Ríos-Álvarez M, Acevedo-Giles Ó, González-Pedraza AA

Language: Spanish
References: 21
Page: 149-153
PDF size: 69.57 Kb.

ABSTRACT

Background: The lack treatment of compliance is one of the most important problems in the management of chronic diseases; it produces a decrease in treatment efficiency, effectiveness and efficacy. The specialized literature describes diverse factors that influence the accomplishment of treatment goals such as sociodemographic factors, the disease itself, the kind of therapy used and the characteristics of the doctor-patient relationship. The later one is the factor with the strongest predictive value. Material and methods: This was a cross-sectional study, with a convenience sample carried out in diabetic patients from the Family Medicine Clinic Dr. Ignacio Chavez ISSSTE. An identification cardand a test to evaluate doctor-patient relationship (Patient-Doctor relationship questionnaire PDRQ-9) were applied. Fasting blood glucose, and glycosylated hemoglobin were used to evaluate glycemic control; total cholesterol, tryglycerides, weight, height, body mass index and blood pressure were used to evaluate metabolic control. Results: Of the 129 evaluated patients, 63.6% had adequate glycemic control and 32.6% had poor metabolic control. From the total questionnaire, 83.9% of the patients considered having a good doctor-patient relationship; 75.2% were satisfied and 69% reported having good communication and accessibility with their physician. The glycemic control and metabolic control associations were poorly correlated. Conclusions: Our patients were satisfied with their doctor-patient relationship, however the associations between glycemic control and metabolic control was poor; this can be related to other factors that could favor good disease control.

REFERENCES

1. Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, editors. Williams textbook of endocrinology. 11th ed. Philadelphia, PA; Saunders Elsevier, 2008.

2. Peralta G, Figuerola D. Aspectos psicosociales de la diabetes. Endocrinol Nutr 2003; 50: 280-285.

3. Heredia GMV. ¿Qué influye en la adherencia al tratamiento de la diabetes? Rev Rol Enferm 2004; 27: 57-60.

4. Zúñiga GS, Islas AS. Educación del paciente diabético. Un problema ancestral. Rev Med IMSS 2000; 38: 187-191.

5. Carratalá MC, Orozco BD, Gil GV, Merino SJ. Factores en el cumplimiento terapéutico y diabetes. En: Gil Guillén V, Merino Sánchez J, Palop Larrea V, editores. El cumplimiento, factor clave en el control de las enfermedades. Valencia: SVMFIC Sociedad Valenciana de Medicina Familiar y Comunitaria; 2003: 133-142.

6. Escudero-Carretero MJ, Prieto-Rodríguez MA, Fernández-Fernández I, March-Cerdà CM. La relación médico-paciente en el tratamiento de la diabetes tipo 1. Un estudio cualitativo. Aten Primaria 2006; 38: 8-18.

7. Dijkstra R, Braspenning J, Grol R. Empowering patients: how to implement a diabetes passport in hospital care. Patient Educ Couns 2002; 47: 173-177.

8. Van der Feltz-Cornelis CM, Van Oppen P, Van Marwijk HW, De Beurs E, Van Dyck R. A patient-doctor relationship questionnaire (PDRQ-9) in primary care: Development and psychometric evaluation. Gen Hosp Psychiatry 2004; 26: 115-120.

9. Mingote-Adán J, Moreno-Jiménez B, Rodríguez-Carvajal R, Gálvez-Herrer M, Ruiz-Lopez P. Psychometric validation of the Spanish version of the Patient-Doctor Relationship Questionnaire (PDRQ). Actas Esp Psiquiatr 2009; 37: 94-100.

10. Martín-Fernández J, Del Cura-González MI, Gómez-Gazcón T, Fernández-López E, Pajares-Carbajal G, Moreno-Jiménez B. Patient satisfaction with the patient-doctor relationship measured using the questionnaire (PDRQ-9). Aten Primaria 2010; 42: 196-203.

11. Norma Oficial Mexicana, NOM-015-SSA2-1994, “Para la prevención, tratamiento y control de la diabetes mellitus”. Disponible en: www.salud.gob.mx/unidades/cdi/nom/015ssa24.html

12. Lucio Gómez-Maqueo E, Alcántara-Rodríguez Y, Tapia-Hernández B, Durán-Patiño C, Calzada-León R. Personalidad y autoestima del adolescente que padece diabetes mellitus insulino-dependiente. Bol Med Hosp Infant Mex 2003; 60: 173-183.

13. González MJ. Evaluación de la relación médico-paciente en la consulta externa de medicina familiar del HGZ UMF No. 8, turno vespertino. Tesis de postgrado. México, D.F.

14. Conrado AS, Calderón ER, Mello GM, Rosas BJV. Metas terapéuticas en el control metabólico de pacientes con diabetes mellitus 2, Servicio de Consulta Externa de Medicina Interna del Hospital regional 1° de Octubre. Revista de Especialidades Médico-Quirúrgicas 2011; 16: 18-26.

15. Shani M, Taylor TR, Vinker SH, Lustman A, Erez R, Elhayany A, Lahad A. Characteristics of diabetics with poor Glycemic control who achieve good control. J Am Board Fam Med 2008; 21: 490-496.

16. Ariza E, Nazly C, Londoño E, Niño C, Sequeda C, Solano C, Borda M. Factores asociados a control metabólico en pacientes diabéticos tipo 2. Salud Uninorte Barranquilla (Col) 2005; 21: 28-40.

17. Girone MG. Monitorización clínica del paciente diabético. Actualización en medicina interna. ACMI 2005: 14-19.

18. Vergara GA. Factores asociados al control metabólico en diabéticos tipo 2. Revista Médica de Costa Rica y Centroamérica 2006, 577: 145-150.

19. Daly JM, Hartz AJ, Xu Y, Levy BT, James PA, Merchant ML. An assessment of attitudes, behaviors, and outcomes of patients with type 2 diabetes. J Am Board Fam Med 2009; 22: 280-290.

20. Rothenbacher D, Rüter G, Brenner H. Prognostic value of physician’s assessment of compliance regarding all-cause mortality in patients with type 2 diabetes: primary care follow-up study. BMC Family Practice 2006; 7. [citado 2012 ener 10]. Available from: http://www.biomedcentral.com/1471-2296/7/42

21. Adisa R, Fakeye TO, Fasanmade A. Medication adherence among ambulatory patients with type 2 diabetes in a tertiary healthcare setting in southwestern Nigeria. Pharmacy Practice (Internet) 2011; 9: 72-81. Apr-Jun [Citado 2012 Ener 17]. Available from: www.pharmacypractice.org (ISSN: 1886-3655)