medigraphic.com
ISSN 1405-8871 (Print)

2015, Number 4

<< Back Next >>

Aten Fam 2015; 22 (4)

Cardiovascular Risk Factors Knowledge and Control Level of Diabetes Mellitus Type 2 in a Group of Spanish with Diabetes

Navarro-Oliver AF, Lidón-Cerezuela MB, Martínez-Navarro A, Martínez-Navarro MÄ, Ruiz-Merino G, Leal-Hernández M

Language: Spanish
References: 20
Page: 97-101
PDF size: 269.66 Kb.


ABSTRACT

Objective: to analyze the level of theoretical knowledge about the objectives of control factors of cardiovascular risk in diabetic type 2 patients. Confirm if there is a relationship between the level of knowledge and a better metabolic control. Methods: descriptive, cross-sectional and observational study through survey of 20 items. 45 diabetics type 2 were included, a physical and analytical exploration was performed (capillary blood glucose, ldl cholesterol, blood glucose and glycosylated hemoglobin). Results: glycosylated hemoglobin was controlled (≤7%) in 51.1%; 42.2% presented ≤120 mg/dl basal glucose; 37.8% showed a ldl-cholesterol ≤100 mg/ dl; 37.8% had a systolic Pressure ≤140 mm Hg and 75.6% a Diastolic pressure of ≤80 mm Hg. Regarding the relationship between knowledge and control of the analyzed parameters: in regards to the basal glucose, 39% of the controlled patients know the target number of blood glucose; 61% of the not-controlled patients know this number (p ‹ 0.05). The same happens with the glycosylated hemoglobin (42.9% of the controlled patients know the figure versus the 57.1% of the not-controlled patients, p ‹ 0.05) and the ldl cholesterol (37.8% of the controlled patients know the figure versus 62.2% of the not-controlled patients, p ‹ 0.05). Conclusions: the level of knowledge of the objectives to control diabetes and the related cardiovascular risk factors is very poor. There is an inverse relationship between the knowledge of risk factors and a better control of these risks.


REFERENCES

  1. Gaede P, Lund-Andersen H, Parving HH, Pedersen O. Effect of a Multifactorial Intervention on Mortality in Type 2 Diabetes. N Engl J Med. 2008;358:580-91.

  2. Benito P, Garcia R, Puig M. Perfil de los pacientes con diabetes mellitus tipo 2, en la atención primaria española. Rev Clin Esp. 2004;204:18-24.

  3. Instituto Nacional de Estadística. Encuesta Nacional de Salud 2011-2012. Murcia: Ministerio de Sanidad, Servicios Sociales e Igualdad. [Internet] 14 marzo 2013; [Citado 2013 Mar 20]. Disponible en: http://www.ine.es/prensa/np770.pdf

  4. Rubio García JA. ¿Cuánto cuesta la diabetes? Sociedad Española de Diabetes. [Internet] 2011; [Citado 2013 Feb]. Disponible en: http://www. infodiabetico.com/index.php/instituciones/88- instituciones/801-la-diabetes-le-cuesta-a-la-sanidadpublica- 3000-euros-por-paciente

  5. United Kingdom Prospective Study (ukpds).Effect of Intensive blodd-glucose control with metformin on complications in overweight patients with type 2 diabetes. Lancet. 1998;352:854-64.

  6. Orozco D, Gil VF, Quirce F, Navarro J, Pineda M, Gómez de la Cámara A, et al. Collaborative Diabetes Study Investigators. Control of Diabetes and cardiovascular risk factors in patients with type 2 diabetes in primary care. The gap between guidelines and reality in Spain. Int J Clin Pract. 2007;61:909-15.

  7. Parras A, Concepcion M, Villar B. Efectividad en el control de los factores de riesgo cardiovascular en diabeticos tipo 2 de la provincial de Ciudad Real. Rev Cin Esp. 2005;205:218-22.

  8. Williamson DA, Rejeski J, Lang W, Van Dorsten B, Fabricatore AN, Toledo K. Impact of a weight management program on health-related quality of life in overweight adults with type 2 diabetes. Arch Intern Med. 2009;169:163-71.

  9. Roux L, Pratt M, Tengs TO, Yore MM, Yanagawa TL, Van Den Bos J, et al. Cost effectiveness of community-based physical activity interventions. Am J Prev Med. 2008;35:578-88.

  10. Jansink R, Braspenning J, Van der Weijden T, Niessen L, Elwyn G, Grol R. Nurse-led motivational interviewing to change the lifestyle of patients with type 2 diabetes (mild-project): protocol for a cluster, randomized, controlled trial on implementing lifestyle recommendations. bmc Health Serv Res. 2009;30:9-19.

  11. Handley MA, Shumway M, Schillinger D. Costeffectiveness of automated telephone self-management support with nurse care management among patients with diabetes. Ann Fam Med. 2008;6:512-8.

  12. López-Simarro F, Brotons C, Moral I, Cols-Sagarra C, Selva A, Aguado-Jodar A, et al. Inercia y cumplimiento terapéutico en pacientes con diabetes mellitus tipo 2 en atención primaria. Medicina Clínica [internet] 2012; [Citado 2013 Abr 2]. 138(9):337- 384. Disponible en: http://www.elsevier.es/ es-revista-medicina-clinica-2-articulo-inerciacumplimiento- terapeutico-pacientes-con-90119502

  13. Soriano Palao J, Meoro Avilés A. Evaluación de la población Diabética en el Área VII de Murcia en 2012. Unidad de Diabetes Hospital Reina Sofía. II Jornada de Trabajo para la Implantación de Estrategia de Cronicidad 2015. 13 de marzo de 2013; Murcia, España.

  14. Huerta JM, Tormo MJ, Egea-Caparrós JM, et al. Validez del diagnóstico referido de diabetes, hipertensión e hiperlipemia en población adulta española. Resultados del estudio dino. Revista Española de Cardiología. 2009;62:142-3.

  15. Escobar C, Barrios V, Calderón A. Diabetes Mellitus en la población hipertensa asistida en Atención Primaria en España. Grado de control tensional y lipídico. Rev. Clin Esp [Internet] 2007; [Citado 2013 Ene 28]. 207;221-7. Disponible en: http:// www.revclinesp.es/en/diabetes-mellitus-poblacionhipertensa- asistida/articulo/13102313/

  16. Baca B, Bastidas M, Aguilar M, De La Cruz M, Gonzáles MD, Uriarte S, et al. Nivel de conocimientos del diabético sobre su autocuidado. Enfermería Global [Internet] 2008; [Citado 2013 Mar 17].13:1- 13. Disponible en: www.um.es/eglobal/

  17. Torres HD, Franco LJ, Stradioto MA, Hortale VA, Schall VT. Evaluation of group and individual strategies in a diabetes education program. Rev Saud Publica. 2009;13:34-5.

  18. Song MS, Kim HS. Intensive management program to improve glycosylated hemoglobin levels and adherence to diet in patients with type 2 diabetes. Appl Nurs Res. 2009;22:42-7.

  19. Cochran J, Conn VS. Meta-analysis of quality of life outcomes following diabetes self-management training. Diabetes Educ. 2008;34:815-23.

  20. Martínez Pastor A, Leal Hernández M, Martinez Navarro A, Navarro A, Lifante Z, Gómez M. Efectos de un programa de revisión en el control de los diabéticos tipo 2 seguidos en atención primaria. Programa Diabetes First. Endocrinología y Nutrición. 2010; 57:16-21.




2020     |     www.medigraphic.com