Martínez DMG, Moreno MMG, Sauceda FPF, Vázquez AL, García VI, Liñan ZA

Language: Spanish
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ABSTRACT

Countries such as Canada, The United States, the United Kingdom and Japan, among others, are using the case management model as a strategy to attain quality assurance in care maintenance. In Mexico, the practice of tradicional nursing favors care fragmentation, which causes negative results such as complicatons and a higher number of hospitalizations. To apply the case management model to patients with Type 2 Diabetes Mellitus in a community center, and assess its impact on glucemic control of patients through glycosilated hemoglin (HbA₁c). study was pre-experimental, the population: 21 adult patients with Type 2 Diabetes Mellitus, and sampling was non probabilistic. Selection of patients, glycosilated hemoglin and colesterol testing, as well as assessment knowledge. The intervention lasted 12 weeks. The implementation of the model in the community area allowed to verify that this is an effective method to care for patients with Type 2 Diabetes Mellitus. The participant patients showed a significant reduction in HbA₁c, capillary glycemia, as well as cholesterol, although this was not significant. At the end of the study, patients showed higher knowledge regarding their disease, its treatment, and what to do when blood glucose levels increase or reduce, and the correct technique for foot care. Concerning self-care activities, treatment, diet and exercise compliance improved. Regarding treatment with insuline, a reduction in 71% was achieved in the number of patients with this type of treatment, and it was modified to bucal hypoglucemic agents complemented with diet and exercise.