Ureta CAA, López GC, Villegas DJE

Language: Spanish
References: 15
Page: 311-316
PDF size: 169.33 Kb.

ABSTRACT

Introduction: Mexico has the highest contribution to mortality from diabetes in the Americas and one of the highest mortality rates in the world caused by this condition. Treatment and control should be multidisciplinary, being fundamental the education about the disease. Objective: To determine the metabolic and educational impact on of a self-help group (SHG) for diabetics. Material and methods: Cohort study at the Hospital Naval de Veracruz, from October 2017 to January 2018; SHG: 20 patients, outpatient consultation (EC): 80 patients; their level of knowledge was measured by the questionnaire DKQ24; their metabolic control ,with Hb1AC%; emergency room visits, taken from the records of the past six months. Results: Schooling: zero to average in 50% of the SHG; higher than average in 44% of the EC; use of the emergency room: 12% of the SHG, 88% of EC; level of knowledge, good in 95% of the SHG and 52% of the EC; 74% of those with good knowledge did not go to the emergency room in the last six months; a good level of knowledge was related to better control of the Hb1Ac%. Conclusions: The SHG increases the level of knowledge about their disease, regardless of the sociocultural level, providing a protective factor for acute complications and better metabolic control.

REFERENCES

1. Bustos SR, Barajas MA, López HG, Sánchez NE, Palomera PR, Islas GJ. Conocimiento sobre diabetes mellitus en pacientes diabéticos tipo 2 tanto urbanos como rurales del occidente de México. Rev Arch Med Fam. 2007; 9 (3): 147-159.

2. Aguilar SC, Hernández JS, Hernández AM, Hernández AJ, Academia Nacional de Medicina. Acciones para enfrentar la diabetes. Documento de postura 2015.

3. Dalmau LM, García BG, Aguilar MC, Palau GA. Educación grupal frente a individual en pacientes diabéticos tipo 2. Rev Aten Primaria España. 2010; 3 (1): 36-41.

4. Castell AC, Lloveras VG. Important answers, but many questions remain, United Kingdom Diabetes Study (UKPDS). Rev Endocrinol Nutr. 2000; 46: 46-53.

5. Mediavilla BJ, Méndola J. The main intervention studies in type 2 diabetes: implications for primary. Care. 2002; 28 (5): 478-483.

6. Health Topics, Diabetes. World Health Organization (WHO) 2012.

7. Cefalu WT, Bakris G, Blonde L. Standards of medical care in diabetes 2017. Journal of Clinical and Applied Research and Education. 40: 105-120.

8. González PA, Martínez V. Efectividad de una estrategia educativa sobre los parámetros bioquímicos y nivel de conocimiento pacientes con diabetes tipo 2. Rev Endo Nut. 2007; 3: 165-174.

9. Vargas I, González P. Estudio comparativo de una estrategia educativa sobre el nivel de conocimiento y la calidad de vida del paciente con diabetes mellitus tipo 2. Rev UNAM. 2010; 53.

10. Hernández A, Huerta N, Reynoso N. Análisis de una encuesta poblacional para determinar los factores asociados al control de la diabetes mellitus en México. Rev Salud Pública de México. 2011; 1: 53.

11. Ortiz M, Ortiz E, Gatica A, Gómez D. Factores psicosociales asociados a la adherencia al tratamiento de la diabetes mellitus tipo 2. Rev Sociedad Chilena de Psicología Clínica Terapia Psicológica. 2011; 29 (1): 5-11.

12. Lazcano BG, Rodríguez MM, Guerrero R. Eficacia de la educación en el control de la glucemia de pacientes con diabetes tipo 2. Rev Méd IMSS. 37 (1): 39-44.

13. Zafra JA, Méndez JC, Failde I. Nivel de conocimientos y autocuidados de los pacientes diabéticos atendidos en un centro de salud de El Puerto de Santa María (Cádiz). Endoc Nutr. 2001; 48 (07): 187-192.

14. Lyssenko V, Jonsson A, Almgren P, Pulizzi N, Isoma B, Tuomi T et al. Clinical risk factors, DNA variants, and the development of type 2 diabetes. N Engl J Med. 2008; 20 (359): 2220-2232.

15. Otero LM, Zanetti ML, Ogrizio MD. Knowledge of diabetic patients their disease before and after implementing a diabetes education program. Revista Latino Americana. 2008; 6: 2-53.