Variables psicosociales asociadas a compensación metabólica de pacientes diabéticos de tipo 2
2008; Q16635223; Volume: 136; Issue: 8 Linguagem: Inglês
10.4067/s0034-98872008000800007
ISSN0717-6163
AutoresAnny A Quintana, José Merino, Pablo Merino R, Juan Carlos,
Tópico(s)Obesity and Health Practices
ResumoRole of psychosocial variables in the metabolic control of type 2 diabeticsBackground: Patients' cultural orientations play an important role in chronic diseases.However, medical education research still does not emphasize these variables.Aim: To measure the influence of psychosocial dimensions on blood glucose control in type 2 diabetic patients.Subjects and methods: Case-control design.Data were collected from institutional records and structured interviews.Blood glucose control was tested using glycosylated hemoglobin A1C.Patients with a good metabolic profile defined as a glycosylated hemoglobin of less than 7% were considered cases while those with a glycosylated hemoglobin ≥7% were labeled as controls.Sixty seven cases and 61 controls were randomly selected at a public health center located in Los Angeles, Chile.Socio-demographic, illness-related, and psychosocial variables were measured and multiple modeling using logistic regression was performed.Results: Seventy percent of patients were female, mean age was 61 years, 57% were housewives and most had a low income and educational level.The cultural predictors of metabolic control of diabetes were the perception of obstacles for blood glucose control, attribution of health benefits to a good control, family support and bonding quality with the health team.Conclusions: Cultural variables play a significant role in metabolic control of diabetic patients and must be born in mind in educational campaigns (Rev Méd Chile
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