Heredia Galán M De la Villa
Unidad Clínica "El Valle", Z.B.S. Jaén, Distrito Sanitario de Jaén.
Rev Enferm. 2004 Jan;27(1):57-60.
Diabetes Mellitus is one of the gravest public health problems due to its frequency and importance. Its prevalence is estimated between 2 to 6% of the adult population and 16% for those over 65. Due to the personal, economic and sanitary repercussions which it generates and to its own associated degenerative complications, this disease is responsible for a high percentage of deaths. This sickness can not be cured, but it can be controlled and its degenerative complications reduced over the long-term. In recent years, the medical profession has paid special attention to the adherence to treatment plans to control diabetes, bearing in mind which factors interfere in treatment and which are favorable to treatment. The author values the main determining factors for adherence to a treatment plan, such as age, knowledge about diabetes, self care skills, a patient's ability to accept this disease, self-sufficient beliefs, perception of one's symptoms, treatment variables, stress and social assistance.
糖尿病是最严重的公共卫生问题之一,因其发病率高且影响重大。据估计,其在成年人口中的患病率为2%至6%,65岁以上人群的患病率为16%。由于糖尿病所产生的个人、经济和卫生方面的影响以及其相关的退行性并发症,这种疾病导致了很高的死亡率。这种疾病无法治愈,但可以得到控制,并且其退行性并发症可在长期内减少。近年来,医学界特别关注糖尿病治疗方案的依从性,同时考虑到哪些因素会干扰治疗以及哪些因素有利于治疗。作者重视影响治疗方案依从性的主要决定因素,如年龄、对糖尿病的了解、自我护理技能、患者接受这种疾病的能力、自给自足的信念、对自身症状的感知、治疗变量、压力和社会支持。