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Revista Cubana de Reumatología

On-line version ISSN 1817-5996

Abstract

ROBALINO YAMBAY, Mauricio Santiago; HEREDIA AGUIRRE, Susana Isabel; MAYORGA MAZON, Clara de las Mercedes  and  PAGUAY MORENO, Ángel Ramiro. Comprehensive health intervention to improve the control of type II diabetes mellitus. Rev Cuba Reumatol [online]. 2023, vol.25, n.2  Epub June 01, 2023. ISSN 1817-5996.

Introduction:

Diabetes mellitus is a disease characterized by a sustained increase in blood glucose levels. The clinical manifestations and complications of the disease generate functional disability and affect the perception of quality of life. Glycemic control is essential to improve the health status of patients.

Objective:

To implement a comprehensive health intervention in patients diagnosed with type II DM residing in the Riobamba canton.

Methods:

Applied research was carried out, with a quasi-experimental, descriptive and longitudinal design. The universe consisted of 256 patients diagnosed with type II diabetes mellitus, of which 155 were part of the study sample. Glycemic control, nutritional status, waist circumference and level of knowledge were analyzed at the beginning and end of the intervention; as well as the general characteristics at the beginning of the study. The Wilcoxon signed rank test was used to identify whether the intervention generated changes in the study variables by comparing the results before and after the intervention.

Results:

Average age of 63.28 years, predominance of female patients (69.68 %) and no associated comorbidities (66.45 %). At the beginning of the study, the low level of knowledge (60.00 %), admissible glycemic control (34.19%) and waist circumference with high risk prevailed in men (37.96 %) and women (38.30 %). . After completing the study, the average level of knowledge (38.71 %), patients with normal weight (57.42 %), adequate glycemic control (34.84 %) predominated.

Conclusions:

the applied intervention generated positive changes in the variables studied.

Keywords : quality of life; functional capacity; mellitus diabetes; glycemia, educational intervention; knowledge level.

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