教育糖尿病护理项目:临床和生化评估项目结束后一年

González-Ballesteros Mario Alberto, TeresaReyes-Gabino Patricia, Espinoza-Rodriguez Juan Carlos, Jímenez-Báez María Valeria, Sandoval-Jurado Luis
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摘要

引言:糖尿病是一个全球性的公共卫生问题,每年有数百万人死于糖尿病,是导致疾病死亡的第四大原因。2型糖尿病病因的增加反映了人们采用的生活方式,而没有推荐的预防策略,因此构成了治疗和教育干预的优先目标目标:评估糖尿病患者护理计划开始、结束和完成后一年患者的临床和生化参数。材料和方法:在墨西哥坎昆初级卫生保健室对完成糖尿病患者护理项目Diabet IMSS的成年人进行回顾性队列研究。从Diabet IMSS项目中获得并评估糖尿病患者的记录:血糖、HbAc1、总胆固醇、甘油三酯、血压和BMI在项目开始、结束和完成一年后。t学生对相关样本的信息进行了分析。结果:195份患者的记录,平均年龄为58±10.5岁,糖尿病进展期为10±5.8年。项目结束时,HbA1c、葡萄糖和甘油三酯下降(p<0.05),但其他评估参数没有差异。项目结束一年后,所有评估的临床和生化参数均显著增加(p<0.05)。结论:Diabet IMSS项目结束时达到的改善对应于某些变量的显著下降结果;尽管最终没有达到控制目标。然而,患者未能保持项目结束时达到的改善,在项目结束一年后,所有临床变量都显著增加
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Educational Diabetic Care Program: Clinical and Biochemical Evaluation One Year after the End of the Program
Introduction: Diabetes mellitus is a global public health problem, millions of deaths per year are directly related to this condition and it is the fourth leading cause of death from disease. The increase in causes for type 2 diabetes reflects a lifestyle adopted by people and without referred prevention strategies therefore constitute a priority objective of therapeutic and educational interventions Objective: To evaluate the clinical and biochemical parameters in the patients of the diabetic patient care program at the beginning, end and one year after completion. Material and methods: Retrospective cohort in a Primary Health Care Unit in Cancun, Mexico in adults who completed the diabetic patient care program called Diabet IMSS. Records of diabetic patients from the Diabet IMSS program were obtained and evaluated: Glucose, HbAc1, Total cholesterol, Triglycerides, Blood pressure and BMI at the beginning, end and one year after finished the program. The information was analyzed by t student for related samples Results: 195 records of patients with a mean age of 58 ± 10.5 years and 10 ± 5.8 years of diabetes evolution. At the end of the program, HbA1c, Glucose and triglycerides showed a decrease (p < 0.05) but, other evaluated parameters showed no difference. After one year of the end of the program, a significant increase (p < 0.05) was reported in all the clinical and biochemical parameters evaluated. Conclusions: The improvement reached at the end of the Diabet IMSS program corresponds to significant descends results in some variables; although finally, the control goals are not reached. However, the patients did not manage to maintain the improvements reached at the end of the program, registering a considerable increase of all clinical variables one year after finished
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