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Medicina & Laboratorio

2021, Number 3

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Medicina & Laboratorio 2021; 25 (3)

Factors that determine therapeutic education deficiency in type 2 diabetes mellitus

Durán-Tovar DE, Martínez-Henao DM, Falla-Falla CD, Tafurt-Cardona Y

Language: Spanish
References: 50
Page: 619-632
PDF size: 97.11 Kb.


ABSTRACT

Introduction. Diabetes is one of the chronic metabolic diseases with the highest prevalence, with a high population and hospitalization impact, and with a tendency to double in the coming years. Characterized by multiple complications that decrease the quality of life when there is no proper management. In recent years, it has been shown that only drug therapy does not guarantee good control, therefore, it requires a comprehensive intervention to the multiple shortcomings that includes adequate patient education about their disease and self-care, among other factors. The objective of this study was to determine which factors are related to the lack of education in patients diagnosed with type 2 diabetes mellitus. Methodology. An exhaustive literature search was carried out in PubMed, ScienceDirect, SciELO, Clinical Key, Primary Care Diabetes Europe (PCDE), statistics from WHO, and guidelines from the American Diabetes Association (ADA). A total of 50 articles that met the inclusion criteria were selected. Results. Multiple factors that determine learning and self-care were found, among them, available time for consultation, doctor-patient relationship, inaccessibility to health centers, economic aspects, and the importance of personal, family and social commitment. Conclusion. The commitment to the educational process and the structuring of a comprehensive management of patients with diabetes mellitus are essential to reduce the impact of complications and their chronicity, as well as to mitigate the disproportionate costs that arise from the need of patient care.


REFERENCES

  1. Organización Mundial de la Salud (OMS). Informemundial sobre la diabetes. Resumen deorientación. Ginebra, Suiza: Organización Mundialde la Salud; 2016. Acceso 30 de octubrede 2019. Disponible en https://www.who.int/diabetes/global-report/es/.

  2. Domján BA, Ferencz V, Tänczer T, Szili-JanicsekZ, Barkai L, Hidvégi T, et al. Large increasein the prevalence of self-reported diabetesbased on a nationally representative survey inHungary. Prim Care Diabetes 2017;11:107-111.https://doi.org/10.1016/j.pcd.2016.09.001.

  3. Federación Internacional de Diabetes. Atlasde la diabetes de la IFD, 9a edición. Bruselas,Bélgica: Federación Internacional de Diabetes;2019. Acceso 10 de enero de 2021. Disponibleen https://www.diabetesatlas.org.

  4. Zheng Y, Ley SH, Hu FB. Global aetiology andepidemiology of type 2 diabetes mellitus and itscomplications. Nat Rev Endocrinol 2018;14:88-98. https://doi.org/10.1038/nrendo.2017.151.

  5. Krebs JD, Parry-Strong A, Gamble E, McBainL, Bingham LJ, Dutton ES, et al. A structured,group-based diabetes self-management education(DSME) programme for people, familiesand whanau with type 2 diabetes (T2DM)in New Zealand: an observational study. PrimCare Diabetes 2013;7:151-158. https://doi.org/10.1016/j.pcd.2013.02.002.

  6. Asociacion Latinoamericana de Diabetes(ALAD). Guías ALAD sobre el diagnóstico, controly tratamiento de la diabetes mellitus tipo 2con medicina basada en evidencia. Rev de laALAD 2019;125:31-35.

  7. Jansà M, Galindo M, Valverde M, Yoldi C, VidalM, Isla P. Posicionamiento de la SociedadEspañola de Diabetes (SED) sobre el perfil curriculary profesional de los profesionales deenfermería expertos en la atención de las personascon diabetes, sus familiares o cuidadores.Av en Diabetol 2014;30:150-155. https://doi.org/10.1016/j.avdiab.2014.07.001.

  8. National Institute of Diabetes and Digestiveand Kidney Diseases (NIDDK). National DiabetesEducation Program, National DiabetesSurvey (NNDS): 2016 final report. Bethesda,Maryland: National Institute of Diabetes andDigestive and Kidney Diseases; 2016;. Acceso26 de febrero de 2021. Disponible en https://www.niddk.nih.gov/health-information/healthstatistics/diabetes-statistics/national-diabetessurvey.

  9. Claramunt L. Retinopatía diabética desde laprevención. Integrar la pesquisa en los centrosde diabetes. Rev Méd Clín Las Condes2016;27:195-203. https://doi.org/10.1016/J.RMCLC.2016.04.009.

  10. Lim RBT, Wee WK, For WC, AnanthanarayananJA, Soh YH, Goh LML, et al. Health educationand communication needs among primarycare patients with prediabetes in Singapore: Amixed methods approach. Prim Care Diabetes2020;14:254-264. https://doi.org/10.1016/j.pcd.2019.08.008.

  11. Hevia P. Educación en diabetes. Rev Méd ClínLas Condes 2016;27:271-276. https://doi.org/10.1016/j.rmclc.2016.04.016.

  12. Llique-Suarez JD, Uceda-Perez CG. Efectodel programa educativo sobre la capacidad deautocuidado del adulto con diabetes mellitustipo 2. Trujillo, Perú: Universidad César Vallejo;2019. Acceso 15 de febrero de 2021. Disponibleen https://repositorio.ucv.edu.pe/handle/20.500.12692/34845?show=full.

  13. Rashed OA, Sabbah HA, Younis MZ, KisaA, Parkash J. Diabetes education programfor people with type 2 diabetes: An internationalperspective. Eval Program Plann2016;56:64-68. https://doi.org/10.1016/j.evalprogplan.2016.02.002.

  14. Orduz-López A, Urquijo-Quintero H, GonzálezY. Las brechas entre la diabetes, el pacientey el equipo de atención. Estrategia para disminuirlas.Rev Colomb de Endocrinol Diab Metabol2017:28-33.

  15. de Los Ríos MG, Durruty P. Desarrollo de ladiabetología en Chile. Rev Méd Clín Las Condes2016;27:135-145. https://doi.org/10.1016/j.rmclc.2016.04.002.

  16. American Diabetes Association (ADA). Standardsof medical care in diabetes. DiabetesCare 2019;42:204. https://doi.org/10.2337/dc19-Sint01.

  17. Sheikh MA, Hakeem R, Asar F, Shaikh AH.Diabetes education and care in a developingcountry: observations from Karachi, Pakistan.Prim Care Diabetes 2015;9:48-53. https://doi.org/10.1016/j.pcd.2014.04.006.

  18. Rivera MC, Tovar H. Características sociodemográficasy clínicas de los pacientes con descompensacionesagudas de la diabetes tipo 2en el Hospital de San José, Bogotá, Colombia2010-2013. Rev Colomb de Endocrinol Diab yMetabol 2018;5:6-10.

  19. Korytkowski MT, Koerbel GL, Kotagal L, DonihiA, DiNardo MM. Pilot trial of diabetes selfmanagementeducation in the hospital setting.Prim Care Diabetes 2014;8:187-194. https://doi.org/10.1016/j.pcd.2013.11.008.

  20. Arnold P, Scheurer D, Dake AW, HedgpethA, Hutto A, Colquitt C, et al. Hospital guidelinesfor diabetes management and the JointCommission-American Diabetes AssociationInpatient Diabetes Certification. Am J Med Sci2016;351:333-341. https://doi.org/10.1016/j.amjms.2015.11.024.

  21. González L, Elgart JF, Gagliardino JJ. [Educationof people with type 2 diabetes throughpeers with diabetes: is it cost effective?]. Medwave 2015;15:e6348. https://doi.org/10.5867/medwave.2015.11.6348.

  22. Wu J, Davis-Ajami ML, Noxon V, Lu ZK. Venueof receiving diabetes self-management educationand training and its impact on oral diabeticmedication adherence. Prim Care Diabetes2017;11:162-170. https://doi.org/10.1016/j.pcd.2016.10.005.

  23. Saha S, Riemenschneider H, Müller G, Levin-Zamir D, Van den Broucke S, Schwarz PEH.Comparative analysis of diabetes self-managementeducation programs in the EuropeanUnion Member States. Prim Care Diabetes2017;11:529-537. https://doi.org/10.1016/j.pcd.2017.05.011.

  24. López-Llano EC. Análisis comparativo de loscostos directos del tratamiento de la diabetesmellitus en la ciudad de Sogamoso, Colombia(Trabajo de Pregrado). Tunja, Boyacá: UniversidadPedagógica y Tecnológica de Colombia;2015. Acceso 18 de febrero de 2021. Disponibleen http://repositorio.uptc.edu.co/jspui/handle/001/1554.

  25. Gamboa-Moreno E, Mateo-Abad M, Ochoa deRetana-García L, Vrotsou K, Del Campo-Pena E,Sánchez-Perez Á, et al. Efficacy of a self-managementeducation programme on patients with type2 diabetes in primary care: A randomised controlledtrial. Prim Care Diabetes 2019;13:122-133.https://doi.org/10.1016/j.pcd.2018.10.001.

  26. Kauppila T, Eriksson JG, Honkasalo M, RainaM, Laine MK. Relationship between number ofcontacts between previous dropouts with type 2diabetes and health care professionals on glycaemiccontrol: A cohort study in public primaryhealth care. Prim Care Diabetes 2019;13:468-473.https://doi.org/10.1016/j.pcd.2019.03.003.

  27. Escobar-Trinidad JA, Arredondo-López A. Revisióny análisis sobre la efectividad del modelomultidisciplinario para la atención de la diabetes.Horiz Sanitario 2019;18:261-268. https://doi.org/10.19136/hs.a18n3.3300.

  28. Ayala-Moreno M, Rendón ME, Arizmendi MdC,Castañeda A. Análisis del gasto social para la prevencióny control de la diabetes. Perspectiva futura.Rev Centro Inv Univ La Salle 2020;14:49-70.https://doi.org/10.26457/recein.v14i54.2464.

  29. Shibayama T, Tanha S, Abe Y, Haginoya H,Rajab A, Hidaka K. The role of illness schematain self-care behaviors and glycemic controlamong patients with type 2 diabetes in Iran.Prim Care Diabetes 2019;13:474-480. https://doi.org/10.1016/j.pcd.2019.03.002.

  30. Baldo V, Lombardi S, Cocchio S, Rancan S,Buja A, Cozza S, et al. Diabetes outcomeswithin integrated healthcare managementprograms. Prim Care Diabetes 2015;9:54-59.https://doi.org/10.1016/j.pcd.2014.03.005.

  31. Hart HE, Rutten GE. A training course forexperts in diabetology in primary care. PrimCare Diabetes 2015;9:68-70. https://doi.org/10.1016/j.pcd.2013.12.002.

  32. Maneze D, Weaver R, Kovai V, SalamonsonY, Astorga C, Yogendran D, et al. "Some sayno, some say yes": Receiving inconsistent orinsufficient information from healthcare professionalsand consequences for diabetes selfmanagement:A qualitative study in patientswith type 2 diabetes. Diabetes Res Clin Pract2019;156:107830. https://doi.org/10.1016/j.diabres.2019.107830.

  33. Nieto-Meneses F, Melo-Serna CD. Guía demanejo del pie diabético desde el punto devista ortopédico en pacientes atendidos enhospitalización. Santiago de Cali, Colombia:Universidad Santiago de Cali; 2019. Acceso13 de abril de 2021. Disponible en https://repository.usc.edu.co/bitstream/handle/20.500.12421/167/GU%CDA%20DE%20MANEJO.pdf?sequence=1.

  34. Moreno-Sánchez DF, Gómez OL. Factoresasociados a la ocurrencia de úlceras en miembrosinferiores en pacientes diabéticos, en unapoblación que asiste a dos instituciones de saludde la ciudad de Cali. Rev Colomb de EndocrinolDiab Metabol 2017;3:18-24

  35. Apablaza P, Soto N, Román R, codner E.Nuevas tecnologías en diabetes. Rev Méd ClíLas Condes 2016;27:213-226. https://doi.org/10.1016/j.rmclc.2016.04.011.

  36. Paiva O, Rojas N. Pie diabético: ¿podemosprevenirlo? Rev Méd Clín Las Condes2016;27:227-234. https://doi.org/10.1016/j.rmclc.2016.04.012.

  37. Paico-Vílchez E. El médico compasivo es elmejor “medicamento” para el enfermo. Rev SocPeru Med Interna 2020;33:187-191. https://doi.org/10.36393/spmi.v33i4.570.

  38. Hamui-Sutton L, Paulo-Maya A, Hernandez-Torres I. La comunicación dialógica comocompetencia medica esencial. 3a ed. Mexico:El Manual Moderno; 2018. p. 160. ISBN: 607-448-678-6.

  39. Velázquez-Tamez L. Del derecho a la salud ala medicina defensiva: perspectiva de médicosen la atención a pacientes con diabetes tipo II.Rev CONAMED 2019;24:64-72.

  40. Jannoo Z, Mamode Khan N. Summary ofdiabetes self-care activities: A confirmatoryfactor analytic approach. Prim Care Diabetes2018;12:425-431. https://doi.org/10.1016/j.pcd.2018.04.004.

  41. Castro-Cornejo MÁ, Rico-Herrera L, Padilla-Raygoza N. Efecto del apoyo educativo parala adherencia al tratamiento en pacientescon diabetes tipo 2: un estudio experimental.Enferm Clin 2014;24:162-167. https://doi.org/10.1016/j.enfcli.2013.11.004.

  42. van Vugt M, de Wit M, Bader S, Snoek FJ.Does low well-being modify the effects ofPRISMA (Dutch DESMOND), a structured selfmanagement-education program for peoplewith type 2 diabetes? Prim Care Diabetes2016;10:103-110. https://doi.org/10.1016/j.pcd.2015.06.008.

  43. Orduz A, Tique C, Stetphens I, González A,Noel B, Tamayo D. Pie risk, una herramientapara la prevención del pie diabético. Rev Colombde Endocrinol Diab Metabol 2017:25-34.

  44. Rodríguez M, Mendoza MD. Factores de riesgode diabetes mellitus tipo 2 en poblaciónadulta. Barranquilla, Colombia. Rev ColombEndocrinol Diab Metab 2019:86-91.

  45. Ishaque A, Shahzad F, Muhammad FH, UsmanY, Ishaque Z. Diabetes risk assessmentamong squatter settlements in Pakistan: Across-sectional study. Malays Fam Physician2016;11:9-15.

  46. Arias-Vázquez PI. Actividad física en diabetesmellitus tipo II, un elemento terapéutico eficaz: revisióndel impacto clínico. Duazary 2015;12:147-156. https://doi.org/10.21676/2389783X.1472.

  47. León-Landa EH, Orozco-Castillo L, Argüelles-Nava VG, Hernández-Barrera L, Luzanía-ValerioMS, Campos-Uscanga Y. La alfabetizaciónen salud como factor clave en el autocuidadode la dieta en personas con diabetes mellitustipo 2. Univ Salud 2019;21:132-140. https://doi.org/10.22267/rus.192102.147.

  48. Garabedian LF, Ross-Degnan D, LeCates RF,Wharam JF. Uptake and use of a diabetes managementprogram with a mobile glucometer.Prim Care Diabetes 2019;13:549-555. https://doi.org/10.1016/j.pcd.2019.03.010.

  49. Peña AP, Venegas BC, Obando JA. Educaciónen salud para promover autocuidado en personascon Diabetes tipo 2 durante su hospitalización.Univ Salud 2020;22:246-255. https://doi.org/10.22267/rus.202203.197.

  50. Hirsch S, Alonso V. La emergencia de la diabetesen una comunidad tapiete de Salta: género,etnicidad y relaciones con el sistema desalud. Salud Colect 2020;16:e2760. https://doi.org/10.18294/sc.2020.2760.




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