Impacto en la calidad de vida luego de la diseminación de recomendaciones basadas en evidencia científica en pacientes diabéticos tipo II: sub-estudio del proyecto Vector Salud Bogotá.

Introducción: La diabetes mellitus (DM) es una de las enfermedades crónicas con mayor impacto sociosanitario mundialmente. En las últimas décadas se ha incrementado el interés por evaluar la calidad de vida (CV) de los pacientes con DM como una variable de resultado complementaria a las intervencion...

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Fecha de publicación:: 2023

Institución:: Universidad del Rosario

Repositorio:: Repositorio EdocUR - U. Rosario

Idioma:: spa

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network_acronym_str	EDOCUR2
network_name_str	Repositorio EdocUR - U. Rosario
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dc.title.none.fl_str_mv	Impacto en la calidad de vida luego de la diseminación de recomendaciones basadas en evidencia científica en pacientes diabéticos tipo II: sub-estudio del proyecto Vector Salud Bogotá.
dc.title.TranslatedTitle.none.fl_str_mv	Impact on quality of life after the dissemination of evidence-based recommendations in type II diabetic patients: sub-study of the Vector Salud Bogotá project.
title	Impacto en la calidad de vida luego de la diseminación de recomendaciones basadas en evidencia científica en pacientes diabéticos tipo II: sub-estudio del proyecto Vector Salud Bogotá.
spellingShingle	Impacto en la calidad de vida luego de la diseminación de recomendaciones basadas en evidencia científica en pacientes diabéticos tipo II: sub-estudio del proyecto Vector Salud Bogotá. Calidad de vida Diabetes tipo II Enfermedades crónicas Intervención educativa Recomendaciones basadas en la evidencia Adherencia al tratamiento Alfabetización en salud Quality of life Type II diabetes Chronic diseases Education intervention Evidence based recommendations Treatment adherence Health literacy
title_short	Impacto en la calidad de vida luego de la diseminación de recomendaciones basadas en evidencia científica en pacientes diabéticos tipo II: sub-estudio del proyecto Vector Salud Bogotá.
title_full	Impacto en la calidad de vida luego de la diseminación de recomendaciones basadas en evidencia científica en pacientes diabéticos tipo II: sub-estudio del proyecto Vector Salud Bogotá.
title_fullStr	Impacto en la calidad de vida luego de la diseminación de recomendaciones basadas en evidencia científica en pacientes diabéticos tipo II: sub-estudio del proyecto Vector Salud Bogotá.
title_full_unstemmed	Impacto en la calidad de vida luego de la diseminación de recomendaciones basadas en evidencia científica en pacientes diabéticos tipo II: sub-estudio del proyecto Vector Salud Bogotá.
title_sort	Impacto en la calidad de vida luego de la diseminación de recomendaciones basadas en evidencia científica en pacientes diabéticos tipo II: sub-estudio del proyecto Vector Salud Bogotá.
dc.contributor.advisor.none.fl_str_mv	Moreno Medina, Karen Julieth
dc.subject.none.fl_str_mv	Calidad de vida Diabetes tipo II Enfermedades crónicas Intervención educativa Recomendaciones basadas en la evidencia Adherencia al tratamiento Alfabetización en salud
topic	Calidad de vida Diabetes tipo II Enfermedades crónicas Intervención educativa Recomendaciones basadas en la evidencia Adherencia al tratamiento Alfabetización en salud Quality of life Type II diabetes Chronic diseases Education intervention Evidence based recommendations Treatment adherence Health literacy
dc.subject.keyword.none.fl_str_mv	Quality of life Type II diabetes Chronic diseases Education intervention Evidence based recommendations Treatment adherence Health literacy
description	Introducción: La diabetes mellitus (DM) es una de las enfermedades crónicas con mayor impacto sociosanitario mundialmente. En las últimas décadas se ha incrementado el interés por evaluar la calidad de vida (CV) de los pacientes con DM como una variable de resultado complementaria a las intervenciones farmacológicas, educativas y de modificación de estilo de vida utilizadas para su abordaje. Objetivo: Establecer el cambio en el índice de CV luego de la diseminación de una combinación de recomendaciones basadas en evidencia científica (REBES), a través de diferentes estrategias de información y frecuencia, en pacientes diabéticos tipo II del proyecto Vector Salud Bogotá (VSB). Métodos: Estudio anidado al proyecto VSB que constituye un experimento aleatorizado por conglomerados. Comprende una medición de la CV, la adherencia al tratamiento y la alfabetización en salud en la línea de base y seis meses después de recibir las recomendaciones. Resultados: Se contactaron telefónicamente 432 pacientes (tasa de efectividad 71%) con edad promedio de 63 años (DE=11.9), 67.6% mujeres, 43.2% con educación primaria completa. El 14.4% reportó una descompensación relacionada con la DM en el último mes y el 92.4% utiliza medicamentos para el control glicémico. La CV, según la escala visual análoga, tuvo un puntaje promedio de 70.4/100. La mayoría de los pacientes refirieron no tener problemas relacionados con el autocuidado (86.4%), ni actividades diarias (78.3%). Sin embargo, una porción relevante reportó sentir dolor/malestar moderado (24.4%) y un grado leve de ansiedad/depresión (22.1%). Conclusión: Los resultados del presente proyecto de medición de calidad de vida previo y posterior a una intervención de diseminación de recomendaciones basadas en evidencia en pacientes con diabetes mellitus tipo 2 sugiere que estas intervenciones tuvieron un bajo impacto en el índice de calidad de vida. Sin embargo, se observaron mejoras numéricas en varios dominios medidos con la escala EQ-5D-5L analizados por separado, incluyendo el de movilidad, cuidado personal, actividades diarias y bienestar emocional.
publishDate	2023
dc.date.accessioned.none.fl_str_mv	2023-07-25T13:38:32Z
dc.date.available.none.fl_str_mv	2023-07-25T13:38:32Z
dc.date.created.none.fl_str_mv	2023-05-26
dc.type.none.fl_str_mv	bachelorThesis
dc.type.coar.fl_str_mv	http://purl.org/coar/resource_type/c_7a1f
dc.type.document.none.fl_str_mv	Tesis
dc.type.spa.none.fl_str_mv	Tesis
dc.identifier.doi.none.fl_str_mv	https://doi.org/10.48713/10336_40218
dc.identifier.uri.none.fl_str_mv	https://repository.urosario.edu.co/handle/10336/40218
url	https://doi.org/10.48713/10336_40218 https://repository.urosario.edu.co/handle/10336/40218
dc.language.iso.none.fl_str_mv	spa
language	spa
dc.rights.*.fl_str_mv	CC0 1.0 Universal
dc.rights.coar.fl_str_mv	http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.none.fl_str_mv	Abierto (Texto Completo)
dc.rights.uri.*.fl_str_mv	http://creativecommons.org/publicdomain/zero/1.0/
rights_invalid_str_mv	CC0 1.0 Universal Abierto (Texto Completo) http://creativecommons.org/publicdomain/zero/1.0/ http://purl.org/coar/access_right/c_abf2
dc.format.extent.none.fl_str_mv	71
dc.format.mimetype.none.fl_str_mv	application/pdf
dc.publisher.spa.fl_str_mv	Universidad del Rosario
dc.publisher.department.spa.fl_str_mv	Escuela de Medicina y Ciencias de la Salud
dc.publisher.program.spa.fl_str_mv	Maestría en Epidemiología
institution	Universidad del Rosario
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Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3377533/. Williams, Emily D; Bird, Dominique; Forbes, Andrew W; Russell, Anthony; Ash, Susan; Friedman, Robert; Scuffham, Paul A; Oldenburg, Brian (2012) Randomised controlled trial of an automated, interactive telephone intervention (TLC Diabetes) to improve type 2 diabetes management: baseline findings and six-month outcomes. En: BMC Public Health. Vol. 12; pp. 602 1471-2458; Consultado en: 2023/06/16/03:50:54. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3480918/. Disponible en: 10.1186/1471-2458-12-602. Mishra, Rakhi; Sharma, Suresh K.; Verma, Rajni; Kangra, Priyanka; Dahiya, Preeti; Kumari, Preeti; Sahu, Priya; Bhakar, Priyanka; Kumawat, Reena; Kaur, Ravinder; Kaur, Ravinder; Kant, Ravi (2021) Medication adherence and quality of life among type-2 diabetes mellitus patients in India. En: World Journal of Diabetes. Vol. 12; No. 10; pp. 1740 - 1749; 1948-9358; Disponible en: 10.4239/wjd.v12.i10.1740. Alfian, Sofa D.; Sukandar, Hadyana; Lestari, Keri; Abdulah, Rizky (2016) Medication Adherence Contributes to an Improved Quality of Life in Type 2 Diabetes Mellitus Patients: A Cross-Sectional Study. En: Diabetes Therapy: Research, Treatment and Education of Diabetes and Related Disorders. Vol. 7; No. 4; pp. 755 - 764; 1869-6953; Disponible en: 10.1007/s13300-016-0203-x. Jannoo, Zeinab; Wah, Yap Bee; Lazim, Alias Mohd; Hassali, Mohamed Azmi (2017) Examining diabetes distress, medication adherence, diabetes self-care activities, diabetes-specific quality of life and health-related quality of life among type 2 diabetes mellitus patients. En: Journal of Clinical & Translational Endocrinology. Vol. 9; pp. 48 - 54; 2214-6237; Disponible en: 10.1016/j.jcte.2017.07.003. Esen, İrfan; Aktürk Esen, Selin (2020) Health Literacy and Quality of Life in Patients With Type 1 Diabetes Mellitus. En: Cureus. Vol. 12; No. 10; pp. e10860 2168-8184; Disponible en: 10.7759/cureus.10860. Carels, Constance; Wauters, Lucas; Outtier, An; Baert, Filip; Bossuyt, Peter; Colard, Arnaud; De Looze, Danny; Ferrante, Marc; Goegebuer, Alexander; Hauser, Bruno; Hilbrands, Robert; Hoffman, Ilse; Keymeulen, Bart; Paquot, Isabelle; Ruytjens, Isabelle; Simoens, Marc; Thienpont, Clara; Verreth, Annelies; Verstockt, Bram; Vermeire, Séverine; Veereman, Gigi (2021) Health Literacy and Quality of Life in Young Adults From The Belgian Crohn's Disease Registry Compared to Type 1 Diabetes Mellitus. En: Frontiers in Pediatrics. Vol. 9; pp. 624416 2296-2360; Disponible en: 10.3389/fped.2021.624416. ALSharit, Bushra A.; Alhalal, Eman A. (2022) Effects of health literacy on type 2 diabetic patients' glycemic control, self-management, and quality of life. En: Saudi Medical Journal. Vol. 43; No. 5; pp. 465 - 472; 1658-3175; Disponible en: 10.15537/smj.2022.43.5.20210917. Jafari, Alireza; Zadehahmad, Zohreh; Armanmehr, Vajihe; Talebi, Mahdi; Tehrani, Hadi (2023) The evaluation of the role of diabetes health literacy and health locus of control on quality of life among type 2 diabetes using the Path analysis. En: Scientific Reports. Vol. 13; No. 1; pp. 5447 2045-2322; Disponible en: 10.1038/s41598-023-32348-3.
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spelling	Moreno Medina, Karen Julieth7bad6093-e09b-4be3-9f69-f7050164d5a5-1Stozitzky Ríos, Maria ValentinaMagíster en EpidemiologíaMaestríaFull timedbb60008-5990-400e-a7e2-d7bf7462a507-12023-07-25T13:38:32Z2023-07-25T13:38:32Z2023-05-26Introducción: La diabetes mellitus (DM) es una de las enfermedades crónicas con mayor impacto sociosanitario mundialmente. En las últimas décadas se ha incrementado el interés por evaluar la calidad de vida (CV) de los pacientes con DM como una variable de resultado complementaria a las intervenciones farmacológicas, educativas y de modificación de estilo de vida utilizadas para su abordaje. Objetivo: Establecer el cambio en el índice de CV luego de la diseminación de una combinación de recomendaciones basadas en evidencia científica (REBES), a través de diferentes estrategias de información y frecuencia, en pacientes diabéticos tipo II del proyecto Vector Salud Bogotá (VSB). Métodos: Estudio anidado al proyecto VSB que constituye un experimento aleatorizado por conglomerados. Comprende una medición de la CV, la adherencia al tratamiento y la alfabetización en salud en la línea de base y seis meses después de recibir las recomendaciones. Resultados: Se contactaron telefónicamente 432 pacientes (tasa de efectividad 71%) con edad promedio de 63 años (DE=11.9), 67.6% mujeres, 43.2% con educación primaria completa. El 14.4% reportó una descompensación relacionada con la DM en el último mes y el 92.4% utiliza medicamentos para el control glicémico. La CV, según la escala visual análoga, tuvo un puntaje promedio de 70.4/100. La mayoría de los pacientes refirieron no tener problemas relacionados con el autocuidado (86.4%), ni actividades diarias (78.3%). Sin embargo, una porción relevante reportó sentir dolor/malestar moderado (24.4%) y un grado leve de ansiedad/depresión (22.1%). Conclusión: Los resultados del presente proyecto de medición de calidad de vida previo y posterior a una intervención de diseminación de recomendaciones basadas en evidencia en pacientes con diabetes mellitus tipo 2 sugiere que estas intervenciones tuvieron un bajo impacto en el índice de calidad de vida. Sin embargo, se observaron mejoras numéricas en varios dominios medidos con la escala EQ-5D-5L analizados por separado, incluyendo el de movilidad, cuidado personal, actividades diarias y bienestar emocional.Introduction: Diabetes mellitus (DM) is one of the chronic diseases with the greatest socio-health impact worldwide. In recent decades, there has been increasing interest in assessing the quality of life (QoL) of patients with DM as an outcome variable complementary to the pharmacological, educational and lifestyle modification interventions used to address it. Objective: To establish the change in the QoL index after the dissemination of a combination of recommendations based on scientific evidence (REBES), through different information and frequency strategies, in type II diabetic patients of the Vector Salud Bogotá (VSB) project. Methods: Study nested to the VSB project that constitutes a cluster randomized experiment. It includes a measurement of QoL, adherence to treatment and health literacy at baseline and six months after receiving the recommendations. Results: 432 patients were contacted by telephone (71% effectiveness rate) with a mean age of 63 years (SD=11.9), 67.6% female, 43.2% with completed primary school education. 14.4% reported a decompensation related to DM in the last month and 92.4% used medication for glycemic control. CV, according to the visual analog scale, had a mean score of 70.4/100. Most patients reported no problems related to self-care (86.4%) or daily activities (78.3%). However, a relevant portion reported feeling moderate pain/discomfort (24.4%) and a mild degree of anxiety/depression (22.1%). Conclusion: The results of the present quality of life measurement project before and after an evidence-based recommendations dissemination intervention in patients with type 2 diabetes mellitus suggest that these interventions had a low impact on the quality of life index. However, numerical improvements were observed in several domains measured with the EQ-5D-5L scale analyzed separately, including mobility, self-care, daily activities, and emotional well-being.Proyecto Vector Salud Bogotá71application/pdfhttps://doi.org/10.48713/10336_40218 https://repository.urosario.edu.co/handle/10336/40218spaUniversidad del RosarioEscuela de Medicina y Ciencias de la SaludMaestría en EpidemiologíaCC0 1.0 UniversalAbierto (Texto Completo)EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. 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Vol. 7; No. 4; pp. 187 - 190; 2229-3485; Consultado en: 2021/12/03/02:24:53. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079093/. Disponible en: 10.4103/2229-3485.192046.Ranganathan, Priya; Pramesh, C. S.; Buyse, Marc (2015) Common pitfalls in statistical analysis: Clinical versus statistical significance. En: Perspectives in Clinical Research. Vol. 6; No. 3; pp. 169 - 170; 2229-3485; Consultado en: 2021/12/03/02:26:47. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504060/. Disponible en: 10.4103/2229-3485.159943.Ranganathan, Priya; Pramesh, C. S.; Aggarwal, Rakesh (2017) Common pitfalls in statistical analysis: Logistic regression. En: Perspectives in Clinical Research. Vol. 8; No. 3; pp. 148 - 151; 2229-3485; Consultado en: 2021/12/03/02:29:46. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5543767/. 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Impacto en la calidad de vida luego de la diseminación de recomendaciones basadas en evidencia científica en pacientes diabéticos tipo II: sub-estudio del proyecto Vector Salud Bogotá.

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