Calidad en el control de la diabetes mellitus en unidades de atención primaria de México. Un estudio desde la perspectiva de la familia de los pacientes

Abstract

The family perspectives reveal what they think and feel about diabetes mellitus. It is important to note their lack of support and the content of their expressions due to lack of knowledge of the disease. Their discourses are critical, mythical, and with false beliefs of the fear of being future carriers of the disease. They feel sorry for the patient but they resist taking care of them, and do not want a life with diabetes. The family is the closest support for patients and an invaluable human resource for health services.

Obesity, physical activity and prediabetes in adult children of people with diabetes

“…First, the simple fact of having a family history with DM2 in the primary line doubles the risk of developing the disease. Secondly, obesity and diabetes have strong environmental components, such as food and PA, where the family plays a crucial role, since its members generally share the same environment, which influences their behaviors related to health 18 . The family as a support network can represent a potential for the reduction of disease problems, since it promotes greater social participation and community inter-relations 24 .…”

“…The family becomes a mechanism that can favor or disfavor health. Family is a fundamental element in the development of health and self-care behaviors, it represents emotional, affective, adaptive, informative, economic and functional support 18 . People at risk require knowledge, tools and skills for self-care, so that health professionals can encourage behaviors.…”

Living under treatment for Systemic Hypertension and Diabetes Mellitus: Feelings and behaviors

“…The behavior of self-medicating must be identified by professionals as a challenge to be worked on. Most people lack adequate experience and knowledge to assess the severity of the disease, and an inadequate therapeutic resource can generate adverse effects and mask signs and symptoms of disease progression (3,7,9) .…”

“…One of the essential functions that have been identified as critical to the practice of public health in the countries of the Americas is the guarantee of quality health services (3) . Within the basic elements to measure the quality of services is the use of the evaluation of health interventions with the highest level of scientific rigor.…”

“…Most of the distal social determinants are socioeconomic opportunities and resources that affect living and working environments. The more proximal determinants directly affect the health of an individual, which are behaviors and level of access to health care (1,3) . Although most of the variation in health is explained at the individual level, the social environment itself should be considered as a possible relevant influence on the health of the chronic patients (4) .…”