Effect in self-care behavior and difficulties in coping with diabetes during the COVID-19 pandemic: Efecto en el comportamiento de autocuidado y dificultades para hacer frente a la diabetes durante la pandemia de COVID-19

Ruben Silva-Tinoco, Arnulfo González Cantú, Viridiana De la Torre-Saldaña, Eileen Guzmán-Olvera, Teresa Cuatecontzi-Xochitiotzi, Lilia Castillo Martínez, Maria Elena Romero-Ibarguengoitia, Areli Nahuacatl-Lòpez, Carmen Castillo-Galindo, Arturo Orea-Tejeda, Javier Serna-Alvarado, Enrique León-Garcia, Jorge Ochoa-Moreno

Resultado de la investigaciónrevisión exhaustiva

Resumen

In this study, difficulties in coping with diabetes were evaluated during the coronavirus disease 2019 (COVID-19) lockdown. Similarly, the change in diabetes self-care activities was evaluated in patients with a recent assessment before COVID-19 lockdown in Mexico City. In 212 patients with type 2 diabetes (T2D) and regular primary care, a designed questionnaire was used to evaluate the presence/absence of difficulties in self-care related to diet, physical activity/exercise, glucose monitoring, treatment adherence, getting pharmacological treatment, and confinement adherence. The Summary of Diabetes Self-Care Activities tool was used to compare the frequency of self-care behaviors in the past 7 days. Self-reported difficulties in coping with T2D were documented and included difficulties in self-care behaviors related to diet (41.6%), physical activity/exercise (40.5%), glucose monitoring (23.7%), getting pharmacological treatment (22.9%), pharmacological treatment adherence (19%), and home-confinement adherence (11.7%). In the group of patients with a recent previous-lockdown evaluation, global self-care behavior decreased from 5.15±0.9 to 4.49 ± 1.02 days/week, p < 0.001. Diabetes self-care was a predictor for the presence of difficulties in coping with diabetes. Patients with T2D reported difficulties in coping with T2D and decreased diabetes self-care activities during the COVID-19 lockdown in Mexico City. Health-care policies must be designed and implemented to attenuate diabetes disease burden caused by this ongoing and future health-contingencies.
Idioma originalEnglish
Número de artículo8
Páginas (desde-hasta)13
Número de páginas9
PublicaciónRevista Mexicana de Endocrinología, Metabolismo y Nutrición
Volumen8
N.º1
DOI
EstadoPublished - 2021

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