Relationship between resilience, self-care and metabolic control in patients with type 1 Diabetes Mellitus

• Published in: Journal Archives of Health Vol. 5; no. 2; p. e1640
• Main Authors: Araujo, Ana Cláudia M. Caetano, Mesquita, Izabelle M. R., Silva, Adriana Paula, Dias, Alzira Maria Cussi Brasileiro, Ribeiro, Flávia A., Tom, Janaíne M., Borge, Maria de Fátima
• Format: Journal Article
• Language: English
• Published: 18.04.2024
• ISSN: 2675-4711; 2675-4711
• DOI: 10.46919/archv5n2-002

Objective: This research aimed to evaluate the profile and relevance of resilience in patients with type 1 diabetes mellitus, as well as its use in self-care behavior and metabolic control. Method: A descriptive cross-sectional study with a quantitative approach composed of a consecutive and non-probabilistic sample of 56 patients carried out in adult patients with type 1 diabetes mellitus who regularly attended an outpatient diabetic follow-up. Used in the present study, the Resilience Scale (RE), developed by Wagnild and Young, is one of the few instruments used to measure levels of positive psychosocial adaptation. Pesce et al. adapted and validated for Brazil. The Self-Care Activities Questionnaire (SAQ) was also used, which is a self-administered instrument, composed of six dimensions and distributed in fifteen items that assess adherence to self-care in diabetic patients, translated and validated for Brazil. The variables of interest were analyzed using validated instruments and the means of metabolic control were collected at three-month intervals between consultations. Results: There was a significant and positive association between resilience and diabetes self-care activities questionnaire (SAQ) dimensions represented by specific food and foot care and an inverse association between resilience and HbA1c. From the correlation of SAQ with metabolic control, significant associations were observed between foot care and LDL-cholesterol and NOT-HDL-cholesterol and an inverse relationship between HDL-cholesterol and physical activity. Conclusion: It is concluded that resilience helps in adapting to the numerous barriers faced by patients, demonstrating that diabetes care goes beyond metabolic control, in addition to providing conditions for self-care management.