<?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>1608-8921</journal-id>
<journal-title><![CDATA[Gaceta Médica Espirituana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Méd Espirit]]></abbrev-journal-title>
<issn>1608-8921</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Sancti Spíritus]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1608-89212018000300013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adherencia terapéutica, nivel de conocimientos de la enfermedad y autoestima en pacientes diabéticos tipo 2]]></article-title>
<article-title xml:lang="en"><![CDATA[Therapeutic adherence, level of knowledge of the disease and self-esteem in type 2 diabetic patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rangel]]></surname>
<given-names><![CDATA[Yamila Ramos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morejón Suárez]]></surname>
<given-names><![CDATA[Roilán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera Macías]]></surname>
<given-names><![CDATA[Yolanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herranz Brito]]></surname>
<given-names><![CDATA[Dorenis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Ortega]]></surname>
<given-names><![CDATA[Wilber]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico de Cartagena  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico Norte  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Provincial General Camilo Cienfuegos  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>20</volume>
<numero>3</numero>
<fpage>13</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1608-89212018000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1608-89212018000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1608-89212018000300013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  La diabetes mellitus exige un comportamiento responsable ante su tratamiento y esta adherencia terapéutica se complejiza al estar condicionada por factores de diversa naturaleza.  Objetivo:  Determinar los niveles de conocimientos de la enfermedad y de autoestima en pacientes diabéticos tipo 2 adheridos y no adheridos al tratamiento.  Metodología: Estudio descriptivo, de corte transversal. Se estudiaron 30 pacientes diabéticos tipo 2 del consultorio 3, Consejo Popular Cartagena, (11 se adherían al tratamiento y 19 no). Se utilizó revisión de historias clínicas, cuestionario para evaluar la adherencia terapéutica en pacientes con diabetes mellitus tipo 2, cuestionario de conocimientos de la enfermedad, inventario de autoestima de CooperSmith.  Resultados: Predominaron niveles bajos de conocimientos de la enfermedad, pacientes cumplidores: 46 % niveles medios y 54 % niveles bajos; pacientes incumplidores: 42 % niveles medios y 58 % niveles bajos. Prevalecieron niveles altos y medios de autoestima, los cumplidores mostraron mayores niveles altos de autoestima. (64 % cumplidores- 47 % incumplidores).  Conclusiones: Fue evidente el vínculo entre la adherencia terapéutica y los niveles de conocimientos de la enfermedad y autoestima: a mayor adherencia terapéutica se vinculan niveles más altos de autoestima y de conocimientos de la enfermedad. Se corrobora la importancia de investigar y determinar factores influyentes en la adherencia terapéutica relacionados con el paciente, como el conocimiento de la enfermedad y la autoestima para desde un enfoque integral y multifactorial proporcionar un mejor control de la enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  Diabetes mellitus demands a responsible behavior for its treatment and this therapeutic adherence is a complex phenomenon when being conditioned by multiple factors of diverse nature.  Objective:  To determine the levels of knowledge of the illness and self-esteem in type 2 patients, adhered to and non-adhered to at the treatment.  Methodology:  Descriptive study, of traverse court. A universe of 30 type 2 diabetic patients from the clinic 3, Cartagena Popular Council, (11 adhered to at the treatment and 19 non-adhered to) was studied. A review of medical records was used, also a questionnaire to evaluate the therapeutic adherence in patients with diabetes, a questionnaire of knowledge of the disease, and an inventory of self-esteem of Cooper Smith.  Results:  Low levels of knowledge of the illness prevailed, patient trustworthy 46 % middle levels and 54 % low levels; patient didn&#8217;t follow the treatment: 42 % middle levels and 58 % low levels. High and middle levels prevailed of self-esteem and means the trustworthy ones showed bigger high levels of self-esteem (64 % follow the treatment- 47 % didn&#8217;t follow the treatment).  Conclusions:  It was evident the relation between the therapeutic adherence and the levels of knowledge of the illness and self-esteem. The importance of investigating and determining influence factors for the therapeutic adherence, related to the patient, is corroborated, such as knowledge of the disease and self-esteem for a better and comprehensive control of the disease from a comprehensive and multifactorial approach.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Diabetes mellitus tipo 2]]></kwd>
<kwd lng="es"><![CDATA[cumplimiento y adherencia al tratamiento terapéutica]]></kwd>
<kwd lng="es"><![CDATA[conocimiento de la enfermedad]]></kwd>
<kwd lng="es"><![CDATA[educación del paciente como asunto]]></kwd>
<kwd lng="en"><![CDATA[Diabetes mellitus, type 2]]></kwd>
<kwd lng="en"><![CDATA[treatment adherence and compliance]]></kwd>
<kwd lng="en"><![CDATA[patient education as topic]]></kwd>
</kwd-group>
</article-meta>
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