SciELO - Scientific Electronic Library Online

 
vol.146 issue10Reference values for the senior fitness test in Chilean older womenEpithelial tumors of salivary glands. Review of 286 pathology reports author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista médica de Chile

Print version ISSN 0034-9887

Abstract

QUINONES, ÁLVARO; UGARTE, CARLA; CHAVEZ, CLAUDIA  and  MANALICH, JAIME. Psychological variables associated with adherence to treatment and complications in patients with type 2 diabetes mellitus. Rev. méd. Chile [online]. 2018, vol.146, n.10, pp.1151-1158. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872018001001151.

Lack of adherence to treatment may hamper the management of type 2 Diabetes Mellitus.

Aim

To identify if there is a profile of psychological variables associated with adherence to treatment and complications in patients with type 2 diabetes mellitus.

Material and Methods:

The psychometric instruments Multidimensional Scale of Locus of Control in Health, Locus of Control of Rotter and Inventory of Temporary Orientation of Zimbardo & Boyd were applied to 192 patients aged 64 ± 10 years (78% women) with type 2 diabetes attending public primary health clinics. Adherence to treatment was assessed using glycosylated hemoglobin levels.

Results:

There was an inverse association between glycosylated hemoglobin and adherence to treatment (p < 0.01). Adherence in patients with renal damage and diabetic foot was associated with the psychological variables Negative Time Perspective Profile (p < 0.05) and External Locus of Control Powerful Other (p < 0.05).

Conclusions:

A psychological profile associated with adherence was observed in the presence of kidney damage and diabetic foot. A fatalistic present and a negative past are the outstanding features of a negative temporal profile.

Keywords : Diabetic Foot; Diabetes Mellitus; Glycated Hemoglobin A; Public Health; Treatment Adherence and Compliance.

        · text in Spanish     · Spanish ( pdf )