2型糖尿病患者及其家庭照护者的教育干预建议

Aldo Pelcastre Neri, J. Vázquez, L. Lydia, Inés Tenahua Quitl, Olga Rocío Flores Chávez, María del Carmen López Zermeño, Jesús Carlos Ruvacaba Ledezma
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摘要

目的:设计针对2型糖尿病患者及其家庭照顾者的教育干预方案。方法:方法。在伊达尔戈州帕丘基利亚的一个互助小组中,对12名2型糖尿病患者进行了一项病例系列研究。收集社会人口统计数据、体测数据(体重、身高、BMI、腰围)、血压和毛细血糖化血红蛋白样本。结果:患者平均年龄64岁,年龄范围39 ~ 79岁,od值12;67%的女性;25%中学毕业,50%在家工作,17%经商,33%失业;58%已婚,25%丧偶,17%离婚或同居;33.确诊时间少于5年的占%,确诊时间超过5年的占67%;75%的人在经济上依赖;67%有并发症,75%有家庭支持,在糖尿病知识方面,33%获得中等评分,67%得分不足;平均体重为77 kg,范围为57 ~ 116.5 kg, od值为17 kg;腰围100%超过建议限制,BMI 50%为超重,50%为肥胖;血压50% > 130/80 mmHg,糖化血红蛋白75% > 7% mg/dl。结论:目前实施的策略不能反映对疾病的良好认识和控制。本研究邀请我们继续研究实施教育干预,其中包括家庭照顾者并鼓励积极参与,除了实施IEP作为干预的理论基础之外。
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Proposal for Educational Intervention in People Living with Type 2 Diabetes Mellitus and in their Family Caregiver
Objective: Design a proposal of educational intervention for both, people who live with Diabetes Mellitus type 2 and their family caregiver. Methodology: Methodology. A case series study was conducted with the participation of 12 people living with type 2 diabetes mellitus and attending a Mutual Help Group in Pachuquilla, Hidalgo. Sociodemographic data, somatometric measurements (weight, height, BMI, waist circumference), blood pressure, and capillary blood samples for glycosylated hemoglobin were collected. Results: The mean age was 64 and range of 39-79 years, O.D. of 12; 67% women; 25% finished secondary school, 50% worked at home, 17% in commerce, 33% unemployed; 58% married, 25% widowed, and 17% divorced and in common law; 33.% with less than 5 years diagnosed, 67% have been diagnosed for more than 5 years; 75% depend economically; 67% have complications, 75% with family support, in diabetes knowledge 33% obtained intermediate score and 67% inadequate score; the weight average was of 77 kg and range of 57-116.5 kg, and O.D. 17 kg; in waist circumference, 100% exceed the recommended limit, in BMI, 50% is classified as overweight and 50% as obese; in blood pressure 50% > 130/80 mmHg and in glycosylated hemoglobin 75% > 7% mg/dl. Conclusion: The currently implemented strategy does not reflect good knowledge and control of the disease. This study invites us to continue with research where an educational intervention is implemented in which family caregivers are included and active participation is encouraged, in addition to implementing the IEP as a theoretical basis for the intervention.
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