Factores que influyen en el comportamiento de adherencia del paciente con Diabetes Mellitus Tipo 2.

María Cristina Ramírez García; Alejandra  Anlehu-Tello; Alfonso Rodríguez-León

doi:10.19136/hs.a18n3.2888

Authors

María Cristina Ramírez García Juarez Autonomous University of Tabasco https://orcid.org/0000-0002-0228-839X
Alejandra Anlehu-Tello Juarez Autonomous University of Tabasco https://orcid.org/0000-0002-7489-2166
Alfonso Rodríguez-León Secretary of Health of the Government of the State of Tabasco https://orcid.org/0000-0001-6466-615X

DOI:

https://doi.org/10.19136/hs.a18n3.2888

Abstract

Objective: Analyze the factors that influence the behavior of Adherence to the treatment of the patient with Diabetes Mellitus type 2, in the Unit of Specialties of Chronic Diseases in Villahermosa, over a period of 6 months in 2018.

Materials and methods: A quantitative, observational, cross-sectional and prospective study was carried out, with a sample of 106 patients with Diabetes Mellitus type 2 in the Unit of Specialties of Chronic Diseases (UNEMEs Ec), in Villahermosa Tabasco.

Results: The female gender predominates with 68%; the age range is 51 to 55 years with 19.8%. Regarding the level of schooling, 70.8% have primary education and 66% are dedicated to housework. Regarding the factors that influence the adherence behavior, 88% are with the patient and 77% with the provider; 56% agree that the socioeconomic factor sometimes influences and 49% report that those related to therapy never influence. Regarding the adherence behavior, 47% reported having an advantage for adherence, 41% at risk of not developing adherence behaviors and the level of knowledge of the patients, was intermediate in 49.1%.

Conclusions: The population studied has risk of not developing adherence behaviors and have an intermediate level of knowledge, which implies the need to assess the psychological intervention, as well as the patient’s teaching process, to impact and / or reorient them towards greater adherence as an important element in their benefit.

Key words: Mellitus diabetes; Psychosocial factors; Chronic diseases.

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Author Biographies

María Cristina Ramírez García, Juarez Autonomous University of Tabasco

Student of the Master's Degree in Public Health at the Juárez Autonomous University of Tabasco, Health Secretariat Labor Center, State Nutritionist of the Adult and Elderly Health Program.
Alejandra Anlehu-Tello, Juarez Autonomous University of Tabasco

Doctor in educational sciences. Research professor at the Juárez Autonomous University of Tabasco. Academic Division of Health Sciences. Mexico.
Alfonso Rodríguez-León, Secretary of Health of the Government of the State of Tabasco

Master in Quality Management, Master in Health Services Administration. Undersecretary of Health Services. Secretary of Health of the Government of the State of Tabasco, Mexico.

References

Organización Mundial de la Salud, Diabetes [sede web], Región de las Américas- [Noviembre 2017; 19 Mayo de 2018]. Disponible en: http://www.who.int/es/news-room/fact-sheets/detail/diabetes.

Encuesta Nacional de Salud y Nutrición 2012; por Entidad Federativa Tabasco, PP1-112.

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Organización Mundial de la Salud, Adherencia a los tratamientos a largo plazo, Washington, D.C; 2004.

Buitrago Francisco, Adherencia terapéutica ¡Qué difícil es cumplir!: La Paz; Aten Primaria. 2011; 43(7):343—344. DOI:10.1016/j.aprim.2010.04.018.