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Revista biomédica
versión On-line ISSN 2007-8447versión impresa ISSN 0188-493X
Resumen
CARRILLO-ALVAREZ, Santiago y MARTINEZ-DIAZ, Germán Jesús. Evaluation of the behavior stage and decisional balance of change of conduct for insulin therapy in diabetic patients at the health center of Ekmul, Yucatán in 2015. Rev. biomédica [online]. 2016, vol.27, n.2, pp.61-74. ISSN 2007-8447. https://doi.org/10.32776/revbiomed.v27i2.25.
Introduction
Type II diabetes mellitus is the most common endocrine disease and one of the leading causes of morbidity and mortality of our days. It is a complex disease which requires an integral approach.
Objective
To determine the behavioral stage and the decisional balance of change of conduct in patients with type II diabetes who fulfill the insulin therapy criteria by using the transtheoretical model with a qualitative focus at Ekmul, Health Center in Yucatan
Materials and Methods
Eight patients, with dual oral hypoglycemic drug therapy, at a maximum dose and with no glycemic control, were chosen with a convenience sampling. In order to obtain Personal information and to know the stages of change we used questionnaires along with a cause-effect diagram and a problem tree.
Results
Five women completed the proposed activities, three (60%) of them where identified in the pre-contemplation stage and two in the contemplation stage. A total of 16 answers from the cause-effect diagram, related to insulin usage, showed that ten (62.5%) is against it and six (37.5%) in favor of it.
Conclusions
The decisional balance within the identified stages gives greater weight to the disadvantages of insulin therapy which generates resistance to short-term behavioral change. The misinformation of the elemental physiology of the disease causes false concepts of the insulin usage which is reinforced by psychological factors, such as the fear of the unknown and the social stigma. These contribute to form a vicious circle that prevents the timely initiation of insulin therapy.
Palabras llave : Type II diabetes mellitus; insulin therapy; trans-theoretical theory of change; state of change; decisional balance.