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Revista Facultad Nacional de Salud Pública
Print version ISSN 0120-386X
Abstract
ZAPATA-ZAPATA, María Adelaida; BERGONZOLI-PELAEZ, Gustavo and RODRIGUEZ, Alba Lucía. Educational efficacy in the metabolic control of diabetics with peritoneal dialysis. Rev. Fac. Nac. Salud Pública [online]. 2017, vol.35, n.1, pp.49-57. ISSN 0120-386X. https://doi.org/10.17533/udea.rfnsp.v35n1a06.
The second worldwide cause for chronic kidney disease is diabetes mellitus which has individual and social economic repercussions. Glycosylated hemoglobin (HbA1c) is a metabolic control marker; its decrease is associated to a decrease of microvascular and neuropathic complications of diabetes.
Objective:
This study intends to determine the efficiency of an education program on Diabetes patients in peritoneal dialysis depending on Hb1Ac levels as a metabolic control parameter at a kidney dialysis unit in Cali, Colombia.
Methodology:
This is a quasi-experimental study conducted from June 2013 to February 2014. It included 150 type-2 diabetes subjects undergoing peritoneal dialysis assigned to 3 groups, according to an analysis using Pearson’s chi-squared test (χ2), Student t-test, ANOVA, ANCOVA and multiple linear regression, using IBM-SPSS®.
Results:
The sociodemographic clinical characteristics of the three groups did not present any significant baseline differences. A significant difference was observed in the post intervention knowledge of the group intervened using each module(p<0.05). Hb1Ac levels had no statistically significant differences in 3 months. There was a difference after 6 months of the intervention in the intervened group in comparison with the two control groups (p<0.05).
Conclusions:
Educational intervention can help to reduce Hb1Ac levels in a diabetic patient undergoing peritoneal dialysis if there is a continuous intervention.
Keywords : Diabetes Mellitus; peritoneal dialysis; kidney disease.