<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-2125</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina General Integral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Gen Integr]]></abbrev-journal-title>
<issn>0864-2125</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21252020000300004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estrategia de enfermería en el autocuidado de los adultos mayores con diabetes mellitus]]></article-title>
<article-title xml:lang="en"><![CDATA[A Nursing Strategy for the Self-Care of Older Adults with Diabetes Mellitus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Naranjo Hernández]]></surname>
<given-names><![CDATA[Ydalsys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Concepción Pacheco]]></surname>
<given-names><![CDATA[José Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mirabal Requena]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarez Escobar]]></surname>
<given-names><![CDATA[Belkis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médica de Sancti Spíritus  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Ciencias Médicas Sancti Spíritus Policlínico &#8220;Dr. Rudesindo Antonio García del Rijo&#750; ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Sancti Spíritus Hospital Psiquiátrico Docente Provincial de Sancti Spíritus ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>36</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21252020000300004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21252020000300004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21252020000300004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: A nivel mundial, cada año 3,2 millones de muertes son atribuidas a la diabetes, lo que equivale a una de cada 20 muertes, 8700 muertes cada día, seis cada minuto y por lo menos una de cada diez se producen en adultos de 35 a 64 años de edad.  Objetivo: Proponer una estrategia de enfermería en el autocuidado de los adultos mayores con diabetes mellitus.  Métodos: Estudio de intervención y desarrollo en el Policlínico &#8220;Dr. Rudesindo Antonio García del Rijo&#750; del municipio y provincia de Sancti Spíritus, desde el año 2013 al 2017. Variables de estudio: edad, sexo, nivel de información de los adultos mayores, tipología de la diabetes mellitus, autocuidado de los adultos mayores y estado de salud de los adultos mayores con diabetes mellitus. Se utilizó entrevista estructurada a los adultos mayores con diabetes mellitus en la comunidad para conocer la mejoría del estado de salud, después de aplicada la estrategia se compararon las proporciones poblacionales mediante la prueba de McNemar.  Resultados: Se lograron cambios significativos en el nivel de información de los adultos mayores, al finalizar se obtuvo 60,41 % aceptable. Después de aplicada la estrategia el autocuidado estaba presente en un 85,45 % y el estado de salud de los adultos mayores fue alto con un 84, 37 %.  Conclusiones: Con las acciones y actividades que se incluyen en la estrategia de enfermería para el autocuidado de los adultos mayores con diabetes mellitus se lograron cambios significativos en el autocuidado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Worldwide, 3.2 million deaths are attributed to diabetes each year, a figure equivalent to one in 20 deaths, 8,700 deaths every day, or six every minute; and at least one in ten occur in adults aged 35-64 years old.  Objective:  To propose a nursing strategy concerning the self-care of older adults with diabetes mellitus.  Methods:  Intervention development study carried out in Dr. Rudesindo Antonio García del Rijo Polyclinic in Sancti Spíritus Municipality, in the province of the same name, from 2013 to 2017. The variables of the study were age, sex, level of information of older adults, type of diabetes mellitus, self-care of older adults, and state of health of older adults with diabetes mellitus. A structured interview was conducted on older adults with diabetes mellitus living in the community in order to find out the improvement in their health status. After applying the strategy, the population proportions were compared using the McNemar test.  Results:  Significant changes were achieved in the level of information of older adults; at the end, an acceptable 60.41% was obtained. After applying the strategy, self-care was present in 85.45% and the health status of older adults was high, accounting for 84.37%.  Conclusions: With the actions and activities included in the nursing strategy for the self-care of older adults with diabetes mellitus, significant changes in self-care were achieved.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[adultos mayores]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="es"><![CDATA[autocuidado]]></kwd>
<kwd lng="es"><![CDATA[enfermería]]></kwd>
<kwd lng="es"><![CDATA[Dorothea Orem]]></kwd>
<kwd lng="en"><![CDATA[older adults]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[self-care]]></kwd>
<kwd lng="en"><![CDATA[nursing]]></kwd>
<kwd lng="en"><![CDATA[Dorothea Orem]]></kwd>
</kwd-group>
</article-meta>
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