<?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>S0864-21252023000100008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estrategia de intervención educativa sobre diabetes mellitus en &#8220;Ojo de Agua&#8221;, Holguín]]></article-title>
<article-title xml:lang="en"><![CDATA[An Educational Intervention Strategy on Diabetes Mellitus in Ojo del Agua, Holguín]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zarzabal Góngora]]></surname>
<given-names><![CDATA[Israel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garrido Tapia]]></surname>
<given-names><![CDATA[Elbert José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manso López]]></surname>
<given-names><![CDATA[Ana Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[De la Torre Ricardo]]></surname>
<given-names><![CDATA[Magui Aitza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Policlínico Universitario de San Andrés  ]]></institution>
<addr-line><![CDATA[ Holguín]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Holguín  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Lucía Íñiguez Landín&#8221;  ]]></institution>
<addr-line><![CDATA[ Holguín]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<volume>39</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21252023000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21252023000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21252023000100008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La diabetes mellitus es un problema emergente de salud pública; que mostrará un crecimiento del 45 % para el año 2030, influenciado por el incremento demográfico y el envejecimiento poblacional a escala global.  Objetivo:  Desarrollar una estrategia educativa sobre la diabetes mellitus e implementarla en la comunidad de &#8220;Ojo de Agua&#8221;, Holguín.  Método:  Se realizó una investigación siguiendo el paradigma cuanticualitativo, con una población fuente o de estudio de 27 pacientes diabéticos que se caracterizaron a partir de variables seleccionadas, en el período 2020-2021. Se aplicó escala tipo Likert (previamente validada por expertos y con &#945;-Cronbach de 0,693) y el cuestionario Martín-Bayarre-Grau para adherencia.  Resultados: El sexo femenino, el envejecimiento poblacional, el bajo grado de escolaridad, la malnutrición por exceso y una adherencia parcial al tratamiento caracterizaron a los diabéticos. Se elaboró e implementó una estrategia educativa con un plan de acción organizado por objetivos en el que se aplicó el concepto de &#8220;pensar globalmente y actuar localmente&#8221; que, a los seis meses, incrementó la adherencia con una actitud favorable hacia el control de la enfermedad.  Conclusiones: La estrategia educativa sobre diabetes mellitus proporcionó los medios necesarios para mejorar y ejercer un mayor control sobre la salud individual y familiar, al crear un ambiente favorable con reforzamiento de acciones comunitarias y actitudes personales favorables, con mayor adherencia al tratamiento, lo que permitió un mejor control de la enfermedad, con un incremento de la calidad de vida de toda la población.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Diabetes mellitus is an emerging public health concern, which will show a growth of 45% by the year 2030, influenced by demographic increase and population aging on a global scale.  Objective:  To develop an educational strategy on diabetes mellitus and to implement it in the community of Ojo de Agua, Holguín.  Methods: A research was carried out following the quantitative-qualitative paradigm, with a source or study population of 27 diabetic patients who were characterized based on variables selected in the period 2020-2021. A Likert-type scale, previously validated by experts and with a Cronbach's &#945; of 0.693, was applied, together with the Martín-Bayarre-Grau questionnaire for adherence.  Results: The diabetics were mostly characterized by the female sex, an aging population, a low level of schooling, excess malnutrition, and partial adherence to treatment. An educational strategy was elaborated and implemented, with an action plan organized by objectives in which the concept of "think globally and act locally" was applied, which, at six months, increased adherence with a favorable attitude towards the control of the disease.  Conclusions:  The educational strategy on diabetes mellitus provided the necessary means for improving and exercising greater control over individual and family health, by creating a favorable environment with reinforcement of community actions and favorable personal attitudes, with greater adherence to treatment, which allowed better control of the disease, with an increase in the quality of life of the entire population.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[estrategia educativa]]></kwd>
<kwd lng="es"><![CDATA[adherencia terapéutica]]></kwd>
<kwd lng="es"><![CDATA[actitudes ante la enfermedad]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[educational strategy: therapeutic]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González Rodríguez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cardentey García]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comportamiento de las enfermedades crónicas no transmisibles en adultos mayors]]></article-title>
<source><![CDATA[Rev. Finlay Cienfuegos]]></source>
<year>2018</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roth]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Abate]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Abate]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Abay]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Abbafati]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Abbasi]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Global, regional and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980 - 2017: a systematic analysis for the Global Burden of Disease Study 2017]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2018</year>
<volume>392</volume>
<page-range>1736-88</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zheng]]></surname>
<given-names><![CDATA[Yan]]></given-names>
</name>
<name>
<surname><![CDATA[Ley Sylvia]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Frank]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiología de la diabetes mellitus tipo 2 y sus complicaciones]]></article-title>
<source><![CDATA[Nat Rev Endocrinol]]></source>
<year>2018</year>
<volume>14</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>88-98</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez Jiménez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Chico Barba]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Ventura]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Sámano]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Veruete Bedolla]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Morales Hernández]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk of development of type 2 diabetes in nurses and its relationship with metabolic alterations]]></article-title>
<source><![CDATA[Rev. Latino-Am. Enfermagem]]></source>
<year>2019</year>
<volume>27</volume>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<collab>Federación Internacional de Diabetes</collab>
<source><![CDATA[Atlas de la Diabetes de la FID]]></source>
<year>2019</year>
<edition>9ª</edition>
<publisher-loc><![CDATA[Bruselas, Bélgica ]]></publisher-loc>
<publisher-name><![CDATA[Federación Internacional de Diabetes]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Crook]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Garrido Amable]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Díaz]]></surname>
<given-names><![CDATA[IE]]></given-names>
</name>
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Educación del diabético en el contexto de la medicina familiar en Cuba]]></article-title>
<source><![CDATA[Revista Cubana de Medicina General Integral]]></source>
<year>2019</year>
<volume>35</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aguilar Salinas]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista de la asociación latinoamericana de diabetes (ALAD). Guías ALAD sobre el Diagnóstico, Control y Tratamiento de la Diabetes Mellitus Tipo 2 con Medicina Basada en Evidencia. Epidemiología de la diabetes tipo 2 en Latinoamérica]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mendoza Romo]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Padrón Salas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cossío Torres]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Soria Orozco]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Global prevalence of type 2 diabetes mellitus and its relationship with the Human Development]]></article-title>
<source><![CDATA[Rev Panam Salud Pública]]></source>
<year>2018</year>
<volume>41</volume>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<collab>Ministerio de Salud Pública</collab>
<source><![CDATA[Anuario Estadístico de Salud 2019. Dirección de Registros Médicos y Estadísticas de Salud del Ministerio de Salud Pública de Cuba]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Naranjo Hernández]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La diabetes mellitus: un reto para la Salud Pública]]></article-title>
<source><![CDATA[Rev. Finlay]]></source>
<year>2016</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-2</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Salvage]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[White]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Our future is global: nursing leadership and global health]]></article-title>
<source><![CDATA[Rev. Latino-Am. Enfermagem]]></source>
<year>2020</year>
<volume>28</volume>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina Peña]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Guillermo Portela]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Torres de Cádiz Hernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Medina de la Rosa]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estrategia para la incorporación de la dimensión ambiental en el planeamiento curricular en la educación de pregrado y postgrado]]></article-title>
<source><![CDATA[Conrado]]></source>
<year>2021</year>
<volume>17</volume>
<numero>79</numero>
<issue>79</issue>
<page-range>49-54</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morales Ojeda]]></surname>
<given-names><![CDATA[IA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Autocuidado en usuarios diabéticos en centros de salud urbanos]]></article-title>
<source><![CDATA[Rev Cuba Med Gen Integr]]></source>
<year>2019</year>
<volume>35</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Casanova Moreno]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Bayarre Vea]]></surname>
<given-names><![CDATA[HD]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro Despaigne]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Sanabria Ramos]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Trasancos Delgado]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efectividad de una estrategia educativa dirigida a adultos mayores diabéticos tipo 2 y proveedores de salud]]></article-title>
<source><![CDATA[Rev Cubana Salud Pública]]></source>
<year>2017</year>
<volume>43</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1-17</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jaimes Castillo]]></surname>
<given-names><![CDATA[MY]]></given-names>
</name>
<name>
<surname><![CDATA[Quiroz Bornachera]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Seguanes Díaz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impacto del alto costo relacionado con la diabetes Mellitus en el sistema de salud en Colombia]]></article-title>
<source><![CDATA[REDIIS/Revista de Investigación e Innovación en Salud]]></source>
<year>2019</year>
<volume>2</volume>
<page-range>82-91</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garrido Amable]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Vargas Yzquierdo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sala Adam]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[López Palomino]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
<name>
<surname><![CDATA[Paredes Esponda]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Torres Rojo]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impacto del curso: Educación para la salud en directivos del programa de úlcera de pie diabético]]></article-title>
<source><![CDATA[Infodir]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<collab>American Diabetes Association</collab>
<article-title xml:lang=""><![CDATA[Pharmacologic Aproaches to Glycemic Treatment: Standards of Medical Care in Diabetes-2018]]></article-title>
<source><![CDATA[Diabetes Care]]></source>
<year>2018</year>
<volume>41</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>S73-85</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Villalobos Ríos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Villalobos Carlos]]></surname>
<given-names><![CDATA[PD]]></given-names>
</name>
<name>
<surname><![CDATA[Leguía Cerna]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La educación como piedra angular de la adherencia terapéutica en pacientes con Diabetes Mellitus tipo 2]]></article-title>
<source><![CDATA[Rev Med Hered]]></source>
<year>2017</year>
<volume>28</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>218-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
