Adherencia al tratamiento de la diabetes mellitus tipo 2 en pacientes de consulta externa de medicina interna del Hospital Provincial General Docente Riobamba. 2014.

Abstract

This is a descriptive non-experimental desing research in order to determine the level of Adherence to the treatment of Diabetes in Outpatient Consultation patients of the Provincial Hospital of General Internal Medicine Teaching Riobamba. The Adherence to the treatment was directly assessed by an interview with the test “ Summary of Diabetes Self-Care Activities of Tiibert, Hampson & Glasgow (2005),” it consists of 11 items that measure self-care behaviors in patients in the last 7 days. The ítems are divided into 6 subcategories: overall diet, specific diet, exercise, self-monitoring, foot care and smoking; it was also evaluated the general characteristics, anthropometry, baseline HbA1c and glucose, all of them were obtained from medical records. General characteristics of the group between 24 and 84 years old are corresponding to 81.67% female gender and 18.33% male. The lower social stratum (73.3%) is prevailing, the high social stratum (25%) and middle stratum (1.7%). The nutritional status using anthropometric indicators determined by BMI revealed that 83.34% are overweight and obesity, determined by % Fat Mass reflects 86.7% are obese. Metabolic Risk measured by waist circumference determines that the 83.3% have greatly increased risk. Patients have an average adherence regarding diet, medication review and feet, poor adherence to treatment in physical activity, glucose monitoring and inspection of the inside of the fingers, which is why patients remain inadequate levels of hemoglobin fasting glucose and glycosylated.