Health status evaluation of type 2 diabetes patients from two hospitals of northern Peru

Abstract

Objetive: To describe illness related knowledge features, mental health, adherence to therapy and quality of life on type 2 diabetes patients from two hospitals from northern Peru. Material and Methods: Cross sectional descriptive study. A cense was made. Descriptive statistics and exploratory analysis were employed. Results: there were 382 diabetes patients: 289 in Lambayeque and 93 in Piura:112 people were interviewed. The mean age was 59.5 +/- 11.6 years, 58% were women, 59% were from Piura, 43.8% only had primary school and 41.5% referred 2 to 4 outpatient evaluations in the last two years; 28.6% reported to have been infected by COVID-19: 35,5% in Lambayeque and 23.8% in Piura; 17.8% had poor knowledge about the disease. About mental health, 91.9% had Depression, 75% Anxiety and 72.8%, both; 50.6% had adequate adherence to therapy. The median of quality of life was 161.5 (IQR=127.1-215) and 24.1% had poor quality of life. In descending order, the more affected dimensions of quality of life were: “control of diabetes”, “energy and mobility”, “social burden”, “anxiety” and “sexual performance”. In the exploratory multivariate analysis, depression was associated with high quality of life. Conclusion: disease related-knowledge features, mental health, adherence to therapy and quality of life were poor on type 2 diabetics from these two northern cities of Peru. There were no association between sociodemographic characteristics, mental health, knowledge, adherence, with quality of life.

Mitos y creencias sobre la insulinoterapia en pacientes con diabetes mellitus y sus familiares de un hospital del norte del Perú, 2020

“…The idea that the disease can be cured was found in 11.7% of people with diabetes receiving first-level care, as reported in a study from Mexico in 2018 22 , and is a similar figure to that found by León-Jiménez in a study conducted in patients from northern Peru in 2020 23 . However, this belief was not found by a mixed study in people with diabetes from the Lambayeque Social Security in 2017 24 .…”

“…La concepción de que puede curarse la enfermedad es una creencia hallada en el 11,7% de personas con diabetes que reciben atención en el primer nivel, según lo reportado en un estudio de México realizado en 2018 (22) , y es una cifra similar a la hallada por León-Jiménez en un estudio realizado en pacientes del norte peruano en 2020 (23) . Sin embargo, esta creencia no se halló en un estudio mixto en personas con diabetes atendidos en la Seguridad Social de Lambayeque en 2017 (24) .…”

“…Patients should be taught that having the assistance of a family member is not a limitation but an advantage for them. The mental and emotional evaluation of patients and their caregivers is fundamental 17 , 23 . Family support is essential in cases of blindness and functional limitation due to neurovascular sequelae.…”

“…Los pacientes deben ser educados desde el inicio, siendo que la presencia de un familiar que los asista no es una limitación sino una ventaja. La evaluación del componente emocional y mental de los pacientes y de quienes los cuidan es fundamental 17 , 23 . La ceguera y la limitación funcional por secuelas neurovasculares son el escenario donde el apoyo de un familiar es imprescindible.…”

Design of a Mobile Application to Improve the Lifestyle of Patients with Diabetes

“…On the other hand, studies show that more traditional diets were associated with a lower prevalence of three common chronic diseases, while the prevalence of these diseases was higher with a diet high in processed foods and low in vegetables [4] [5], This fact gives us indications of the aspects that must be addressed, such as nutrition to combat this disease, as well as public health efforts to implement new measures or develop interventions focused on people at higher risk of diabetes [6].On the other hand, not only physical health is affected, but also mental health. Research shows that patients with diabetes suffer from depression and anxiety, which if not treated in time can cause a progressive increase in the disease, aggravating the patient's situation and affecting his or her quality of life [7].…”