Metabolic Control of Adults With Type 2 Diabetes Mellitus Through Education and Counseling

Authors

  • Esther C. Gallegos,

    1. Esther C. Gallegos, RN, PhD, Tau Alpha, Professor, School of Nursing; Fernando Ovalle-Berúmen, MD, Endocrinologist, Center of Medical Specialties; Marco Vinicio Gomez-Meza, PhD, Researcher and Professor, School of Economics; all at Universidad Autónoma de Nuevo León, Monterrey, Mexico. This research was financed by the Scientific and Technological Research Program (Programa de Apoyo a la Investigación Científica y Tecnológica [PAICYT]) From Nuevo Leon State University (Universidad Autónoma de Nuevo León). Correspondence to Dr. Gallegos, University of Nuevo Leon, School of Nursing, Gonzalitos 1500 Nte., Mitras Centro, Monterrey, N.L. Mexico. E-mail: egallego@fe.uanl.mx
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  • Fernando Ovalle-Berúmen,

    1. Esther C. Gallegos, RN, PhD, Tau Alpha, Professor, School of Nursing; Fernando Ovalle-Berúmen, MD, Endocrinologist, Center of Medical Specialties; Marco Vinicio Gomez-Meza, PhD, Researcher and Professor, School of Economics; all at Universidad Autónoma de Nuevo León, Monterrey, Mexico. This research was financed by the Scientific and Technological Research Program (Programa de Apoyo a la Investigación Científica y Tecnológica [PAICYT]) From Nuevo Leon State University (Universidad Autónoma de Nuevo León). Correspondence to Dr. Gallegos, University of Nuevo Leon, School of Nursing, Gonzalitos 1500 Nte., Mitras Centro, Monterrey, N.L. Mexico. E-mail: egallego@fe.uanl.mx
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  • Marco Vinicio Gomez-Meza

    1. Esther C. Gallegos, RN, PhD, Tau Alpha, Professor, School of Nursing; Fernando Ovalle-Berúmen, MD, Endocrinologist, Center of Medical Specialties; Marco Vinicio Gomez-Meza, PhD, Researcher and Professor, School of Economics; all at Universidad Autónoma de Nuevo León, Monterrey, Mexico. This research was financed by the Scientific and Technological Research Program (Programa de Apoyo a la Investigación Científica y Tecnológica [PAICYT]) From Nuevo Leon State University (Universidad Autónoma de Nuevo León). Correspondence to Dr. Gallegos, University of Nuevo Leon, School of Nursing, Gonzalitos 1500 Nte., Mitras Centro, Monterrey, N.L. Mexico. E-mail: egallego@fe.uanl.mx
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Abstract

Purpose: To test the efficacy of a controlled nursing intervention focused on education and counseling to improve metabolic control of adults diagnosed with diabetes mellitus type 2 in (DMT2) ambulatory care.

Design: A quasi-experimental design with repeated measures was selected. A sample of 45 subjects participated, of which 25 were in the experimental group, and 20 in the comparison group. Measures were taken at 0, 3, 6, 9, and 12 months, including glycosylatedhemoglobin (HbA1c), psychosocial, and clinical variables.

Findings: Results showed a significant decrease in HbA1c in the experimental group, as well as positive effects of self-care agency, adaptation, and barriers to treatment (plus one interaction) on the HbA1c levels and on the scores of self-care actions.

Conclusions: The counseling and educational model applied in the intervention was effective to improve the metabolic control of diabetic patients in the experimental group. Self-care agency, adaptation, and barriers were predictors of self-care measures and level of HbA1c.

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