Conocimiento que tiene el paciente con Diabetes Mellitus tipo 2 sobre su enfermedad: revisión sistemática

Autores/as

  • Hermes Rodríguez Battikh Universidad de Granada, Facultad de Farmacia, Grupo de Investigación en Atención Farmacéutica (CTS-131), Granada, España https://orcid.org/0000-0003-0729-9861
  • Elisabeth Esquivel Prados Universidad de Granada, Facultad de Farmacia, Grupo de Investigación en Atención Farmacéutica (CTS-131), Granada, España https://orcid.org/0000-0002-0756-7195
  • Eric Conte Valdes Departamento de Investigación y Evaluación de Tecnologías Sanitarias, Instituto Conmemorativo Gorgas de estudios de la salud, ciudad de Panamá 0816-02593. Panamá https://orcid.org/0000-0001-8169-6713
  • Fernando Martínez Martínez Universidad de Granada, Facultad de Farmacia, Grupo de Investigación en Atención Farmacéutica (CTS-131), Granada, España
  • José Garcia Corpas Universidad de Granada, Facultad de Farmacia, Grupo de Investigación en Atención Farmacéutica (CTS-131), Granada, España https://orcid.org/0000-0002-1250-5300

DOI:

https://doi.org/10.30827/ars.v65i3.30295

Palabras clave:

Diabetes Mellitus tipo 2, Conocimientos, Actitudes y Práctica en Salud, Evaluación Educacional

Resumen

Introducción: Un factor de riesgo importante para conseguir el control de una enfermedad crónica es el conocimiento que el propio paciente tiene sobre dicha enfermedad. Varios estudios han mostrado la relación existente entre el conocimiento que tiene el paciente la diabetes mellitus tipo 2 (DM2) y la adherencia al tratamiento o el porcentaje de hemoglobina glicosilada. El objetivo de este estudio fue evaluar cuanto saben los pacientes con DM2 sobre su enfermedad.

Método: Se realizó una revisión sistemática de la literatura siguiendo las recomendaciones PRISMA 2020 en Medline, Scopus, CINAHL y PsycINFO. Se incluyeron publicaciones hasta el 1 de abril de 2024, cuyos diseños de estudios fueran ensayos clínicos aleatorizados, cuasiexperimentales, transversales y casos y control. El cribado, la extracción y la evaluación del sesgo de los estudios fue realizado por 2 investigadores independientemente.

Resultados: Se incluyeron 35 artículos (29 estudios transversales, 4 ensayos clínicos aleatorizados y 2 estudios cuasiexperimentales). La proporción de pacientes que tiene un conocimiento adecuado varió en función del punto de corte, pero en general, menos de 45 % de la población tenía un conocimiento adecuado sobre su DM2.

Conclusiones: Esta revisión sistemática identificó que la mayoría de los pacientes diabéticos tipo 2, tenían un conocimiento deficiente sobre la diabetes mellitus tipo 2, solamente 2 artículos mostraron muestras con un conocimiento adecuado.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

International Diabetes Federation. IDF Diabetes Atlas 10th Edition 2021.pdf [Monografia en internet]. [citado 27 de febrero de 2023]. Disponible en: https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf

World Health Organization (WHO). Diabetes Fact Sheets WHO [Monografia de internet]. [citado 13 de febrero de 2023]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/diabetes

Organización Mundial de la Salud (OMS). Informe Mundial Sobre la Diabetes OMS.pdf [Monografia de internet]. [citado 2 de marzo de 2023]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/254649/9789243565255-spa.pdf;jsessionid=6CCE67F283D74B007093D6966C83DC72?sequence=1

Guía ESC 2019 sobre diabetes, prediabetes y enfermedad cardiovascular, en colaboración con la European Association for the Study of Diabetes (EASD). Revista Española de Cardiología. 2020;73(5):404.e1-404.e59. doi: 10.1016/j.recesp.2019.11.024 DOI: https://doi.org/10.1016/j.recesp.2019.11.024

Seuring T, Archangelidi O, Suhrcke M. The Economic Costs of Type 2 Diabetes: A Global Systematic Review. PharmacoEconomics. 2015;33(8):811-31. doi: 10.1007/s40273-015-0268-9 DOI: https://doi.org/10.1007/s40273-015-0268-9

American Diabetes Association (ADA). Standards of Medical Care in Diabetes—2022 Abridged for Primary Care Providers. Clinical Diabetes. 2022;40(1):10-38. doi: 10.2337/cd22-as01 DOI: https://doi.org/10.2337/cd22-as01

Egede LE, Gebregziabher M, Echols C, Lynch CP. Longitudinal Effects of Medication Nonadherence on Glycemic Control. Ann Pharmacother. 2014;48(5):562-570. doi: 10.1177/1060028014526362 DOI: https://doi.org/10.1177/1060028014526362

Shams MEE, Barakat EAME. Measuring the rate of therapeutic adherence among outpatients with T2DM in Egypt. Saudi Pharmaceutical Journal. 2010;18(4):225-232. doi: 10.1016/j.jsps.2010.07.004 DOI: https://doi.org/10.1016/j.jsps.2010.07.004

Orellana Cobos DF, Chacón Abril KL, Quizhpi Lazo JM, Álvarez Serrano ME. Estudio Transversal: Prevalencia de Hipertensión Arterial, Falta de Adherencia al Tratamiento Antihipertensivo y Factores Asociados en Pacientes de los Hospitales José Carrasco Arteaga y Vicente Corral Moscoso. Rev Med HJCA. 2016;8(3):252-258. doi: 10.14410/2016.8.3.ao.42 DOI: https://doi.org/10.14410/2016.8.3.ao.42

Bender BG, Bender SE. Patient-identified barriers to asthma treatment adherence: responses to interviews, focus groups, and questionnaires. Immunology and Allergy Clinics of North America. 2005;25(1):107-130. doi: 10.1016/j.iac.2004.09.005 DOI: https://doi.org/10.1016/j.iac.2004.09.005

Gascon JJ. Why hypertensive patients do not comply with the treatment: Results from a qualitative study. Family Practice. 2004;21(2):125-130. doi: 10.1093/fampra/cmh202 DOI: https://doi.org/10.1093/fampra/cmh202

Jaam M, Ibrahim MIM, Kheir N, Awaisu A. Factors associated with medication adherence among patients with diabetes in the Middle East and North Africa region: A systematic mixed studies review. Diabetes Research and Clinical Practice. 2017;129:1-15. doi: 10.1016/j.diabres.2017.04.015 DOI: https://doi.org/10.1016/j.diabres.2017.04.015

Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Education and Counseling. 2016;99(6):926-943. doi: 10.1016/j.pec.2015.11.003 DOI: https://doi.org/10.1016/j.pec.2015.11.003

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;n71. doi: 10.1136/bmj.n71 DOI: https://doi.org/10.1136/bmj.n71

Vincent D, Pasvogel A, Barrera L. A Feasibility Study of a Culturally Tailored Diabetes Intervention for Mexican Americans. Biological Research For Nursing. 2007;9(2):130-141. doi: 10.1177/1099800407304980 DOI: https://doi.org/10.1177/1099800407304980

Al-Adsani AMS, Moussa MAA, Al-Jasem LI, Abdella NA, Al-Hamad NM. The level and determinants of diabetes knowledge in Kuwaiti adults with type 2 diabetes. Diabetes & Metabolism. 2009;35(2):121-128. doi: 10.1016/j.diabet.2008.09.005 DOI: https://doi.org/10.1016/j.diabet.2008.09.005

Souza JG, Apolinario D, Magaldi RM, Busse AL, Campora F, Jacob-Filho W. Functional health literacy and glycaemic control in older adults with type 2 diabetes: a cross-sectional study. BMJ Open. 2014;4(2):e004180. doi: 10.1136/bmjopen-2013-004180 DOI: https://doi.org/10.1136/bmjopen-2013-004180

Nazir SUR, Hassali MA, Saleem F, Bashir S, Aljadhey H. Disease related knowledge, medication adherence and glycaemic control among patients with type 2 diabetes mellitus in Pakistan. Primary Care Diabetes. 2016;10(2):136-141. doi: 10.1016/j.pcd.2015.09.004 DOI: https://doi.org/10.1016/j.pcd.2015.09.004

Cántaro K, Jara JA, Taboada M, Mayta-Tristán P. Asociación entre las fuentes de información y el nivel de conocimientos sobre diabetes en pacientes diabéticos tipo 2. Endocrinología y Nutrición. 2016;63(5):202-211. doi: 10.1016/j.endonu.2016.01.005 DOI: https://doi.org/10.1016/j.endonu.2016.01.005

He X, Wharrad HJ. Diabetes knowledge and glycemic control among Chinese people with type 2 diabetes. Int Nurs Rev. 2007;54(3):280-287. doi: 10.1111/j.1466-7657.2007.00570.x DOI: https://doi.org/10.1111/j.1466-7657.2007.00570.x

Al-Qazaz HKh, Sulaiman SA, Hassali MA, Shafie AA, Sundram S, Al-Nuri R, et al. Diabetes knowledge, medication adherence and glycemic control among patients with type 2 diabetes. Int J Clin Pharm. 2011;33(6):1028-1035. doi: 10.1007/s11096-011-9582-2 DOI: https://doi.org/10.1007/s11096-011-9582-2

Bezo BH, Huang Y, Lin C. Factors influencing self-management behaviours among patients with type 2 diabetes mellitus in the Solomon Islands. J Clin Nurs. 2020;29(5-6):852-862. doi: 10.1111/jocn.15139 DOI: https://doi.org/10.1111/jocn.15139

Sweileh WM, Zyoud SH, Abu Nab’a RJ, Deleq MI, Enaia MI, Nassar SM, et al. Influence of patients’ disease knowledge and beliefs about medicines on medication adherence: findings from a cross-sectional survey among patients with type 2 diabetes mellitus in Palestine. BMC Public Health. 2014;14(1):94. doi: 10.1186/1471-2458-14-94 DOI: https://doi.org/10.1186/1471-2458-14-94

Hashim M, Mustafa H, Ali H. Knowledge of diabetes among patients in the United Arab Emirates and trends since 2001: a study using the Michigan Diabetes Knowledge Test. East Mediterr Health J. 2016;22(10):742-748. doi: 10.26719/2016.22.10.742 DOI: https://doi.org/10.26719/2016.22.10.742

Zowgar AM, Siddiqui MI, Alattas KM. Level of diabetes knowledge among adult patients with diabetes using diabetes knowledge test. SMJ. 2018;39(2):161-168. doi: 10.15537/smj.2017.2.21343 DOI: https://doi.org/10.15537/smj.2017.2.21343

Kueh YC, Morris T, Borkoles E, Shee H. Modelling of diabetes knowledge, attitudes, self-management, and quality of life: a cross-sectional study with an Australian sample. Health Qual Life Outcomes. 2015;13(1):129. doi: 10.1186/s12955-015-0303-8 DOI: https://doi.org/10.1186/s12955-015-0303-8

Syed F, Arif MA, Ramzan A, Niazi R, Musarrat S, Kayani MM. The ATONE study - assessment of diabetes knowledge in individuals with type 2 diabetes in the Pakistani population. J Pak Med Assoc. 2019;69(3):383-388.

Rothman RL, Malone R, Bryant B, Wolfe C, Padgett P, DeWalt DA, et al. The Spoken Knowledge in Low Literacy in Diabetes Scale. Diabetes Educ. 2005;31(2):215-224. doi: 10.1177/0145721705275002 DOI: https://doi.org/10.1177/0145721705275002

Amaral VRS, Ribeiro ÍJS, Montargil Rocha R. Factors associated with knowledge of the disease in people with type 2 diabetes mellitus. invest educ enferm. 2021;39(1). doi: 10.1177/0145721705275002 DOI: https://doi.org/10.17533/udea.iee.v39n1e02

Abbasi YF, See OG, Ping NY, Balasubramanian GP, Hoon YC, Paruchuri S. Diabetes knowledge, attitude, and practice among type 2 diabetes mellitus patients in Kuala Muda District, Malaysia – A cross-sectional study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2018;12(6):1057-1063. doi: 10.1016/j.dsx.2018.06.025 DOI: https://doi.org/10.1016/j.dsx.2018.06.025

Yeh JZ, Wei C jen, Weng S fu, Tsai C yu, Shih J hui, Shih C liang, et al. Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan. BMC Public Health. 2018;18(1):1062. doi: 10.1186/s12889-018-5972-x DOI: https://doi.org/10.1186/s12889-018-5972-x

Collins GS, Mughal S, Barnett AH, Fitzgerald J, Lloyd CE. Modification and validation of the Revised Diabetes Knowledge Scale. Diabetic Medicine. noviembre de 2010; 306-310. doi: 10.1111/j.1464-5491.2010.03190.x DOI: https://doi.org/10.1111/j.1464-5491.2010.03190.x

Shawahna R, Samaro S, Ahmad Z. Knowledge, attitude, and practice of patients with type 2 diabetes mellitus with regard to their disease: a cross-sectional study among Palestinians of the West Bank. BMC Public Health. 2021;21(1):472. doi: 10.1186/s12889-021-10524-2 DOI: https://doi.org/10.1186/s12889-021-10524-2

Murata GH, Adam KD, Wendel CS, Solvas PA, Hoffman RM, Duckworth WC, et al. Factors affecting diabetes knowledge in Type 2 diabetic veterans. Diabetologia. 2003;46(8):1170-1178. doi: 10.1007/s00125-003-1161-1 DOI: https://doi.org/10.1007/s00125-003-1161-1

Prevolnik Rupel V, Divjak M, Turk E. Changes in the level of knowledge of diabetes among elderly with diabetes in Slovenia in the period 2011–2020. Primary Care Diabetes. 2021;15(5):879-883. doi: 10.1016/j.pcd.2021.07.001 DOI: https://doi.org/10.1016/j.pcd.2021.07.001

Chin J, Wang H, Awwad AW, Graumlich JF, Wolf MS, Morrow DG. Health Literacy, Processing Capacity, Illness Knowledge, and Actionable Memory for Medication Taking in Type 2 Diabetes: Cross-Sectional Analysis. J GEN INTERN MED. 2021;36(7):1921-7. doi: 10.1007/s11606-020-06472-z DOI: https://doi.org/10.1007/s11606-020-06472-z

Alaofè H, Hounkpatin WA, Djrolo F, Ehiri J, Rosales C. Knowledge, attitude, practice and associated factors among patients with type 2 diabetes in Cotonou, Southern Benin. BMC Public Health. 2021;21(1):339. doi: 10.1186/s12889-021-10289-8 DOI: https://doi.org/10.1186/s12889-021-10289-8

Capellari C, Figueiredo AEPL. Conhecimento e Atitude: perfil de pessoas com diabetes em diálise. Rev enferm UERJ. 2020;28:e45261. doi: 10.12957/reuerj.2020.45261 DOI: https://doi.org/10.12957/reuerj.2020.45261

Reagan LA, Walsh SJ, Shelton D. Relationships of illness representation, diabetes knowledge, and self-care behaviour to glycemic control in incarcerated persons with diabetes. Intl Jnl of Prisoner Health. 2016;12(3):157-172. doi: 10.1108/IJPH-04-2015-0010 DOI: https://doi.org/10.1108/IJPH-04-2015-0010

Ghannadi S, Amouzegar A, Amiri P, Karbalaeifar R, Tahmasebinejad Z, Kazempour-Ardebili S. Evaluating the Effect of Knowledge, Attitude, and Practice on Self-Management in Type 2 Diabetic Patients on Dialysis. Journal of Diabetes Research. 2016;2016:1-7. doi: 10.1155/2016/3730875 DOI: https://doi.org/10.1155/2016/3730875

Almheiri A, Binjab EA, Albloushi MM, Alshamsi MT, Khansaheb HH, Zidan M, et al. Knowledge, attitude and practices of insulin therapy among patients with type 2 diabetes: a cross-sectional study. BMJ Open. 2024;14(3):e079693. doi: 10.1136/bmjopen-2023-079693 DOI: https://doi.org/10.1136/bmjopen-2023-079693

Riaz F. Factors associated with the gaps in the knowledge of diabetic patients attending primary health care center in Aseer region, KSA. King Khalid Univ J Health Sci. 2023;8(1):12. doi: 10.4103/KKUJHS.KKUJHS_35_22 DOI: https://doi.org/10.4103/KKUJHS.KKUJHS_35_22

Wang X, Tian B, Zhang S, Li J, Yang W, Gu L, et al. Underlying mechanisms of diabetes knowledge influencing diabetes self-management behaviors among patients with type II diabetes in rural China: Based on health belief model. Patient Education and Counseling. 2023;117:107986. doi: 10.1016/j.pec.2023.107986 DOI: https://doi.org/10.1016/j.pec.2023.107986

Hu J, Wallace DC, McCoy TP, Amirehsani KA. A Family-Based Diabetes Intervention for Hispanic Adults and Their Family Members. Diabetes Educ. enero de 2014;40(1):48-59. doi: 10.1177/0145721713512682 DOI: https://doi.org/10.1177/0145721713512682

Arafa AE, Mohamed A, Saleh LHM. The effect of a hospital-based awareness program on the knowledge of patients with type 2 diabetes in South Egypt. International Journal of Health Promotion and Education. 1 de noviembre de 2020;58(6):311-9. doi: 10.1080/14635240.2019.1695528 DOI: https://doi.org/10.1080/14635240.2019.1695528

Pacaud D, Kelley H, Downey AM, Chiasson M. Successful Delivery of Diabetes Self-Care Education and Follow-Up through eHealth Media. Canadian Journal of Diabetes. 2012;36(5):257-262. doi: 10.1016/j.jcjd.2012.08.006 DOI: https://doi.org/10.1016/j.jcjd.2012.08.006

Garcia AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County Diabetes Education Study. Diabetes Care. 2001;24(1):16-21. doi: 10.2337/diacare.24.1.16 DOI: https://doi.org/10.2337/diacare.24.1.16

Adam L, O’Connor C, Garcia AC. Evaluating the Impact of Diabetes Self-Management Education Methods on Knowledge, Attitudes and Behaviours of Adult Patients With Type 2 Diabetes Mellitus. Canadian Journal of Diabetes. 2018;42(5):470-477.e2. doi: 10.1016/j.jcjd.2017.11.003 DOI: https://doi.org/10.1016/j.jcjd.2017.11.003

Fitzgerald JT, Funnell MM, Hess GE, Barr PA, Anderson RM, Hiss RG, et al. The Reliability and Validity of a Brief Diabetes Knowledge Test. Diabetes Care. 1998;21(5):706-710. doi: 10.2337/diacare.21.5.706 DOI: https://doi.org/10.2337/diacare.21.5.706

Dunn SM, Bryson JM, Hoskins PL, Alford JB, Handelsman DJ, Turtle JR. Development of the Diabetes Knowledge (DKN) Scales: Forms DKNA, DKNB, and DKNC. Diabetes Care. 1984;7(1):36-41. doi: 10.2337/diacare.7.1.36 DOI: https://doi.org/10.2337/diacare.7.1.36

Fitzgerald JT, Funnell MM, Anderson RM, Nwankwo R, Stansfield RB, Piatt GA. Validation of the Revised Brief Diabetes Knowledge Test (DKT2). Diabetes Educ. 2016;42(2):178-187. doi: 10.1177/0145721715624968 DOI: https://doi.org/10.1177/0145721715624968

Hu J, Amirehsani KA, McCoy TP, Wallace DC, Coley SL, Zhan F. Reliability and Validity of the Spoken Knowledge in Low Literacy in Diabetes in Measuring Diabetes Knowledge Among Hispanics With Type 2 Diabetes. Diabetes Educ. 2020;46(5):465-474. doi: 10.1177/0145721720941409 DOI: https://doi.org/10.1177/0145721720941409

Estrada D, Sierra C, Soriano RM, Jordán AI, Plaza N, Fernández C. Grado de conocimiento de la hipertensión en pacientes hipertensos. Enfermería Clínica. 2020;30(2):99-107. doi: 10.1016/j.enfcli.2018.11.033 DOI: https://doi.org/10.1016/j.enfcli.2018.11.033

Boateng D, Wekesah F, Browne JL, Agyemang C, Agyei-Baffour P, Aikins A de-Graft, et al. Knowledge and awareness of and perception towards cardiovascular disease risk in sub-Saharan Africa: A systematic review. Lee A, editor. PLoS ONE. 2017;12(12):e0189264. doi: 10.1371/journal.pone.0189264 DOI: https://doi.org/10.1371/journal.pone.0189264

Roger À, Vázquez R, Almonacid C, Padilla A, Serrano J, García-Salmones M, et al. Grado de conocimiento de las propias sensibilizaciones alérgicas en pacientes asmáticos y su repercusión en el nivel de control del asma. Archivos de Bronconeumología. 2013;49(7):289-296. doi: 10.1016/j.arbres.2013.02.004 DOI: https://doi.org/10.1016/j.arbres.2013.02.004

Drovandi A, Seng L, Golledge J. Effectiveness of educational interventions for diabetes-related foot disease: A systematic review and meta-analysis. Diabetes Metabolism Res. 2023;e3746. doi: 10.1002/dmrr.3746 DOI: https://doi.org/10.1002/dmrr.3746

Arnold P, Scheurer D, Dake AW, Hedgpeth A, Hutto A, Colquitt C, et al. Hospital Guidelines for Diabetes Management and the Joint Commission-American Diabetes Association Inpatient Diabetes Certification. The American Journal of the Medical Sciences. 2016;351(4):333-41. doi: https://doi.org/10.1016/j.amjms.2015.11.024 DOI: https://doi.org/10.1016/j.amjms.2015.11.024

Descargas

Publicado

2024-06-20

Cómo citar

1.
Rodríguez Battikh H, Esquivel Prados E, Conte Valdes E, Martínez Martínez F, Garcia Corpas J. Conocimiento que tiene el paciente con Diabetes Mellitus tipo 2 sobre su enfermedad: revisión sistemática. Ars Pharm [Internet]. 20 de junio de 2024 [citado 7 de noviembre de 2024];65(3):258-77. Disponible en: https://revistaseug.ugr.es/index.php/ars/article/view/30295

Número

Sección

Artículos de revisión