Therapeutic education, the premise of adherence to the type 2 diabetes therapeutic regimen

ABSTRACT

BACKGROUND: type 2 diabetes mellitus includes changes in lifestyle in its etiology of prevention, but the evidence is clear -even when people know what to do and what they want to do, they simply do not adopt adherence behaviors. Structured education will allow improving not only metabolic control, but also the adjustment process to a new situation of disease, as well as to develop the patient's skills in order to make him the key manager of his illness. OBJECTIVES: To determine patients' adherence to prescribed therapeutic regimens. MATERIAL AND METHODS: Quantitative, cross-sectional, non-experimental, descriptive, correlational study, with a sample of 102 people with type 2 diabetes, aged between 40 and 85 years old, mostly male (51.96%). The evaluation protocol included social-demographic and clinical questionnaire, Diabetes Self-care Scale and a questionnaire on Diabetes' knowledge. We also used HbA1c in order to directly assess adherence. RESULTS: It appears that there is no statistically significant correlation between socio-demographic variables such as gender and age and adherence. Variables, such as blood glucose monitoring, specific diet compliance and knowledge, reveal a statistically significant effect on adherence (P < .05). CONCLUSION: The evidence is clear on the urgent need to recognize the importance of measuring patient adherence to a diabetes treatment plan for the maintenance of glycaemic control. We suggest the reinforcement of educational programs in people with type 2 diabetes so as to improve adherence to self-care

RESUMEN

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