Browsing by Author "Pérez Ewert, Janet Carola"
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- ItemAutoeficacia y conflicto decisional frente a la disminución del peso corporal en mujeres(2007) Campos Romero, Solange; Pérez Ewert, Janet CarolaEl sobrepeso y la obesidad es un problema relevante para las mujeres de NSE bajo chilenas. El estudio evalúa la relación entre autoeficacia para bajar de peso y conflicto decisional, ambas variables relevantes en el cambio de conductas y estilos de vida en salud. En una muestra de 101 mujeres de nivel socioeconómico bajo asistentes a centros de atención primaria de Santiago, que presentaban sobrepeso u obesidad, se midió el nivel de autoeficacia con una escala diseñada para ello y conflicto ante la decisión de bajar de peso. Los resultados indican que la mayoría de las mujeres presentaron baja autoeficacia (63,4%) y alto conflicto decisional (77,2%). Al considerar las variables sociodemográficas, sólo se presentaron diferencias según escolaridad, siendo mayor la autoeficacia en mujeres con escolaridad superior a octavo básico. Se comprobó una asociación inversa entre conflicto decisional y autoeficacia, tanto a nivel general como al considerar las subhabilidades de la autoeficacia.
- ItemEffect of a tele-care model on self-management and metabolic control among patients with type 2 diabetes in primary care centers in Santiago, Chile(2010) Lange Haensgen, Ilta Anita H.; Campos Romero, Solange; Urrutia Bunster, Mila; Bustamante Troncoso, Claudia Raquel; Alcayaga Rojas, Claudia Andrea; Tellez, Alvaro; Pérez Ewert, Janet Carola; Villarroel del Pino, Luis A.; Chamorro S., Gastón; O'Connor, Annette; Piette, JohnTelephone based self-management support may improve the metabolic control of patients with type 2 (DM2) diabetes if it is coordinated with primary care centers, if telephone protocols and clinical guidelines are used and if it is provided by nurses trained in motivational interviewing. Aim: To assess the efficacy ofi a tele-care self-management support model (ATAS) on metabolic control of patients with DM2 attending primary care centers in a low income area in Santiago, Chile. Material and Methods: Two primary care centers were randomly assigned to continue with usual care (control group, CG) or to receive additionally 6 telecare self-management support interventions (IG) during a 15 month period. Glycosylated hemoglobin (HbA1c) was used to measure metabolic control of DM2; the "Summary of Diabetes Self-care Activities Measure" and the "Spanish Diabetes Self-efficacy" scale were used to measure self-management and self efficacy, respectively. Changes in the use of health services were also evaluated. Results: The IG maintained its HbA1c level (baseline and final levels of 8.3 ± 2.3 % and 8.5 ± 2.2% respectively) whereas it deteriorated in the CG (baseline and final levels of 7.4 ± 2.3 and 8.8 ± 2.3 % respectively, p < 0.001). The perception of self-efficacy in the IG improved while remaining unchanged in the CG (p < 0.001). Adherence to medication, physical activity and foot care did not change in either group. In the IG, compliance to clinic visits increased while emergency care visits decreased. Conclusions: The ATAS intervention, in low income primary care centers, significantly increased the probability of stabilizing the metabolic control of patients with DM2 and improved their use of health services.