Bibliographic citations
Giove, R., (2011). Percepcion de la diabetes mellitus por adultos diabéticos en la ciudad de Tarapoto, 2009 -2011 [Tesis, Universidad Nacional de San Martín. Fondo Editorial]. http://hdl.handle.net/11458/2084
Giove, R., Percepcion de la diabetes mellitus por adultos diabéticos en la ciudad de Tarapoto, 2009 -2011 [Tesis]. PE: Universidad Nacional de San Martín. Fondo Editorial; 2011. http://hdl.handle.net/11458/2084
@mastersthesis{renati/1058684,
title = "Percepcion de la diabetes mellitus por adultos diabéticos en la ciudad de Tarapoto, 2009 -2011",
author = "Giove Nakazawa, Rosa Amelia",
publisher = "Universidad Nacional de San Martín. Fondo Editorial",
year = "2011"
}
This thesis addresses the explanatory model of Diabetes Mellitus type 2 (DM2), using qualitative methodology. Through in-depth interviews and focus groups carried out between August 2009 and April 2011, in thirty-nine adult diabetics in the city of Tarapoto. We studied concepts and meanings that make up the etiological and explanatory model of DM2 held by the patients. The interaction of cognitive, attitudinal, behavioral and social dimensions in the patients, displays a model with appropriate knowledge level. In this model the semantic meaning of the causes attributed to the disease has a prognostic value and influences the attitude and behavior of the patient. Some beliefs and prejudices held by the patients and their social and familial environment, promote the abandonment of the treatment. The attitude of the patients who participated in the study that was evaluated through the perception of stability and of global or specific damage showed that denial is the main method of coping. Despite theoretical knowledge, the actions were not always consistent, responding to emotional factors, and resulting in insufficient self-care. Self-monitoring is based on self observation without glycemic self-analysis. The social and familial environment is an active and permanent factor in this dynamic. Family, relatives and peers make up a network of support, perceived as positive by patients, but which does not actually help to control glycemic levels. The model discovered is rounded out with a description of health care services as well as the role of the patient’s economic situation. The patient´s therapeutic history shows periods of wellbeing alternating with periods of illness, the patient having recourse to both formal and informal systems of health. The individual stories show us how DM2 is inserted into their life and modifies it in every aspect. The actual biomedical approach to the DM2 model does not satisfy the needs of the patient and differs from the explanatory model we developed. What is required is a holistic medical model able to incorporate psychological as well as social aspects; a multi-dimensional model focused on the patient that includes both cross-cultural dialogue and the presence of their familial environment in the relationship between doctor and patient. It is necessary to prioritize the social determinants of health, emphasizing education, family empowerment, the promotion of healthy lifestyles and the competence of the health services, activities that would additionally require the existence of the necessary political will in order to adopt a preventive promotional model within the Primary Health Care planning for DM2, towards the achievement of health and well-being.
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