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>Revistas >Cirugía y Cirujanos >Año 2018, No. 5


Pineda-del Aguila I, Velázquez-López L, Goycochea-Robles MV, Angulo-Angulo F, Escobedo-de la Peña J
La educación multimedia como apoyo en el manejo de pacientes con diabetes tipo 2. Estudio cuasi experimental
Cir Cir 2018; 86 (5)

Idioma: Español
Referencias bibliográficas: 34
Paginas: 404-411
Archivo PDF: 487.60 Kb.


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RESUMEN

Objetivo: Evaluar la eficacia de la educación a través de un sistema de información multimedia en el control del paciente con diabetes tipo 2. Método: Ensayo clínico abierto aleatorizado. El grupo de intervención fue instruido para consultar una herramienta educativa multimedia en la sala de espera de los consultorios, misma que fue diseñada de acuerdo a las caracteristicas de la población y centrada en automonitoreo de indicadores, información sobre diabetes tipo 2 y nutrición. Se midieron en sangre venosa las concentraciones de glucosa, hemoglobina glucosilada (HbA1c), triglicéridos, colesterol total, colesterol ligado a lipoproteínas de alta densidad (HDL-c) y colesterol ligado a lipoproteínas de baja densidad. Con la t de Student pareada se evaluó el efecto de la intervención. Resultados: Se incluyeron 2334 pacientes, 958 en el grupo de intervención y 1376 en el grupo control. Se observó en el grupo de intervención un incremento del HDL-c (de 40.45 a 47.40 mg/dl; p = 0.001) y una disminución de los triglicéridos (de 227.78 a 210.38 mg/dl; p = 0.001). En el grupo control disminuyeron los triglicéridos (de 232.64 a 210.84 mg/dl; p = 0.016). En ambos grupos se incrementó de forma significativa el colesterol total. No se observaron cambios en los valores de glucosa y HbA1c posterior a la intervención. Conclusión: La implementación de un sistema de información multimedia mejora el HDL-c y los triglicéridos del paciente con diabetes. Se requiere un reforzamiento continuo de la intervención educativa por parte del profesional de la salud para incidir en el control glucémico y otros indicadores del control metabólico.


Palabras clave: Multimedia, Diabetes tipo 2, Prevención y control, Dislipidemia, Factores de riesgo cardiovascular.


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>Revistas >Cirugía y Cirujanos >Año2018, No. 5
 

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