risk for foot ulceration, which reinforces the need for more effective preventive actions in Primary Care.

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糖尿病患者溃疡的风险及与自我护理依从性相关的因素

目的：分析社会人口学、临床和溃疡危险因素与初级卫生保健中糖尿病患者自我保健依从性的关系。方法：采用糖尿病自我护理活动问卷对769例糖尿病患者进行横断面研究。采用单因素分析和验证性因子分析对相关性进行验证。结果：44.1%的参与者有足部溃疡的风险。因子分析显示，血糖检测和药物依从性在糖尿病自我护理依从性方面的因子负荷最高（λ=0.76和λ=0.54）。预约次数、诊断时间和多种用药与血糖检测和药物依从性相关。结论：坚持自我保健仍然以生物医学实践为中心。超过一半的样本存在足部溃疡的风险，这加强了在初级保健中采取更有效预防行动的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.