2013, Number 1
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Enf Neurol (Mex) 2013; 12 (1)
Cognitive impairment in diabetic elderly hospitalized in internal medicine in a hospital for a second level of care in Mexico, Distrito Federal
Coronel CMÁA, Carmona MB, Ponce GG
Language: Spanish
References: 14
Page: 5-9
PDF size: 157.62 Kb.
ABSTRACT
Introduction: The WHO estimates that globally there are 250 million people with diabetics, which in México are per 100,000 372 with a higher prevalence in elderly in Mexico, diabetes mellitus type 2 (DMT2) the leading cause of mortality increase by two times the risk of cognitive impairment after six years of the evolution. The nurse is one of his duties and individual and assist individuals and their family in adapting to the changes in health and prevention of further damage.
Methods: The study is quantitative, descriptive, observational and prospective, with convenience sample: 100 people with diabetes hospitalized, over 65 years old, which scales were applied: Folstein Mini-Mental (MMSE) and the questionnaire of polypharmacy. The tabulation was via SPSS 19.0.
Results: The 39% of the population is between 66 and 70 years, women predominated in 65%, 90% have more than six years of disease onset, 51% had polypharmacy. The 81% obtained a level of cognitive impairment while 19% have a level of normal cognition. The 43% had a mild level of cognitive impairment, 22% had moderate, 19% had a normal cognition and 16% have a severe level of cognitive impairment.
Discussion: The 79% has evolved over six years, and therefore cognitive changes. With regard to cognitive impairment, 81% of the population has cognitive impairment is related to diabetes and high risk of dementia. Diabetes mellitus type 2 leads to agravate conditions that are associated with functional dependence as the cognitive impairment. This research seeks to develop a basis for nursing interventions aimed to assess the cognitive status of elderly hospitalized diabetics, to improve the quality of life with the participation of primary caregiver.
REFERENCES
INEGI. Censo de Población y Vivienda 2008. Datos de la encuesta Nacional de Salud (Apartado referente a las Enfermedades Crónico Degenerativas a nivel Nacional). México: INEGI; 2008.
Gutiérrez M. Teorías del desarrollo cognitivo. España: McGraw Hill; 2005. pp. 10-66.
Mejía A, Jaimes A, Villa D, Ruiz A, Gutiérrez R. Deterioro cognoscitivo y factores asociados en adultos mayores en México. Revista de Salud Pública México. 2007; 49 supl 4: 5475-5481.
Casanova C. Estudio clínico de las principales causas de trastornos cognoscitivos en la atención primaria. Rev Cubana Med Gen Integr. 2001; 17 (4): 309-315.
Koivisto K, Reinikainen K, Haninen T, Vanhanen M, Helkala EL, Mykkanen L et al. Prevalence of age-associated memory impairment in a randomly selected population from eastern Finland. Neurology. 1995; 45 (4): 741-747.
Petersen R, Doody R, Kurz A, Mohs R, Morris J, Rabins P et al. Current concepts in mild cognitive impairment. Arch Neurol. 2001; 58: 1985-1992.
Hassing L, Scott M, Sven E, Stig B, Pedersen L. Comorbid type 2 diabetes mellitus and hypertension exacerbates cognitive decline: evidence from a longitudinal study. Age and Ageing. 2004; 33: 355.
Canazaro de M, Fernández L, Cunhas S, Lima A. El deterioro cognitivo en pacientes ancianos con diabetes mellitus tipo 2 y la identificación de formas de prevención. Rev Neuropsicológica. 2010; 10 (2): 29-42.
Ham C, Gutiérrez R. Salud y envejecimiento en el siglo XX. Rev Sal Pub. 2007; 49 (4): 433-435.
Noxpanco P. Influencia de la salud-competencia familiar en el autocuidado y nivel de conocimientos del paciente con diabetes mellitus tipo 2 en la Clínica Brimex [Tesis para obtener el título de Licenciado en Enfermería]. México: Universidad Nacional Autónoma de México; 2006. pp. 1-30.
Ávila O, Vázquez M, Gutiérrez M. Deterioro cognitivo en el adulto mayor. Ciencia. 2007; 42 (4): 43.
León A, Milián S, Camacho C, Arévalo C, Escartín C. Factores de riesgo para deterioro cognitivo y funcional en el adulto mayor. Rev Med Inst Mex Seguro Soc. 2009: 47 (3): 277-284.
Gómez V, Bonnin R, Molina, Yáñez F, González Z. Caracterización clínica de pacientes con deterioro cognitivo. Rev Cubana Med. 2003; 42 (1): 12-17.
Heather HT. Diagnósticos Enfermeros: Definiciones y Clasificación 2009-2011. Barcelona: Elsevier, España; 2010. pp. 155-177.