2011, Number 2
<< Back Next >>
Rev Esp Med Quir 2011; 16 (2)
Family cohesion and adaptability and its relation to glycosilated hemoglobin of diabetic patients
Sánchez RA, Pedraza AAG
Language: Spanish
References: 17
Page: 82-88
PDF size: 277.67 Kb.
ABSTRACT
Objective: To relate cohesion and familiar adaptability to the glycosylated hemoglobin in diabetic patients of the Familiar Medicine clinic (CMF) Dr. Ignacio Chavez.
Patients and method: In a prospective, cross-sectional and analytical study a questionnaire of Family Adaptability and Cohesion Evaluation Scale (FACES III) was applied to type 2 diabetic patients of CMF Dr. Ignacio Chavez. Determination of glycosylated hemoglobin was made, and the statistical test of Kruskal-Wallis with level of significance of 0.05 was used to related variables with statistical program SPSS version 15.0.
Results: Sampling by convenience of 205 patients. For familiar cohesion, the families related predominated (40%) and for adaptability, the chaotic families with 46.3%. By the model circumplex, 22% of the families were located in the extreme rank. There was no relation with statistical significance between the levels of glycosylated hemoglobin and the ranks of cohesion and familiar adaptability. There were relation between the time of diagnoses and the type of treatment with the measured metabolic control through the glycosylated hemoglobin (
p = 0.000).
Conclusions: 69% of the diabetic patients had regular and bad metabolic control, which is not in relation to the familiar cohesion and adaptability.
REFERENCES
Méndez LD, Gómez LM, García RM, Pérez LJ. Disfunción familiar y control del paciente diabético tipo 2. Rev Med IMSS 2004;42(4):281-284.
De La Revilla L, Conceptos e Instrumentos en la atención familiar. Barcelona: Editorial Doyma; 1994.
Irigoyen C, Morales de I. Nuevo diagnóstico familiar. 2a ed. México: Medicina Familiar Mexicana; 2006.
Vergara GA. Factores asociados al control metabólico en diabéticos tipo 2. Rev Med Costa Rica y Centroamerica 2006;LXIII(577):145-149.
Velasco ML, Sinibaldi JF. Manejo del enfermo crónico y su familia. 1ª ed. México: El Manual Moderno; 2004.
Ariza E, Nazly C, Londoño E, Niño C, et al. Factores asociados a control metabólico en pacientes diabéticos tipo 2. Salud Uninorte. Barranquilla (Col) 2005;21:28-40.
Olson DH, Gorall D. Circumplex model of marital and family systems. In: Walsh F, editor. Normal family processes growing diversity and complexity. 3a ed. New York-London: The Guilford Press; 2003:514-548.
Ponce Rosas ER, Gómez Clavelina FJ, Irigoyen Coria AE, Terán Trillo M y col. Análisis de la confiabilidad de FACES III versión en español. Aten Primaria 1999;23(8):479-484.
Gómez Clavelina FJ, Irigoyen Coria AE, Ponce Rosas ER. Versión al español y adaptación transcultural de FACES III. Arch Med Fam 1999;1:73-77.
Thomas V, Olson DH. Problem families and the circumplex model: observational assessment using the Clinical Rating Scale. J Marital Fam Ther 1993;19:159-175.
Olson DH. Circumplex model of marital and family systems. J Marital Fam Ther 2000;22(2):144-167.
Membrillo LA, Fernández OM, Quiroz PJ, Rodríguez LJ. Familia. Introducción al estudio de sus elementos. 1ª ed. México: Editores de Textos Mexicanos; 2008.
Huerta JL. La familia en el proceso salud-enfermedad. 1ª ed. México: Alfil; 2005.
Girone MG. Monitorización clínica del paciente diabético. Actualización en Medicina Interna. ACMI 2005;14-19.
Mendoza-Solís LA, Soler-Huerta E, Sainz-Vázquez L, Gil-Alfaro I, et al. Análisis de la dinámica y funcionalidad familiar en atención primaria. Arch Med Fam 2006;8(1):27-32.
Zdanowicz N, Pascal J, Reynaert CH. ¿Juega la familia un papel clave en la salud durante la adolescencia? Eur J Psychiatr 2004;18(4):215-224.
Jiménez BA, Víctor G, Alanis-NG. Función familiar: control de diabetes mellitus tipo 2. RESPYN. IMSS México, 2005;8 edición especial. [Fecha de consulta 2010 Jul 6] Disponible en: http://www.respyn.uanl.mx/especiales/20057ee-08-2005/documentos/42.htm.