[Effects of an educational intervention on plasma levels of LDL cholesterol in type 2 diabetics]. / Efectos de una intervención educativa sobre los niveles plasmáticos de LDL-colesterol en diabéticos tipo 2.

OBJECTIVE: To prove the benefit of an educational intervention for controlling LDL cholesterol levels in LDL cholesterol. MATERIAL AND METHODS: A quasi-experimental study was conducted; diabetic patients were randomly allocated to an experimental and a control group. The experimental group consisted of 25 patients and the control group of 24 patients. The educational intervention was organized through a reflection-action process. LDL cholesterol levels were measured at baseline and monthly during the nine months of the study. The groups were controlled for age and sex. Statistical analysis included Wilcoxon's test for ordinal variables. RESULTS: The intervention group had a mean value of LDL cholesterol of 148.4 +/- 21.3, compared to 185 +/- 24.1 in the control group (p < or = 0.05). CONCLUSIONS: The participative educational intervention contributed to improving the levels of LDL cholesterol, by promoting a lifestyle change in type-2 diabetic patients.

Effects of behavior-modifying education in the metabolic profile of the type 2 diabetes mellitus patient.

To demonstrate the advantages of behavior-modifying education in the metabolic profile of the type-2 diabetes mellitus patient. A quasi-experimental study was performed with a control group. The experimental group was made up of 25 type-2 diabetic patients and the control group consisted of 24. The type of education carried out was a behavior modification. Baseline measurements and subsequent monthly measurements of serum glucose, total cholesterol and triglycerides were carried out during 9 months after the intervention. The groups were controlled according to age and sex. The statistical analysis was performed using the Student's and Wilcoxon's test to determine the difference. The experimental group in comparison with the control group in the measurement after the intervention achieved a mean difference in serum glucose of 64.2 mg/dl (p=0.001), in the cholesterol of 31.6 (p=0.008), and in the triglycerides of 50.8 (p=0.006). The behavior-modifying education is a better option than traditional intervention for metabolic control in type-2 diabetes mellitus patients.

Educación para la salud en derechohabientes del primer nivel de atención médica / Health education for insured patients ar the first level of medical attention

Se efectuó un estudio en la población derechohabiente mayor de 15 años que demandaba los servicios médicos en una unidad de atención a la salud del primer nivel de atención del Instituto Mexicano del Seguro Social (IMSS) en la zona metropolitana de Guadalajara, Jalisco. El propósito fue identificar el nivel de educación para la salud de usuarios de los servicios y analizar el modelo de práctica educativa institutcional recibida por el derechohabiente. Mediante este proyecto de investigación se puede señalar que 27.1 por ciento de la población derechohabiente demandante tiene un adecuado nivel de educación para la salud, que la práctica educativa recibida se basa en la acumulación de información, y que ésta ha sido otorgada por un equipo disciplinario en salud, el cual refleja limitaciones en los métodos y técnicas de educación en salud.