Adesão ao regime terapêutico dos idosos com diabetes mellitus II: estudo transversal

Introduction: Population ageing has contributed to an increased prevalence of Type 2 Diabetes Mellitus (DM2), particularly among older adults. Adherence to self-care practices—such as appropriate diet, physical activity, and glycaemic monitoring—is crucial to prevent chronic complications and improve quality of life.Objective: This study aimed to assess adherence to the therapeutic regimen among older adults with DM2.Methods: A quantitative, descriptive, cross-sectional study was conducted with a sample of 30 older adults with DM2, followed in a primary health care unit in northern Portugal. Data were collected using questionnaires addressing sociodemographic and clinical characteristics and self-care behaviours. Data were analysed using SPSS Statistics 26.0, in accordance with ethical principles.Results/Discussion: Results showed that 70.00% of participants used oral antidiabetic agents, 43.00% followed a healthy diet, and 10% engaged in regular physical activity. Although 83.00% recognised that high glucose levels are harmful, there were significant gaps in knowledge regarding the importance of medication, diet, and physical exercise. Only 20.00% adequately complied with insulin self-administration. The analysis revealed insufficient therapeutic adherence in several key areas essential for disease control.Conclusion: Nurses play a fundamental role in promoting health literacy and strengthening adherence to self-care strategies. The development of educational interventions and continuous follow-up is essential to improve DM2 management and the quality of life of older adults.