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Coordinación General de Investigación de la Facultad de Salud Pública y Nutrición y la Dirección General de Sistemas e Informática de la Universidad Autónoma de Nuevo León

2012, Number 2

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Rev Salud Publica Nutr 2012; 13 (2)

Autocuidado en diabetes gestacional: asociación con factores clínicos y socioeconómicos

Sánchez-Jiménez B, Hernández-Galván A, Graham CE, Mayra Chávez CM, Perichart-Perera O

Language: Spanish
References: 28
Page:
PDF size: 88.14 Kb.


ABSTRACT

To describe self-care behaviors of a group of women with gestational diabetes mellitus (GDM) receiving medical treatment and diet therapy and its relationship with demographic and socioeconomic factors. Cross-sectional study conducted in 2009. Women were invited to participate in the outpatient prenatal care at the National Institute of Perinatology, if they were pregnant (30-34 weeks of gestation), were diagnosed with GDM and had at least three weeks with a prescribed diet. Dietary, physical activity, self-monitoring of capillary glucose behaviors and prenatal visits were assessed with a specific questionnaire. .Descriptive statistics, Chi square test, Pearson correlation and Student t-test were used for analysis. A total of 30 pregnant women participated in the study; 87% were overweight or obese before pregnancy. Diet adherence was 81%, physical activity 66% and capillary glucose self monitoring was 3%. Most women (83%) had familiar history of diabetes mellitus and 23% had personal history of GDM. More than half of the women with history of GDM (57%) were classified as having inadequate self-care behaviors. Women without history of GDM reported to do more exercise than those with previous GDM (p=0.053), and obtained the highest score in self-care behaviors. Living near the hospital (60% of women) was related with worse self care behaviors. Women without personal history of GDM showed better self-care behaviors than women with previous GDM, with higher levels of exercise. Even though, diet adherence was acceptable, capillary glucose self-monitoring was not a common behavior in this group of women.


REFERENCES

  1. Morin, K., and L. Reilly. 2007. Caring for Obese Pregnant Women. Journal of Obstetric, Gynecologic and Neonatal Nurses. Vol. 36 No. 5: 482-89.

  2. Siega-Riz, AM., and BA. Laraia. 2006. The implications of maternal overweight and obesity on the course de pregnancy and birth outocomes. Matern Child Health J. No.10: 153-56.

  3. Encuesta Nacional de Salud y Nutrición 2006 (ENSANUT 2006) México, 2007.

  4. Reader, DM. 2007. Medical nutrition therapy and lifestyle interventions. Vol. 30 No. 2): 188-93.

  5. Zgibor, JC., and TJ. Songer. 2001. External barriers to diabetes care: addressing personal and health systems issues. Diabetes spectrum. Vol.14: 23-28.

  6. Toljamo, M., and M. Hentinen. 2001.Adherence to self-care and social support. J Clin Nursing. Vol.10 No. 5: 618-27.

  7. Perichart, O., P. Alonso, C. Ortega. 2006. Fisiopatología y atención nutricia de pacientes con diabetes gestacional. Ginecol Obstet Mex. Vol. 74: 218-23.

  8. Jovanovic-Peterson, L., E.P. Durak, C.M. Peterson. 1989. Randomized trial of dier plus cardiovascular conditioning on glucose levels in gestational diabetes. Am J Obstet Gynecol. Vol.161: 415.

  9. Kroeger, A., and R. Luna. 1992. Atención Primaria de la Salud. OPS. En Tezoquipa, I., et al. 2002. Boletín de Información Científica para el Cuidado de Enfermería. Cuidados Prenatales. Instituto Nacional de Salud Pública. Vol.1 No. 1: 1-4.

  10. Guerra, A.C., A. Evies, A. Rivas, L. García. 2005. Educación para el cuidado de pacientes diabéticas embarazadas. Universidad de Sta. Catarina, Brasil. Texto & Contexto Enfermer. Vol. 14 No. 2: 159-66.

  11. Martín, E., M.T. Querol, C. Larsson, M. Renovell, C.Leal. 2007. Evaluación psicológica de pacientes con diabetes mellitus. Av Diabetol. Vol. 23 No. 2: 88-93.

  12. Martínez, M., B. Coco, P. Fraile, A. Casado, J. Domíguez, A. Ramos. 2007. Eficacia de un taller de habilidades de afrontamiento en pacientes diabéticos. Universidad de la Rioja, Revista Metas de enfermería. Vol. 10 No. 1: 23-30

  13. Michigan Diabetes Research and Training Center.1998. Diabetes care profile. [Online] Available from: http://www.med.umich.edu/mdrtc/profs/documents/svi/dcp.pdf

  14. Perichart, O., M. Balas, E. Schiffman, E. Serrano, F. Vadillo. 2006. Impacto de la obesidad pregestacional en el estado nutricio de mujeres embarazadas de la Ciudad de México. Ginecol Obstet Mex. Vol.74: 77-88.

  15. Encuesta Nacional de Salud y Nutrición., Op. cit.

  16. Madrigal-Fritsch, H., J. Irala-Estévez, M.A. Martínez-González, J. Kearney, N. Gibney, J.A. Martínez-Hernández. 1999. Percepción de la imagen corporal como aproximación cualitativa al estado de nutrición. Salud Pública Mex. Vol. 41 No. 6: 479-86.

  17. Toljamo, M., et al, Op. cit.

  18. Lange, I., M. Urrutia, C. Campos, E. Gallegos, LM. Herrera, S. Jaimovich, et al. 2006. Fortalecimiento del autocuidado como estrategia de la Atención Primaria en Salud: La contribución de las instituciones de salud en América Latina. Organización Panamericana de la Salud. THS/0506/7.

  19. Travis, T. 1997. Patient perceptions of factors that affect adherence to dietary regimens for diabetes mellitus. Diabetes Educ. Vol. 23 No. 2 :152-56.

  20. Kurtz, S.M.S. 1990. Adherence to diabetes regimens: Empirical status and clinical applications. Diabetes Educ. Vol.16: 50-6.

  21. Delamater, AM. 2006. Improving patient adherente. Clinical Diabetes. Vol. 24 No. 2: 71-7.

  22. Hill, A., and J. Roberts. 1998. Body mass index: A comparison between self-reported and measured height and weight. J Public Health Med. Vol. 20: 206-11.

  23. Amador-Díaz, MB., F.G. Márquez-Celedonio, A.S. Sabido-Sighler 2007. Factores asociados al auto-cuidado de la salud en pacientes diabéticos tipo 2. Archivos en Medicina Familiar. Vol. 9 No. 2: 99-107.

  24. Procuraduría Federal del Consumidor (Profeco). 2007. Costo mensual para control de la diabetes. México, D. F. Disponible en: http://www.profeco.gob.mx (consultado en mayo 2010).

  25. Amador-Díaz, MB., et al, Op. Cit.

  26. Diario Oficial de la Federación. Norma Oficial Mexicana para la atención de la mujer durante el embarazo, parto y puerperio y del recién nacido.1994. NOM-007-SSA2-1993. Criterios y procedimientos para la prestación del servicio. 14 de julio de 1994. 1ª. Secc: 48-68.

  27. Wada, K., K. Tamakoshi, T. Tsunekawa, R. Otsuka, H. Zhang, C. Murata, et al. 2005. Validity of self-reported height and weight in a Japanese workplace population. Int J Obes. Vol. 29: 1093-99.

  28. Gondim, M.R., M.E. D'Aquino, P.C. Brandão. 2006. Validity of self-reported weight and height: the Goiânia study, Brazil. Rev Saúde Pública. Vol. 40. No. 6: 1-8.




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