Variables psicosociales asociadas a compensación metabólica de pacientes diabéticos de tipo 2 / Role of psychosocial variables in the metabolic control of type 2 diabetics
Rev. méd. Chile
;
136(8): 1007-1014, ago. 2008. tab
Artículo
en Español
| LILACS
| ID: lil-495799
ABSTRACT
Background:
Patients' cultural oríentations play an important role in chronic diseases. However, medical education research still does not emphasize these variables.Aim:
To measure the influence of psychosocial dimensions on blood glucose control in type 2 diabetic patients. Subjects andmethods:
Case-control design. Data were collected from institutional records and structured interviews. Blood glucose control was tested using glycosylated hemoglobin A1C. Patients with a good metabolic proñle defined as a glycosylated hemoglobin of less than 7 percent were considered cases while those with a glycosylated hemoglobin >7 percent were labeled as controls. Sixty seven cases and 61 controls were randomly selected at a public health center located in Los Angeles, Chile. Socio-demographic, illness-related, and psychosocial variables were measured and múltiple modeling using logistic regression was performed.Results:
Seventy per cent of patients were female, mean age was 61 years, 57 percent were housewives and most had a low income and educational level. The cultural predictors of metabolic control of diabetes were the perception of obstacles for blood glucose control, attribution of health benefits to a good control, family support and bonding quality with the health team.Conclusions:
Cultural variables play a significant role in metabolic control of diabetic patients and must be born in mind in educational campaigns.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Glucemia
/
Hemoglobina Glucada
/
Características Culturales
Tipo de estudio:
Ensayo Clínico Controlado
/
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Investigación cualitativa
/
Factores de riesgo
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2008
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Universidad de Concepción/CL
/
Universidad de La Frontera/CL
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