Adherencia al tratamiento en adolescentes diabéticos tipo 1 chilenos: una aproximación psicológica

Background: Treatment compliance among patients with type 1 diabetes mellitus, is low in 50% of diabetic teenagers, becoming a social and medical problem. Aim: To determine psycho-social factors associated to treatment compliance among Chilean diabetic type 1 teenagers. Patients and methods: A non e...

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Autores principales: Ortiz P,Manuel, Ortiz P,Eugenia
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2005
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000300006
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spelling oai:scielo:S0034-988720050003000062005-05-17Adherencia al tratamiento en adolescentes diabéticos tipo 1 chilenos: una aproximación psicológicaOrtiz P,ManuelOrtiz P,Eugenia Adolescent psychology Diabetes mellitus, type 1 Patient compliance Background: Treatment compliance among patients with type 1 diabetes mellitus, is low in 50% of diabetic teenagers, becoming a social and medical problem. Aim: To determine psycho-social factors associated to treatment compliance among Chilean diabetic type 1 teenagers. Patients and methods: A non experimental study of 61 diabetic teenagers (age 14.9±1.9 years, 37 male). The number of blood glucose determinations, socioeconomic level and practice of sports was measured. Psychological tests were applied to analyze self-efficiency, motivation of achievement, self-esteem and knowledge of the illness and its treatment. As a measure of patient compliance, glycosilated hemoglobin (HB1Ac) was measured. Results: Six patients had a good control of diabetes (HB1Ac <7%), 24 had HB1Ac values between 7 and 8.9, and 31 (51%) had values of 9% or more, considered as a poor diabetes control. The intensified insulin treatment scheme, the knowledge of the illness and its treatment and the sense of self-efficiency, were the factors associated with a better compliance with treatment. Teenagers of higher socio-economical levels had a better compliance with treatment. Conclusions: Fifty percent of Chilean diabetic teenagers in this sample had a poor control of the disease and the variable knowledge about the disease is the better predictor of patient compliance (Rev Méd Chile 2005; 133: 307-13)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.3 20052005-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000300006es10.4067/S0034-98872005000300006
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Adolescent psychology
Diabetes mellitus, type 1
Patient compliance
spellingShingle Adolescent psychology
Diabetes mellitus, type 1
Patient compliance
Ortiz P,Manuel
Ortiz P,Eugenia
Adherencia al tratamiento en adolescentes diabéticos tipo 1 chilenos: una aproximación psicológica
description Background: Treatment compliance among patients with type 1 diabetes mellitus, is low in 50% of diabetic teenagers, becoming a social and medical problem. Aim: To determine psycho-social factors associated to treatment compliance among Chilean diabetic type 1 teenagers. Patients and methods: A non experimental study of 61 diabetic teenagers (age 14.9±1.9 years, 37 male). The number of blood glucose determinations, socioeconomic level and practice of sports was measured. Psychological tests were applied to analyze self-efficiency, motivation of achievement, self-esteem and knowledge of the illness and its treatment. As a measure of patient compliance, glycosilated hemoglobin (HB1Ac) was measured. Results: Six patients had a good control of diabetes (HB1Ac <7%), 24 had HB1Ac values between 7 and 8.9, and 31 (51%) had values of 9% or more, considered as a poor diabetes control. The intensified insulin treatment scheme, the knowledge of the illness and its treatment and the sense of self-efficiency, were the factors associated with a better compliance with treatment. Teenagers of higher socio-economical levels had a better compliance with treatment. Conclusions: Fifty percent of Chilean diabetic teenagers in this sample had a poor control of the disease and the variable knowledge about the disease is the better predictor of patient compliance (Rev Méd Chile 2005; 133: 307-13)
author Ortiz P,Manuel
Ortiz P,Eugenia
author_facet Ortiz P,Manuel
Ortiz P,Eugenia
author_sort Ortiz P,Manuel
title Adherencia al tratamiento en adolescentes diabéticos tipo 1 chilenos: una aproximación psicológica
title_short Adherencia al tratamiento en adolescentes diabéticos tipo 1 chilenos: una aproximación psicológica
title_full Adherencia al tratamiento en adolescentes diabéticos tipo 1 chilenos: una aproximación psicológica
title_fullStr Adherencia al tratamiento en adolescentes diabéticos tipo 1 chilenos: una aproximación psicológica
title_full_unstemmed Adherencia al tratamiento en adolescentes diabéticos tipo 1 chilenos: una aproximación psicológica
title_sort adherencia al tratamiento en adolescentes diabéticos tipo 1 chilenos: una aproximación psicológica
publisher Sociedad Médica de Santiago
publishDate 2005
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000300006
work_keys_str_mv AT ortizpmanuel adherenciaaltratamientoenadolescentesdiabeticostipo1chilenosunaaproximacionpsicologica
AT ortizpeugenia adherenciaaltratamientoenadolescentesdiabeticostipo1chilenosunaaproximacionpsicologica
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