Quiroz PJR, Castañeda LR, Ocampo BP, Pérez SPL, Martínez GMC

Language: Spanish
References: 23
Page: 213-220
PDF size: 143.84 Kb.

ABSTRACT

Objectives: To evaluate the deterioration of family health-competence with time of evolution of patients with type 2 diabetics. To compare the degree of family health-competence among families of patients with diabetes and subjects without diabetes, and the difference between controlled and non-controlled patients. Patient and Methods: To design the study: In the first phase, cross-sectional descriptive and second phase, cross-sectional comparative. Population: 622 patients with type 2 diabetic. For comparative analysis, the sample was 114 diabetics and 114 non-diabetics. The instrument of self-report of the Beaver Family Health-Competence was applied. Patients were classified by categories to calculate glucose and the qualification of family health competence as well as their indicators. The fol-lowing statistical analyses were made: association among universal variables and characteristics by χ² for N samples. Results: The mean years of diabetes diagnosis was nine years. Mean of glycemia was of 166.77 mg/dL, 125 non-controlled and 376 controlled. The mean of health-competence was of 2.18. The optimal families were 0.2 %, adequate 53.7 %, midrange 34.2 %, borderline 9.6 % and severely dysfunctional, 2.3 %. The healthy families were 88.1 % and pathologic, 11.9 %. With comparison of family health competence among the group of diabetics and the group control the difference is p ‹ 0.05. Comparison of groups for times of diagnosis of diabetes type 2 was not significant. The difference in family health-competence between controlled patients and not controlled patients was significant because in controlled patients it was better. Conclusions: Families of patients with diabetes type 2 are affected in their family health-competence; therefore, it is necessary to involve and to guide the manner of controlling it family regarding the relation-ship of the illness and the entire.

REFERENCES

1. 1. Broderick C, Schrader S. The history of profes-sional marriage and family therapy. En: Handbook of Family Therapy. Vol. II. USA: Brunner/Mazel; 1991. p. 3-40.

2. 2. Rubin R. Psychosocial problems and intervention in diabetes. Diabetes Care 1992:15(11);1640-1657.

3. 3. Helz J, Templeton B. Evidence of the role of psycho-social factors in diabetes mellitus: A review. Am J Psychiatry 1990;147:(10);1275-1282.

4. 4. Jacobson A, Hauser S, Willett J, Wolfsdorf J, Dvorak R, Hernan L, Groot M. Psychological adjustment to IDDM: 10-year follow-up of an onset cohort of child and adolescent patients. Diabetes Care 1997;20(5):811-818.

5. 5. Lustman P, Griffith L, Gavard J, Clouse R. De-pression in adults with diabetes. Diabetes Care 1992:15(11):1631-1639.

6. 6. Lustman P, Griffith L, Clouse R, Cryer P. Psychia-tric illness in diabetes mellitus relation to symptoms and glucose control. J Nerv Ment Dis 1986;174: (12):736-742.

7. 7. Lustman P, Griffith L, Clouse R, Cryer P. Use of the diagnostic interview schedule in patient with diabetes mellitus. J Nerv Ment Dis 1986;174(12): 743-746.

8. 8. Cardenas L, Vallbona C, Baker S, Yusim S. Adult onset diabetes mellitus: Glycemic control and family function. Am J Med Sci 1987; 293(1):28-33.

9. 9. Lewis FM, Woods NF, Hough EE, Bensley L. The family functioning with chronic illness in the mother: The spouses’ perspective. Doc Sci Med 1989;29:1261-1269.

10. Fisher L, Gudmundsdttir M, Guilliss C, Skaff M, Mullan J, Kanter R, Chesla C. Resolving disease problems in European-American and Latino couples with type 2 diabetes: the effects of ethnicity and patient gender. Fam Process 2000;39 (4):403-416.

11. Lipton RB, Losey LM, Giachello A, Mendez J, Girotti MH. Attitudes and issues in treating Latino patients with type 2 diabetes: views of health care providers. Diabetes Educ 1998;24(1):67-71.

12. Anderson RM, Goddard CE, Garcia R, Guzman JR, Vazquez F. Using focus groups to identify diabetes care and education issues for Latinos with diabetes. Diabetes Educ 1998;24(5):618-625.

13. Fisher L, Chesla C, Skaff M, Guilliss C, Mullan JT, Bartz RJ, Kanter RA, Lutz CP. The family and disease management in Hispanic and European-American patients with type 2 diabetes. Diabetes Care 2000;23(3):267-272.

14. Ruiz JM. Epidemiología de la diabetes en México. Consenso en diabetes. En: Consensos Funsalud. México: Fundación Mexicana para la Salud; 1995.

15. Vázquez M, Escobedo J. Análisis de la mortalidad por diabetes mellitus en el IMSS. (1979-1987). Rev Med IMSS 1990;28(2):157-170.

16. Valdés I, Aldrete MG, Alfaro N. Influencia de la familia en el control metabólico del paciente con diabetes tipo II. Salud Publica Mex 1993;35:464-470.

17. Vázquez F, Arreola F, Castro G, Escobedo J, Fiorelli S, Gutiérrez C, Junco E, Islas S, Lifshitz A, Méndez J, Partida G, Ávila C, Salazar B. As-pectos psicosociales de la diabetes mellitus. Rev Med IMSS 1994;32(3):267-270.

18. Beavers R, Hampson R. La evaluación de la competencia familiar. En: Familias exitosas. España: Paidós; 1995. p. 33-60.

19. Kish L. Survey sampling. New York: John Weley and Sons; 1965.

20. Quiroz JR, Ocampo P. Identificación del estado de salud-competencia familiar de los prestadores de servicios médicos del primer nivel de atención de la Delegación 2 del Instituto Mexicano del Seguro Social. Tesis para obtener el título de especialista en Terapia Familiar y de Pareja. México: Instituto de la Familia A. C.; 1996

21. Beavers R. Visiones de la familia desde adentro. En: Familias exitosas. Paidós; España: 1995. p. 89-106.

22. De-la-Fuente MR, De-la-Fuente JR. Principales síndromes psiquiátricos, trastornos depresivos. En: Tratado de medicina interna. Vol. 2. México: El Manual Moderno; 1994. p. 206-210.

23. Goldman H, Binger C, Malinak D. Muerte y duelo. En: Psiquiatría general. Volumen 2. México: El Manual Moderno; 1989. p. 89-95.