2019, Number 1
Self-care practices for outpatients with type 2 diabetes mellitus
Language: Spanish
References: 15
Page: 52-59
PDF size: 1627.11 Kb.
ABSTRACT
Introduction: Nursing care for people with DM2 focuses on self-care based on a therapeutic relationship of collaboration and mutual commitment to achieve autonomy and selfresponsibility in each individual, family and community.Objective: To identify the level of application of self-care practices of outpatients with DM2 who attend the outpatient clinic of a third-level care hospital in the Instituto Mexicano del Seguro Social.
Methods: Descriptive cross-sectional study, in a convenience sample of 80 patients with DM2, ≥30 years of age. The instrument was designed to evaluate the level of "Self-care practices of ambulatory patients with DM2" with five dimensions: Hygienic habits, Dietary habits, Physical activity, Sleep and rest and Knowledge; Cronbach's alpha 0.85.Descriptive analysis of the data.
Results: The level of application of self-care practices was good in three dimensions: Hygienic habits (52.5%), Dietary habits (72.5%), and Sleep and rest (67.3%). In the dimensions of Physical activity (62.5%) and Knowledge (73.8%) the level was low. 22.5% of patients achieved a very good level of Physical activity, following the recommendation of 30 minutes of exercise.
Conclusions: Outpatients with DM2 have a good self-care practice level in Hygienic habits, Dietary habits and Sleep and rest. It is necessary to reinforce the practices of Physical activity and Knowledge, to promote and maintain autonomy and co-responsibility in the person and family.
REFERENCES
Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, Romero-Martínez M, Hernández-Ávila M. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública (MX), 2012. [Internet]. Disponible en: https://ensanut.insp.mx/informes/ENSANUT2012Resultado sNacionales.pdf
Cruz-MC, Andrade C, Urrutia M, Draibe S, Nogueira- Martins LA, de Castro-Cintra-Sesso R. Quality of life in patients with chronic kidney disease. Clinics (Sao Paulo). Brasil. 2011; 66(6):991-95. [Internet]. https://dx.doi.org/10.1590%2FS1807- 59322011000600012. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130 152/
Organización Panamericana de la Salud. Mejorando el control de los pacientes con diabetes en la República Dominicana. 2015. Disponible en: https://www.paho.org/hq/index.php?option=com_con tent&view=article&id=11432:improving-diabetescontrol- for-patients-in-the-dominicanrepublic& Itemid=41617&lang=es
Gómez-López J, Campero-Vázquez AJ, Rivas-Robles E, Flores-Rizo G. Impacto del autocuidado en pacientes con diabetes mellitus tipo 2. Hig. Sanid. Ambient. 2018; 18(4):1687-91. Disponible en: http://www.salud-publica.es/secciones/revista/revistas pdf/bc5c02c00c789a1_Hig.Sanid.Ambient.18.(4).1687- 1691.(2018).pdf
Cabrera-Morón R, Motta-Quijandría I, Rodríguez-Robladillo C, Velázquez-Carranza D. Nivel de conocimiento sobre autocuidado en la prevención de complicaciones diabéticas en usuarios del Policlínico-EsSalud-2009. Rev enferm Herediana. 2010;3(1):29-36. Disponible en: https://faenf.cayetano.edu.pe/images/pdf/Revistas/2010/e nero/Autocuidado%203_4.pdf
Compean-Ortiz LG, Quintero-Valle LM, Del Ángel-Pérez B, Reséndiz-González E, Salazar-González BC, González- González JG. Educación, actividad física y obesidad en adultos con diabetes tipo 2 desde la perspectiva del autocuidado de Orem. Aquichan. 2013; 13(3):347-62. [Internet]. Disponible en: http://aquichan.unisabana.edu.co/index.php/aquichan/arti cle/view/2121/3337
Contreras-Orozco A, Contreras-Machado A, Hernández- Bohórquez C, Castro-Balmaceda MT, Navarro-Palmett LL. Capacidad de autocuidado en pacientes diabéticos que asisten a consulta externa. Sincelejo, Colombia. Investigaciones Andina. 2013; 15(26);667-78. [Internet]. Disponible en: http://www.scielo.org.co/pdf/inan/v15n26/v15n26a05.pdf
Gil-Velázquez LE, Sil-Acosta MJ, Aguilar-Sánchez L, Echevarría-Zuno S, Michaus-Romero F, Torres-Arreola LP. Perspectiva de la diabetes mellitus tipo 2 en el Instituto Mexicano del Seguro Social. Rev Med Inst Mex Seguro Soc. 2013;51(1):58-67. Disponible en: http://revistamedica.imss.gob.mx/sites/default/files/pdf_in teractivo/rm2013-1-flippingbook.pdf