Impacto del manejo de la hipertensión arterial en paciente con Diabetes Mellitus en una clínica de cuarto nivel de Barranquilla, segundo periodo de 2017
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Fecha
2020
Autores
Estarita Torres, Sergio Andrés
Moreno Mejía, Daniel Alberto
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Introducción: En la actualidad las ENT constituyen un serio problema de salud, puesto que su prevalencia y mortalidad van en aumento. la hipertensión arterial (HTA) y la Diabetes Mellitus (DM), son las ECNT con mayor prevalencia y la presencia de ambas en el mismo paciente constituyen una alta probabilidad para el desarrollo de enfermedades cardiovasculares y el dinámico aumento de la mortalidad a nivel mundial. Metodología: es una investigación de tipo observacional descriptivo, población: constituida por pacientes con Diabetes Mellitus con criterios de la American Diabetes Association (ADA) y con Hipertensión arterial con criterios del 8º comité de HTA (JNC8) Muestra: El tamaño de la muestra se obtendrá a través de la matriz para muestreo en poblaciones finitas de acuerdo con una significancia estadística p, un nivel de confianza del 90% y una razón de probabilidades de OR 2.0% Resultados: Se evaluaron 335 pacientes perteneciente a un programa de control de HTA, 69% fueron mujeres. El IMC fue de 26.5±5. La presión sistólica basal en promedio fue de 125.5±19.5 mmHg y la diastólica fue de 78±11 mmHg, La HB antes del programa fue de 12.98±1.5 y posterior al mismo de 13.11±1.6. Los valores de LEU fue de 7.09±1.93. Al evaluar la función renal, a través de la CrSr, se observó un cambio importante y significativos en los niveles de esta pasando de 0.91±0.35 a 0.84±0.26 (p-valor: 0.0035) Conclusión: El manejo de la HTA en pacientes con DM2 suele tener repercusiones en el estado de salud del paciente además de contribuir a la disminución de la progresión de complicaciones como la enfermedad renal.
Introduction: Today, NCDs are a serious health problem, since their prevalence and mortality are on the rise. High blood pressure (BP) and diabetes mellitus (DM) are the most prevalent NCDs and the presence of both in the same patient constitutes a high probability for the development of cardiovascular disease and the dynamic increase of mortality worldwide. Methodology: it is a descriptive observational research, population: constituted by patients with Diabetes Mellitus with criteria of the American Diabetes Association (ADA) and Hypertension with criteria of the 8th comitee of Arterial Hypertension (JNC8) Sample: The sample size will be obtained through the matrix for sampling in finite populations according to a statistical significance p, a confidence level of 90% and a probability ratio of OR 2.0% Results: 335 patients belonging to an ETS control program were evaluated, 69% were women. The BMI was 26.5±5. The average basal systolic pressure was 125.5±19.5 mmHg and the diastolic was 78±11 mmHg. The BP before the program was 12.98±1.5 and after the program was 13.11±1.6. The LEU values were 7.09±1.93. When evaluating the renal function, through the CrSr, an important and significant change was observed in the levels of this one happening from 0.91±0.35 to 0.84±0.26 (p-value: 0.0035) Conclusion: The management of Hypertension in patients with DM2 usually has repercussions on the health status of the patient in addition to the contributing to the reduction of the progression of complications such as kidney disease.
Introduction: Today, NCDs are a serious health problem, since their prevalence and mortality are on the rise. High blood pressure (BP) and diabetes mellitus (DM) are the most prevalent NCDs and the presence of both in the same patient constitutes a high probability for the development of cardiovascular disease and the dynamic increase of mortality worldwide. Methodology: it is a descriptive observational research, population: constituted by patients with Diabetes Mellitus with criteria of the American Diabetes Association (ADA) and Hypertension with criteria of the 8th comitee of Arterial Hypertension (JNC8) Sample: The sample size will be obtained through the matrix for sampling in finite populations according to a statistical significance p, a confidence level of 90% and a probability ratio of OR 2.0% Results: 335 patients belonging to an ETS control program were evaluated, 69% were women. The BMI was 26.5±5. The average basal systolic pressure was 125.5±19.5 mmHg and the diastolic was 78±11 mmHg. The BP before the program was 12.98±1.5 and after the program was 13.11±1.6. The LEU values were 7.09±1.93. When evaluating the renal function, through the CrSr, an important and significant change was observed in the levels of this one happening from 0.91±0.35 to 0.84±0.26 (p-value: 0.0035) Conclusion: The management of Hypertension in patients with DM2 usually has repercussions on the health status of the patient in addition to the contributing to the reduction of the progression of complications such as kidney disease.
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Palabras clave
Hipertensión arterial, Diabetes mellitus, Manejo de enfermedades crónicas no trasmisibles, High blood pressure, Diabetes mellitus, Management of chronic noncommunicable diseases