Factors That Influence the Self-management of Diabetes Mellitus and Insulin Therapy: Integrative Review of the Literature

Authors

DOI:

https://doi.org/10.36489/saudecoletiva.2025v15i95p15518-15551

Keywords:

Self Care, Self-Management, Diabetes Mellitus

Abstract

OBJECTIVE: To understand the factors that influence the self-management of diabetes mellitus and insulin therapy. METHOD: This is an integrative literature review, using the PICo strategy. The research involves the questão: “What are the factors that influence effective self-management of diabetes and insulin therapy in people with diabetes?” The descriptors and key words are extracted from the Descriptors in Health Sciences. The survey was carried out through the Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). RESULTS: The factors that most influence the self-management of diabetes are socioeconomic, clinical and interpersonal. Regarding insulin therapy, the factors that also influence the cognitive load in managing the condition, the lack of knowledge about the manuse and the insulin application technique, and the difficulty in modifying behaviors. CONCLUSION: Evidence is that it is necessary to subsidize resources that contribute to self-management.

Author Biographies

Lourena Ferreira dos Reis Campos, Graduanda de Enfermagem; Universidade Federal do Piauí; Brasil

Academic of the Bachelor's Degree in Nursing at the Federal University of Piauí, Amílcar Ferreira Sobral Campus, member of the Laboratory of Research in Technologies and Care for Chronic Health Conditions (LABTECS) of the Federal University of Piauí. I worked in the Management of the Nursing Academic Center (CAENF) as treasurer in 2023. I work mainly in the following lines of research: Nursing, Epidemiology, Nursing care, Women's health, Sexually Transmitted Infections (STIs) and Chronic Health Conditions.

José Cláudio Garcia Lira Neto, Doutor em enfermagem; Universidade Federa do Piauí; Brasil

Post-doctorate from the Oswaldo Cruz Foundation (FIOCRUZ). PhD in Nursing in Health Promotion from the Federal University of Ceará (UFC). Master in Sciences and Health from the Federal University of Piauí (UFPI). Post-graduate in Intensive Care Unit and Family Health from the Cândido Mendes University (UCAM). Professor of the Postgraduate Program in Health and Community (CCS/UFPI). Adjunct Professor A of the Nursing course (CAFS/UFPI). He was part of the Department of Human Resources for Health, of the Pan American Health Organization/World Health Organization (PAHO/WHO), in Washington DC, United States, in 2018, as an intern. Leader of the Laboratory of Research in Technologies and Care for Chronic Health Conditions (LABTECS), of the Federal University of Piauí. Vice-leader of the group "Nursing in the prevention and control of chronic health conditions", of the Federal University of Ceará. He is currently the editor-in-chief of the Revista Científica Integrada (RCI). He is a researcher interested in technologies and health care for patients with chronic health conditions, at all stages of the life cycle.

Edildete Sene Pacheco, Mestra em Saúde e Comunidade; Universidade Federal do Piauí; Brasil

Master in Health and Community from the Federal University of Piauí (PPGSC/UFPI). Specialist in Family Health from the Multiprofessional Residency Program in Primary Care/Family Health of the Federal University of Piauí (PRMSF/UFPI). Specialist in Management and Occupational Nursing from Faculdade Única. Graduated in Nursing from the State University of Piauí (UESPI). Currently a public servant of the staff of the Municipal Health Department of the municipality of Floriano/PI in the position of on-call nurse of the Mobile Emergency Care Service (SAMU) and substitute professor of the Bachelor's Degree in Nursing at the Federal University of Piauí (UFPI). She is a state health councilor of Piauí (CES: biennium 2024-2025) and municipal health councilor of Floriano (CMS: biennium 2024-2025). She has experience in family health (working in the cities of Parnaíba/PI and Floriano/PI), in hospital services (working at the University Hospital of UFPI through the Multiprofessional Residency Program in Health of UFPI and at the Tibério Nunes Regional Hospital) and in management (working as nursing coordinator of SAMU/Floriano and coordinator of NEPS/SMS/Floriano). She works mainly in the following areas: primary health care; worker's health; health education, pre-hospital care and epidemiological surveillance. 

Márcio Flávio Moura de Araújo, Doutor em Enfermagem; Fundação Oswaldo Cruz; Brasil

Public Health Researcher at the Oswaldo Cruz Foundation (FIOCRUZ). He holds a Bachelor's degree (2007), Master's degree (2009) and PhD (2012) in Nursing from the Federal University of Ceará (UFC). He is a specialist in Applied Clinical Research from the Hospital Alemão Oswaldo Cruz (2020). He carried out a research mission at The Pennsylvania State University (USA, 2018) and at the University of Mindelo (Cape Verde, 2024). He was a tenured professor of the Nursing course at the Federal University of Maranhão (UFMA) (2010-2013) and at the Federal University of International Integration of Afro-Brazilian Lusophony (UNILAB) (2013-2019). At UNILAB, he coordinated the Postgraduate Program in Nursing (2016-2018) and is a professor of the master's and doctoral courses. At FIOCRUZ, he is a permanent professor at the Northeast Network for Training in Family Health, at master's and doctoral levels, and at PROFSAÚDE (ABRASCO), at master's level. He is an active editor of 5 and reviewer of 39 national and international studies in the area of ​​Nursing and Health. He has experience in the development of epidemiological studies focused on chronic communicable conditions (HIV-AIDS and Hansen's disease) and non-communicable conditions (diabetes and obesity). He also focuses on research on food and nutrition, public policies on food and breastfeeding. He created the PhD profile of Sabor (Instagram) on food and nutrition. To date, he has published 153 articles in indexed journals; 01 book; 05 book chapters; obtained 04 research funding (coordinator); co-supervised 04 doctoral theses; su

Marta Maria Coelho Damasceno, Doutora em Enfermagem; Universidade Federal do Ceará; Brasil

She holds a degree in Nursing (1976) from the São Vicente de Paulo School of Nursing, Federal University of Ceará (UFC), a master's degree in Nursing (1980) from the Anna Nery School of Nursing, Federal University of Rio de Janeiro, a PhD in Nursing (1996) from the Anna Nery School of Nursing, Federal University of Rio de Janeiro and a post-doctorate in Nursing (2010) from the Ribeirão Preto School of Nursing, University of São Paulo. She taught in the Nursing Department of UFC from 1976 to 2003, retiring due to length of service. In the same year of 2003, she joined the Special Program for Retired Teachers (PROPAP), through which she has maintained an institutional link with UFC to the present day. She is a 1D researcher at CNPq. She is a professor in the Postgraduate Program in Nursing at UFC, where she teaches courses, supervises theses and dissertations, and writes scientific articles for publication. She coordinates research projects and a research group registered with the CNPq directory. She has worked as an ad hoc consultant for the National Research Ethics Commission (CONEPE), the Research Ethics Committee of the Walter Cantídio University Hospital at UFC, the Maranhão State Research Support Foundation (FAPEMA), the Federal University of Maranhão (UFMA), and the Ceará Research Support Foundation (FUNCAP). She is an ad hoc consultant for CAPES and CNPq. She conducts nursing research on diabetes mellitus (DM) and related topics, focusing on the aspects of prevention, health promotion, control, and rehabilitation of people with DM.

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Published

2025-05-20

How to Cite

Campos, L. F. dos R., Neto, J. C. G. L., Pacheco, E. S., Araújo, M. F. M. de, & Damasceno, M. M. C. (2025). Factors That Influence the Self-management of Diabetes Mellitus and Insulin Therapy: Integrative Review of the Literature. Sa´úde Coletiva (Barueri), 15(95), 15518–15551. https://doi.org/10.36489/saudecoletiva.2025v15i95p15518-15551

Issue

Vol. 15 No. 95 (2025)

Section

Integrative Review