Percepción de los pacientes y del personal del programa DiabetIMSS sobre el estilo de vida y el control metabólico

Abstract

: Objective: To determine reasons why neither metabolic control nor improvement on lifestyle are achieved, according to staff and patients perception in DiabetIMSS at the Unidad de Medicina Familiar (UMF) 66. Material and methods: Qualitative study from a representative sample of diabetic patients and staff in DiabetIMSS. With a previously signed consent, Diabetes Attitude Scale v. 3 (DAS 3) questionnaire was answered, focused groups of patients were formed and interviews for staff were given in order to explore their percep-tions, compliance and opinions about lifestyle and metabolic control. Authorized by the Comité Local de Investigación y Ética (Local Committee of Re-search and Ethics). Central tendency and dispersion statistics, absolute frequencies, U of Mann-Whit-ney in DAS 3 and qualitative analysis were used for the answers in both, focal groups and interviews. Results: 190 diabetic patients and 9 members of the DiabetIMSS were included. Women were pre-dominant in patients (73%), with a basic level of education (46%), with average age of 59.6 ± 10.7, low household poverty (51.5%), metabolic control 12.63% (CI 95%: 4.63-20.63%) and an unfavorable lifestyle 54.6% (CI 95%: 41.6-67.6%). In DAS 3, low-er averages in patients than in staff were found, with differences in strict control valuation (p = 0.005). Patients recognized the importance of information and advice to improve their lifestyle as difficult to achieve. They were able to detect inconsistencies and pacitación del personal y mayores recursos. El personal reconoció incumplimiento y deserción de pacientes, limitaciones en infraestructura, capacitación, insuficiencia de personal y recursos materiales. Conclusiones: Considerar los puntos de vista emitidos por pacientes y personal para mejorar el programa y una evaluación posterior. Palabras clave: Diabetes mellitus . Control metabólico. Estilo de vida. deficiencies, suggesting staff training and more re-sources. The staff admitted patient’s unfulfillment and dropout, errors in infrastructure, training, and the lack of staff material resources. Conclusions: Consider points of view given by patients and staff to improve the program and subsequent evaluation. (Rev 2019;6:95-104)