Resumen

GARCIA, Rosario  y  SUAREZ, Rolando. Eficciency of a long-term follow-up with interactive education in type 1 diabetic patients. Rev Cubana Endocrinol [online]. 2006, vol.17, n.3, pp. 0-0. ISSN 1561-2953.

The present paper is aimed at evaluating the effect of 10 years of follow-up under interactive consultation on the comprehension and adhesion to the treatment, as well as on the clinical, biochemical and therapeutic changes in a group of type 1 diabetics. 40 persons with type 1 diabetes mellitus and no more than 5 years of diagnosis were included in the study. They were selected by the consecutive order in which they were received at the Center during the month of recruitment and appointed to the interactive consultation (IC). The results were compared to those obtained in a control group with the same general and clinical variables at the beginning of the study that continued the educative process by the traditional consultation (TC). The knowledge and skills to follow the treatment were evaluated through quantitative questionnaires. The feelings about the disease were quantitative and qualitatively assessed. The knowledge, skills, responsibility for the treatment, self-steem, and autonomy were significantly higher (p=0,000) in the group of the IC. The acceptance of the interactive treatment was faster and the levels of glycosylated hemoglobin also showed marked differences (p=0,001) in favor of this group, which influenced on the lower frequency of acute complications and hospitalizations due to metabolic decompensation . This group presented lesser frequency (p=0,04) in the appearance of long-term complications. Those who participated in the IC attained better results in all the analyzed paremeters on comparing them with those that followed the traditional form of consultation.

Palabras clave : Diabetes education; interactive methodology.