Self-care of liver, kidney and bone marrow transplant patients with diabetes

Rafaella Roque Chagas, Francisca Diana da Silva Negreiros, Tatiana Rebouças Moreira, Samila Torquato Araújo, Sherida Karanini Paz de Oliveira, Maria de Jesus Nascimento de Aquino, Açucena Leal de Araújo, Thereza Maria Magalhães Moreira, Lucilane Maria Sales da Silva, Ana Célia Caetano de Sousa, Yasmim Neri Pinheiro, Gemiliana Sombra de Oliveira Carvalho, Antônio Augusto Ferreira Carioca


Self-care is a set of actions that individuals take to maintain life, good health, and well-being. Regardless of the type of diabetes, individuals must perform self-care and comply with the treatment to prevent complications, achieve better disease management, and maintain their quality of life. This study aimed to examine self-care behaviors of liver, kidney, and bone marrow transplant patients with diabetes. The study has used a descriptive correlational design and was carried out in an endocrinology and diabetes center in Brazil. A total of 101 patients participated in the study. The Diabetes Self-care Activities Questionnaire was used, and the quantitative analysis was carried out using SPSS. The results show that the highest self-care levels occurred in the medication domain, while the lowest were found in the specific diet domain. Some important correlations were found: men were more likely to assess blood glucose, use combined oral/insulin therapy, take insulin, and take medications as prescribed than women; patients on combined oral/insulin therapy followed dietary recommendations more frequently than the others; and patients with altered serum urea and history of stroke had high levels of self-care. The results made it possible to know the compliance in performing self-care activities in transplanted patients with diabetes, supporting the development of interventions to motivate and improve self-care.

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Journal of Nursing Education and Practice

ISSN 1925-4040 (Print)   ISSN 1925-4059 (Online)

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