Effect of integrated care in the prevention, detection, control and quality of life in patients with type 2 diabetes in Pachuca General Hospital campus arista / Efecto de la atención integrada en la prevención, detección, control y calidad de vida en

Ricardo Daniel Corona Gonzalez, Christian Fabian Roldan Muñoz
2015 International Journal of Integrated Care  
In Mexico, Type 2 Diabetes (T2D) is a major public health problem, affecting the quality of life of patients and their families, as well as the increased burden of direct and indirect costs to their health The public health system and the national economy. The costs associated with the care and DT2 are alarmingly high increase. In recent decades the number of people with T2D in Mexico has increased and is now the second leading cause of death in the country. There are several tools for the
more » ... ction of T2D based on clinical, anthropometric measurements and biochemical variables. The predictive FINDRISC scale was the first to identify individuals at risk. It covers eight aspects, age, body mass index (BMI), waist circumference, physical activity, diet, intake of antihypertensive, personal history of high glucose levels and family history of T2D. Predicts the likelihood of developing diabetes in the next 10 years. It is widely used and validated in different countries. Control is achieved by applying a set of measures to monitor and address all aspects that alter the everyday welfare of the patient and implement prophylactic and therapeutic measures appropriate to delay its progression and prevent damage. Treatment aims to relieve symptoms, improve quality of life and prevent or delay the onset of the acute and chronic complications, through non-pharmacological and pharmacological strategies. Several studies have shown that DT2 has a negative impact on quality of life of people. A test that is frequently used to assess the quality of life of patients with diabetes is the Diabetes Quality of Life (DQOL). Composed of 43 items that are 4-dimensional "treatment satisfaction", "Impact of treatment", "social concern / vocational" and "concern regarding the future effects of diabetes." Useful to know the reality of the patient in one moment of time and be able to determine the changes in its various dimensions, after a therapeutic intervention. Integrated care is "an organizational process of coordination that aims to achieve a smooth and continuous attention, adapted to the needs of patients and based on a holistic view of the patient." Its objectives are to improve the quality of care, quality of life, patient outcomes and efficiency in the use of resources. Material and Methods: The study was conducted in 265 patients of the Diabetes Clinic Campus Arista Pachuca General Hospital. It was performed in 3 stages: Stage 1: The questionnaire FINDRISC 265 people with relatives who suffer from T2D was applied. Patients with equal to or Conclusión: El modelo de Atención Integrada, mediante un efectivo abordaje multidisciplinario, fluido, continuo y centrado en la persona, tiene un gran efecto en la prevención, detección, control y calidad de vida del paciente con DT2 del Hospital General de Pachuca Campus Arista. Keywords type 2 diabetes; integrated care; quality of life / diabetes tipo 2; atención integrada; calidad de vida PowerPoint presentation http://integratedcarefoundation.org/resource/wcic3-presentations
doi:10.5334/ijic.2297 fatcat:sxp5mo6qnrhvzemrbesbc5bd3i