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Knowledge, attitudes, beliefs and responses of type 2 diabetes clients toward acute coronary syndrome

Hunte-Johnson, Camille Alardis

Biblioteca Digital de Teses e Dissertações da USP; Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto 2020-12-16

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  • Título:
    Knowledge, attitudes, beliefs and responses of type 2 diabetes clients toward acute coronary syndrome
  • Autor: Hunte-Johnson, Camille Alardis
  • Orientador: Rossi, Lidia Aparecida
  • Assuntos: Síndrome Coronária Aguda; Diabetes; Crenças; Conhecimento; Atitudes; Beliefs; Attitudes; Knowledge; Acute Coronary Syndrome
  • Notas: Dissertação (Mestrado)
  • Descrição: Introduction: The response to a health threat, such as acute coronary syndrome symptoms (ACS), is determined by the patient\'s ability to identify the symptoms, establish the relationship with the disease and respond appropriately. This important ability of people with type 2 diabetes, who are at risk of having this syndrome, can be better understood by assessing the knowledge, attitudes, and beliefs concerning the ACS and the response to it. Objectives: To evaluate the perceived knowledge, attitudes, and beliefs of type 2 diabetes clients toward acute coronary syndrome; to explore the association between the measures of the perceived acute coronary syndrome and their sociodemographic and clinical characteristics; and to explore the correlations between the measures of the perceived acute coronary syndrome and the measures of anxiety and depression symptoms. Methods: The study was carried out at Linden, Guyana, with 60 type 2 diabetes clients using a sociodemographic and clinical data questionnaire, the Hospital Anxiety and Depression Scale questionnaire, and Acute Coronary-Response Index. All questionnaires were completed by the researcher during a face to face interview with each client. Descriptive analyses were performed for all variables. The Mann-Whitney test was used to compare the scores of the ACS Response Index subscales and the HADS anxiety and depression symptoms with sex, age, time since diabetes diagnosis and body mass index (not overweight or overweight). Comparisons were made between the measures of the ACS - Response Index subscales and educational levels (primary, secondary, university and professional) using the Kruskal-Wallis test for multiple comparisons. The Spearman\'s correlation coefficient was used to calculate the correlations between the scores of the ACS - Response Index subscales and the anxiety and depression symptoms. The significance level for all the tests that were conducted was set at 0.05. Results: The total mean score of the Knowledge subscale was 9.12 (S.D.=3.4). Two participants had more than 70% of the correct answers. The number of participants who recognized the main symptoms of acute coronary syndrome varied from 27.1% to 49.2%. The total mean score of the Attitudes subscale was 11.2 (S.D.=3.5) and for beliefs 21.3 (S.D.=4.5). Clients with university level had better knowledge when compared to clients with clients who had primary level (p=0.043). Strong and positive correlation was found between knowledge and symptoms of depression, but not significant (r=0.63; p=0.67). The correlation between Attitudes and Beliefs was negative and weak and not significant. The correlation between symptoms of anxiety and beliefs was statically significant, negative, and strong (r=-0.53; p<0.001). Conclusions: Type 2 diabetes clients participating in this study showed a low level of knowledge about ACS. There was an effect of the educational level on the Knowledge subscale. The knowledge of the ACS risks improved the patients\' ability to identify their signs and symptoms and respond appropriately to a cardiac event.
  • DOI: 10.11606/D.22.2020.tde-17032021-094006
  • Editor: Biblioteca Digital de Teses e Dissertações da USP; Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Data de criação/publicação: 2020-12-16
  • Formato: Adobe PDF
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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