SELF-ESTEEM AND RESILIENCE IN EDUCATION ACTIONS FOR THE HEALTH OF PEOPLE WITH DIABETES

Introduction:
Self-esteem and resilience influence positively when attached to the treatment of T2DM, where people with high self-esteem and resilience levels show better determination in seeking for more ways to control the disease, such as the accomplishment of increases of physical activity and a healthy eating plan with greater assiduity. In this perspective, health actions that promote self-care and resilience strengthening can provide positive impacts on the lives of people with T2DM as it also encourages them to start the treatment in the first place. It is considered that conditions of self-esteem and the promotion of resilience are primary factors in health education actions, especially when it comes to people with chronic degenerative diseases such as diabetes.

Purpose:
To evaluate the self-esteem condition and resilience of individuals with type 2 diabetes mellitus.

Method:
This is a cut from the project entitled "Effects of Health Promotion Practices on People with Type 2 Diabetes. Characterized by a cross-sectional descriptive study with a quantitative approach, in which 30 type 2 diabetic patients were selected according to the inclusion criteria and then responded to the Rosenberg Self-Esteem Scale, in its Portuguese-adapted version, composed of 10 items with questions that refer to feelings of respect and self-acceptance. In addition, the Wagnild and Young Resilience Scale, adapted to Portuguese by Pesce et al. (2005), aiming to evaluate the levels of positive psychosocial adaptation to adversity. To be able to participate in the research, individuals should have confirmed the diagnosis of type 2 diabetes, be knowledgeable and physical, be aged 18 or under, not self-declared indigenous. The sample corresponds to the universe of 100% of the number of individuals diagnosed with DM2, within the proposed inclusion criteria, a relative margin of error of 5% and a 95% confidence coefficient.

Results:
The self-esteem values showed that, broadly, 93.33% of the participants had good results; however, when it comes to resilience only 33.33% of the participants fit the appointed criteria, whereas the 66,67% others were classified as non-resilient.

Conclusion:
In general, in the present study, the surveyed people achieved good levels of self-esteem, but it was not possible to observe the same about resilience. This fact may be linked to the short periods of diagnosis, in which people have not yet had enough time living with the disease, or even the lack of the necessary support to achieve more ways to control their chronicity. These data express the need to develop psychoeducation actions with focus on resilience in order to obtain adaptive conduct related to diabetes management.We believe that the inclusion of activities that promote self-knowledge, self-esteem and resilience to health education processes becomes relevant, since once patients learn to recognize their psychological forces, will be also more likely to adhere to self-care actions for diabetes.