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|Title: ||A satisfac¸ ão com a vida e a adesão ao tratamento da diabetes dos jovens adultos com diabetes tipo 1|
|Authors: ||Nabais, Joao|
Gaspar de Matos, Margarida
|Issue Date: ||Feb-2014|
|Citation: ||Rev Port Endocrinol Diabetes Metab. 2014;9(2):122–128|
|Abstract: ||Introduction: Nowadays, the life satisfaction and the adherence to diabetes management tasks of young
adults with type 1 diabetes can be increasingly affectedby the change and instability at several levels,
throughout early adulthood, namely social, occupational, familiar and emotional.
Aims: The objectives targeted the evaluation of lifestyles and health behaviours, social support, satisfaction
with life and treatment adherence of young adults with type 1 diabetes.
Methods: This research was developed with young adults with type 1 diabetes that attended diabetes
consultations. This study included a quantitative analysis of questionnaires filled in by 278 young adults
with type 1 diabetes, ranging between 18 and 35 years old.
Results: Young adults consider having a good social support, from family, friends, peers and health care
Satisfaction with life is scored at 6.6
1.7 (on a scale 0-10).
Factorial analysis relating life‘s satisfaction scale allowed to find 2 factors that explain 75% of total
variance: quality of life (58%) and changes’ expectations (17%).
Most of young adults show good adherence to dietary intake (83%), insulin therapy (83%) and glucose
monitoring (73%), but only one third practice recommended physical activity. We verified positive statistically
significant correlation between adherence to nutrition, insulin therapy and glucose monitoring.
Youngsters present 8.7
1.6% as mean value for HbA1c. The highest levels of HbA1c are related to less
frequent glucose monitoring and less insulin administration.
Conclusions: The young adults with type 1 diabetes presented good social support and satisfaction with
life. Nevertheless, despite a reasonable adherence to diabetes treatment and a healthy lifestyle, metabolic
control is unsatisfactory, A qualitative research with focus groups is being developed to better understand
and address these discrepancies.|
|Appears in Collections:||QUI - Publicações - Artigos em Revistas Nacionais Com Arbitragem Científica|
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