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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Sociedad Médica de Santiago
2005
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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 |
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Scielo Chile |
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Scielo Chile |
language |
Spanish / Castilian |
topic |
Adolescent psychology Diabetes mellitus, type 1 Patient compliance |
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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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