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PROGRAMA DE ORIENTACION SOBRE LA DIABETES TIPO II PARA LOS ADULTOS MAYORES DE LA URB. CRUZ VERDE, MUNICIPIO MIRANDA, ESTADO FALCON (SECTOR LOS BLOQUES I, II, III, IV)
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INTRODUCCION
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CAPÍTULO I: LA COMUNIDAD
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PROGRAMA DE ORIENTACION SOBRE LA DIABETES TIPO II PARA LOS ADULTOS MAYORES DE LA URB. CRUZ VERDE MUNICIPIO MIRANDA ESTADO FALCON. (SECTOR LOS BLOQUES I, II, III, IV)7 PERIODO 716;71<. A-8"($#): A&'a, A79 A%a*a&+$, R79 Ba'"#, /79 B'&$1", M79 Ca*$%a, F79 Ca2a&+", O79 C"!'a, R79 E#&"*a, /79 M"'!!", E79 S&+$%, D7 ; Fa&'!'8a": M#&7 Ca!"# P$"%"7
RESUMEN La 'a*$8$# 2$!!'8-# $# - 8a#8"" &<'&" =" $! &-a! !a# &>!-!a# " =-$$ 2$8a*"!'%a a$&-aa2$8$ $! a%?&a " !-&"#a @-$ "*8'$$ $! "a'#2" a! &"2$7 U" $ !"# ="*!$2a# @-$ '2=!'&a -a "!$&'a &<'&a &"2" !a 'a*$8$# &"#'#8$ $ @-$ @-'$$# !a =a$&$ !$# $#-!8a '&'! 0'0' 8a@-'!"#7 La a 2a."a $ !a# =$#"a# #$ #'$8$ !'2'8aa# =" $!!a, 8'$$ 2'$" $ #-' $a&&'"$# '2=$0'#8a#, #$ =$"&-=a =" $! #"*$=$#" . $! &"a%< ., $ ', a&a*a =" " "%a $ -a &a!'a $ 0'a #a8'#a&8"'a7 P" $$ $! "*$8'0" $ -$#8" =".$&8" $#8 *a#a" $ - ="a2a $ "'$8a&'< #"*$ !a 'a*$8$# 8'=" II =aa !"# a-!8"# 2a."$# $ !a -*7 C-% 0$$ 2-'&'='" 2'aa $#8a" a!&< (S$&8" !"# *!"@-$# I, II, III, IV)7 E! $#8-'" #$ $&-$8a $2a&a" $ -a '0$#8'a&'< $ $"@-$ 8'=" &-a!'&-a8'8a8'0a, ''>"#$ =" $! '#$1" $ '0$#8'a&'< a&&'< =a8'&'=a8'0a -*'&""# $ !a #$-a $8a=a $ $#8$ ="&$#" “D$#a"!!" $ !a '0$#8'a&'<”7 U8'!'%a" =aa $! 2'#2", 8>&'&a# $ '#8-2$8" $ $&"!$&&'< $ a8"# &"2" !a "*#$0a&'<, !a $8$0'#8a, '&+a #"&'a! $ #a!- . =$#8$#87 T"2a" &"2" M-$#8a ="*!a&'"a! - 8"8a! $ 5 =$#"a# $! 544 $ !"# +a*'8a8$# =aa $! $#8-'" $! >'&'8 $ &""&'2'$8" . a&8'8- #"*$ $! 8$2a $ !a 'a*$8$#, a"a" &"2" $#-!8a" - 7 =aa - >'&'8 $ &""&'2'$8" &" !a 0a!"a&'< $8$ “$-!a” . “2-. 2a!"” . - H7 =aa $! >'&'8 $ a&8'8- &" 0a!"a&'"$# #'2'!a$# a !a $#&a!a $! &""&'2'$8", $"8"#$ @-$ !a &"2-'a #' =$#$8a a2*"# >'&'87 C" a.-a $ $#8"# $#-!8a"# ="&$'2"# a $!a*"a - =!a $ a&&'< &" a&8'0'a$# #"&'"$&$a8'0a# $$&-8a*!$# =aa a8a&a $0'$&'a" >'&'8 @-$ ="#$$ !"# +a*'8a8$# @-$ +a&$ 0'a $ '&+a &"2-'a7
Pa'ara$ 'a"$: Programa de Orientación, Diabetes mellitus, DM T 2.
INTRODUCCION La !-&"#a $ #a$ -$ $8$2'aa =" ='2$a 0$%, $ 5, =" C!a-$ B$a @-'$ #$1a!< @-$ !a +'=$!'&$2'a $a $! #'" -a2$8a! $ !a $$2$a7 D'$% a1"# $#=->#, La$+a# $#&'*'< !"# '#!"8$# =a&$8'&"#, @-$ ="#8$'"2$8$ $&'*'$" #- "2*$ $ $! a1" 5 (Fa$a#, 53)7 L"# &'$8'&"# M'K"#K. . V" M$', $ 5, $&"8a" @-$ $! "'$ $ !a D'a*$8$# $a =a&$8'&" . " $a!7 E 545 O='$ !$ a8'*-.< $! "'$ a a!8$a&'"$# $ !"# '#!"8$# $ La$+a#7 A! ''&'" $! #'!" XX Z-$!#$ . Pa-!$#&" $2"#8a" @-$ - $8a&8" =a&$8'&" $a &a=a% $ $#&$$ !a !-&$2'a =$" #-# '0$#8'a&'"$# " -$" '-'a# S"!" +a#8a 535 $ T""8", Caa, F$$'& Ba8' . C+a!$# B$#8 $! ='2$" - "8"=$'#8a . $! #$-" - $#8-'a8$ $ 2$'&'a, 8a*aa" $ !"# !a*"a8"'"# $! D7 JJR Ma&!$", $&"8a" - $8a&8", $! &-a! '.$&8a" $ =$"# =a&$a8$&8"2'%a"# ="-&a -a '#2'-&'< $ !a !-&"#a &'&-!a8$9 $#8$ $8a&8" ''&'a!2$8$ !" $"2'a" '#!$8'a =$" !-$" !" *a-8'%a" &"2" '#-!'a7 (O$" 344) La D'a*$8$# M$!!'8-# $# -a $$2$a &<'&a, &"#'$aa a&8-a!2$8$ &"2" - ="*!$2a $ #a!- =?*!'&a7 S- a8$&'< #$ &$8a 8a8" $ !a =$0$&'< $ #- a=a'&'< &"2" $ 2$"a #- &"8"!, 8a8a2'$8" . ="<#8'&"7 La D'a*$8$#, @-$ #$ ''&'a &"2" - $0$$&'2'$8" =$2a8-", =-$$ $#a"!!a $0a#8a"a# &"2=!'&a&'"$# $ !"# =a&'$8$# . ="-&' - '2=a&8" #"&'"$&"<2'&" '2="8a8$ a '0$! 2-'a!, &" a-2$8" $! &"#8" 8a8" =$#"a! &"2" #"&'a!, " # $ !a =>'a $ a1"# $ 0'a ?8'!7 (V'!!a!*a 344H) La =$0a!$&'a 2-'a! $ !a D'a*$8$# M$!!'8-# (DM) #$ +a '&$2$8a" $ a" '2=$#'"a8$ -a8$ !"# "# ?!8'2"# $&$'"#, =" !" 2$"# 565 2'!!"$# $ =$#"a# $ $! 2-" #-$ $ D'a*$8$# . #$ =".$&8a @-$ !a# &'a# a-2$8a a H44 2'!!"$# =aa $! a1" 3437 A-@-$ !a =$0a!$&'a $ !a DM 8'=" 5 . 8'=" 3 $#8 a-2$8a" $ 8"" $! 2-", &a*$ $#=$a @-$ !a $! 8'=" 3 a-2$8$ &" 2# a='$% $ $! -8-" =" !a "*$#'a &$&'$8$ . !a $-&&'< $ !a a&8'0'a #'&a7 (a#=$ . &"!#, 344)7 C" !" &"$#="'$8$ a D'a*$8$# $ V$$%-$!a a&8-a!2$8$, &" -a $#&a#$% $ 2$'&a2$8"# @-$ a=$a# $2=$%a*a a a=a$&$ $ $! =a"a2a, $ 345H !a 'a*$8$# &"*< !a 0'a $ 557 0$$%"!a"#, 573 2# @-$ $! a1" a8$'"7 Pa#" $ $#8a $ $! @-'8" !-a $8$ !a# 3
&a-#a# ='&'=a!$# $ 2-$8$ 'a"#8'&aa# $ $! =a#, a #$ !a 8$&$a &a-#a, =" $8# $ !a# $$2$a$# $! &"a%< . $! &&$, $ a&-$" &" $! A-a'" $ M"8a!'a $ 345H, $! 2# $&'$8$ =-*!'&a" =" $! M''#8$'" $ Sa!-7 E $! &"8$8" $ !a '0$#8'a&'< $ &-#" ="&$$$2"# a '0$#8'a !a D'a*$8$# &"2" ="*!$2a $ #a!- $ $! #$&8" L"# B!"@-$# $ U*7 C-% 0$$, $#8" $#a!8a" @-$ $#-!8" &"2" -" $ !"# ="*!$2a# 2# '2="8a8$# $ !a a#a2*!$a $ &'-aa"# $a!'%aa7 E ='2$a '#8a&'a ="&$$$2"# a '0$#8'a 8"" !" $!a&'"a" #"*$ !"# a&8"$# $ '$#" . &""&'2'$8" @-$ =$#$8a $ !"# +a*'8a8$# $ L"# B!"@-$# I, II, III, IV, $#=$&'&a2$8$ !"# a-!8"# 2a."$#, =aa a# $8$2'a &-!$# #" !a# 2$'a# a $a!'%a =aa "'$8a!"# $ !a =$0$&'< $ !a D'a*$8$# 8'=" 3 . -a 2$" &a!'a $ 0'a #' $# @-$ .a !a ="#$$
CAPITULO I: LA COMUNIDAD Características Generales de la comunidad. Aspectos Geográfcos
Ubicación político territorial La U*a'%a&'< C-% V$$ $#8 -*'&aa $ $! M-'&'='" M'aa, Pa"@-'a Sa A8"'", #a8a Aa $ C"", E#8a" Fa!&<7 Limites A &"8'-a&'< #$ =$#$8a !"# !2'8$# !"# &-a!$# #$ "*#$0a: A! N"8$: L'2'8a &" !a &a!!$ . !a U*a'%a&'< A8"'" J"#> $ #-&$7 S-: L'2'8a &" !a A07 C+$2a Sa+$7 E#8$: L'2'8a &" !a A07 S-&$7 O$#8$: L'2'8a &" !a &a!!$ 3 $ !a# &a#a# $ !a U*a'%a&'< C-% 0$$7 S$ +'%" -a '#8'*-&'< $#$ $! P'2$ #$2$#8$ !a &-a! !$ -$ a#'aa a !a S$&&'< N 5 !"# *!"@-$# 5, 3, H . 7 elie!e “E! $!'$0$ $# -" $ !"# $!$2$8"# $"'&"# @-$ $8$2'a !a '$$&'a&'< $ "8"# $!$2$8"# a# &"2" !a# '$$8$# a&8'0'a$# +-2aa#7 E! $!'$0$ $# &"2=-$#8" =" &'$8"# a$8$# $"!<'&"#, @-$ #$ $&aa $ 2"!$a $! a2*'$8$ "!$ - a#=$&8" &aa&8$#8'&", a $#8" #$ !$ &""&$ &"2" ="&$#"# $"!<'&"# $8$"#, $ !"# &-a!$# !"# 2# I2="8a8$# #" $! +'$!", a-a, 0'$8", a82"#$a . !"# #$$# 0'0"#” Fa&'#&" Ba-8'#8a Z?1'a (3454) E !a &"2-'a C-% V$$ $! $!'$0$ #$ &aa&8$'%a =" #$ -a %"a #$2''a $*'" a $!!" =$#$8a !a "2a&'< $ a*"!$# =$@-$1"#, 2$'a"# . a*-#8"#7 T"a !a -a&'< $ !a
0$$8a&'< 0a a $=$$ $ &aa &'$8" 8'$2=" $ "$ #$ ="-%&a !a !!-0'a " $! '$" =" !a# 2'#2a# =$#"a# $ !a &"2-'a7 Clima E $! &!'2a #$ +a&$ $$$&'a a! $#8a" $ !a a82"#$a $ -a $8$2'aa %"a, $ $#8$ &a#" !a &"2-'a $ C-% V$$ ="#$$ a! '-a! @-$ 8"a !a &'-a $ C"" $! $#8a" Fa!&" !a# 2'#2a# &"'&'"$# &!'2a8"!"'&a# $! 8"='&", $#8$ #$2'a'", *a#8a8$ #$&"7 U#-a!2$8$ !a# =$&'='8a&'"$# #" $#&a#a#, !a $="&a $ !!-0'a $# *a#8a8$ &"8a ($ "&8-*$ a '&'$2*$) 7 La 8$2=$8-a ="2$'" $ !a &"2-'a $# $ 3,C7 L"# 0'$8"# a!'#'"# a&8?a &"#8a8$2$8$ #"*$ $! !'8"a! 2"''&a" !a# &"'&'"$# &!'28'&a#7 "auna S$? A!0aa" $$a E2'!'" @-$ =$8$$&$ a! $=a8a2$8" $ $#8-'"# a2*'$8a!$# $ E#=a1a (544) !a $'$ &"2" C"-8" $ $#=$&'$# a'2a!$# @-$ +a*'8a $ -a $'< $"'&a, @-$ #" ="='a# $ - =$'"" $"!<'&" " @-$ #$ =-$$ $&"8a $ - $&"#'#8$2a $8$2'a"7 E $#8a &"2-'a #$ $&-$8a -a a-a 2-. 0a'aa &"2" !" #": !"# =$"# , !""#, =a!"2a# . 8"8"!'8a# 7E# '2="8a8$ $#a!8a @-$ 8""# #" a'2a!$# 0$8$*a"#, !"# "# ='2$"# #" a'2a!$# "2>#8'&"# $*'" a @-$ $!!"# $#'$ $ &aa -" $ !"# *!"@-$#, a '$$&'a $ !a# "# ?!8'2a# @-$ #" a'2a!$# @-$ #$ "*#$0a $ $! 2$'" a2*'$8$ $! #$&8"7 "lora S$ $#8a*!$&$ @-$ B-$ A!$a$ (55) a'2a @-$ !a !"a E# $! &"-8" $ =!a8a# $ -a $'< " !-a $8$2'a"7 E !a !"a $! #$&8" #$ $&-$8a !a# $#=$&'$# @-$ &aa&8$'%a a! $#8a" Fa!&<, 8a!$# &"2" !"# a*"!$# $ N', !a# $#=''8a#, !a# 8-a# . $! C-'7
#spectos $istóricos ese%a $istórica de la comunidad E $! a1" $ 53, !!$a a !a &'-a $ C"", $! S7 N'$0$# M"a!$# &" #- a2'!'a9 $2'a8$# $ !a S'$a a!&"'aa (La C-% $ Taa8aa), &"#8-.$" #- &a#a $ - 8$$" !!$" $ &-'%a!$# . &a"$# -*'&a" $ !a =a8$ "$#8$ $ !a @-$*aa $ C""7 E#8a# =$#"a#, $0"8a# a !a Sa8#'2a C-%, $&'$ "# a1"# 2# 8a$ &"#8-' -a &-% a$ $ 2a$a, -*'&a!a $ - #'8'" &$&a" a !a &a#a =aa +a&$!$# #-# &$!$*a&'"$#7 C" $! =a#a $! 8'$2=", $! #'8'", 8"2a #- "2*$7 D'&+a &-%, -$ &"#8-'a $ 2a$a $ 0$a . $*'" a! &"!" 0$$ $ $#8a7 C" $! =a#a $! 8'$2=", $! #'8'" 8"2a #- "2*$, C-% V$$, @-$ =aa $8"&$# .a &"8a*a &" 2# $ 34 a2'!'a#7 E! a H4 $ N"0'$2*$ $ 5, #$ &$!$*< !a -a&'< $! Ba'" “C-% V$$”7 La &-% -$ &"!"&aa $ - 8$$" -*'&a" a! $8$ $ !a &a#a $! S7 M"a!$#, a!! #$ !$ &a8< $! ='2$ "#a'" . a&"a" +a&$!" =" 8a'&'<, =aa @-$ !a &"2-'a, " #"!" &$&'$a $ +a*'8a8$# #'" 8a2*'> $ !a $7 E $! a1" $ 5, -a8$ $! ='2$ 2aa8" $! D7 Raa$! Ca!$a . #'$" $! "*$a" $! E#8a", $! I$'$" Ra2< A8"'" M$'a S+'=a, #$ &"#8-.$, a 8a0># $ - ="a2a $ #"!-&'< +a*'8a&'"a!, -a -*a'%a&'<, $ - $a a8$'"2$8$ &""&'a &"2" “Ra&+" Ga$”, =$" &" !a $!'2'8a&'< $! Ba'" “C-% V$$”, @-$a" $8" $ !"# !2'8$# $#8a*!$&'"#, $# =" $!!" @-$ $&'*$ $! "2*$: U*a'%a&'< “C-% V$$”7 E#8a -*a'%a&'< &"8a*a &" - 8"8a! $ 3564 0'0'$a# &" '#$1"# . '#8'*-&'"$# '$$8$7 #spectos políticos E! #$&8" !"# B!"@-$# $ &-% 0$$ #$ '$ =" !" $#8a*!$&'" $ !a C"#8'8-&'< $ !a R$=-*!'&a B"!'0a'aa $ V$$%-$!a (CRBV) $ #- A8&-!" 3 “T""# !"# &'-aa"# . &'-aaa# 8'$$ $! $$&+" $ =a8'&'=a !'*$2$8$ $ !"# a#-8"# =?*!'&"#, '$&8a2$8$ " =" 2$'" $ #-# $=$#$8a8$# $!$'"# " $!$'a#7 La =a8'&'=a&'< $! =-$*!" $ !a "2a&'<, $$&-&'< . &"8"! $ !a $#8'< =?*!'&a $# $! 2$'" $&$#a'" =aa !"a $! ="8a"'#2" @-$ aa8'&$ #- &"2=!$8" $#a"!!", 8a8" ''0'-a! &"2" &"!$&8'0"7 E# "*!'a&'< $! E#8a" . $*$ $ !a #"&'$a a&'!'8a !a $$a&'< $ !a# &"'&'"$# 2# a0"a*!$# =aa #- =&8'&a”
Conse&os comunales La !$. O'&a $ !"# C"#$"# C"2-a!$# $ #- A8&-!" N 3 2a''$#8a @-$ $#8"# “#" '#8a&'a# $ =a8'&'=a&'<, a8'&-!a&'< $ '8$a&'< $8$ !a# '0$#a# "a'%a&'"$# &"2-'8a'a#, -="# #"&'a!$#, &'-aa"# . &'-aaa#, @-$ =$2'8$ a! =-$*!" "a'%a" $$&$, '$&8a2$8$ !a $#8'< $ !a# ="!8'&a# =?*!'&a# . =".$&8"# "'$8a"# a $#="$ a !a# $&$#'a$# . a#='a&'"$# $ !a# &"2-'a$#, $ !a &"#8-&&'< $ -a #"&'$a $ $@-'a . -#8'&'a #"&'a!”7 E#8$ #$&8" &-$8a &" - C"#$" C"2-a! !!a2a" “L-&+a"$# =" !"# *!"@-$#” $! &-a! #$- !" 2a'$#8a" =" !"# 2'#2"# +a*'8a8$#,
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% Hombres % Mujeres Edad
8
6
4
2
0
2
4
6
8
10 12
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Principales causas de morbilidad
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Principales causas de mortalidad
Ta'a
Ta$a M)r!a'%(a( $"=& "' M%&%$!"r%) ("' P)("r P)-+'ar -ara 'a Sa'+(, MPPS. G"r"&%a E$!a(a' (" E$!a(#$!%a Fa'&. Grado de prevenibilidad y principales causas
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e.ienias )e la nutrii/n "40-46%
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tras Muertes @iolentas
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F+"&!": instituto nacional de estadística. La denominación de país joven parte de la composición de un 47.9% aproximadamente de población menor de 19 años para 1.990, con una edad media de 1 años! mientras "ue en 19#1 se ubicaba en 17 años $ensos 1990&19#1' 3ndice de mortalidad
Ta'a 6 Ta$a r+!a (" *)r!a'%(a( )rr"%(a, $"=& "&!%(a( 0"("ra', 776;71
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3ndice de discapacidad
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Problemas -denti)icados. L"# ="*!$2a# a !"# @-$ " #$ $&-$8a #"!-&'< $#$2*"&a $ - 2a!$#8a &<'&"7 C-a" !a# $#8a8$'a# $ a"8a2'$8" "'a'a# a&a#a, a=a$&$ - #$8'2'$8" &$&'$8$ $ '$$#'< @-$ ''&-!8a !a *?#@-$a $ -$0a# #"!-&'"$#7 D'#2'-.$ !a ="#'*'!'a $ a!'0'", $! ="*!$2a $2='$%a a =a$&$ '#"!-*!$ . !a a#'$a " !a $#$#=$a&'< =-$$ !!$a +a#8a '0$!$# =aa!'%a8$#7 E! ='2$ =a#" a !a #"!-&'< $ $#8"# $# '$8''&a !a# #'8-a&'"$# ="*!$28'&a#7 Paa $!!" !a !!-0'a $ '$a#, 8a2*'> $"2'aa 8"2$8a $ '$a#, $# -a +$a2'$8a $ 8a*a" -=a! @-$ a&'!'8a $! #-'2'$8" $ -$0a# "=''"$# #"*$ - 8$2a " #'8-a&'< $8$2'aa7 E#8a +$a2'$8a -$ '$aa $ $! a1" 55 =" A!$ Fa'&K$. O#*" (-$ $"2'aa *a'#8"2'), &-a" #- *?#@-$a $ '$a# &$a8'0a# $#-!8< $ - ="&$#" '8$a&8'0" $ -=" " $#8-&8-a" @-$ $$a*a 2# . 2$"$# $#"!-&'"$# @-$ !a# @-$ !"# ''0'-"# ="a ="-&' 8a*aa" $ "2a '$=$'$8$9 a" "="8-'a $ +a&$ #-$$&'a# #"*$ - $8$2'a" a#-8" . a="0$&+a" !a &a=a&'a &$a8'0a $ !"# =a8'&'=a8$#7 A# 2'#2" !-$" $ !a =a8'&'=a&'< a&8'0a $ !"# &'-aa"# $! #$&8" !"# *!"@-$# $ !a -*a'%a&'< &-% 0$$ $ !a a#a2*!$a a8$# $#&'8a #$ !"< 8"2a a8"# '2="8a8$# =aa aa!'%a . "$a !a# a$&&'"$# 2# $!$0a8$# $ $#8a &"2-'a $&-'$" a "8a 8>&'&a $&$#a'a &"2" !" $# !a Ma8'% $ P'"'%a&'< " M>8"" $ Ra@-$", @-$ “=$2'8$ ='"'%a !"# ="*!$2a#, $ -&'< $ &'8$'"# =$0'a2$8$ $#8a*!$&'"#” (A&"#8a . R"#$" 3446)7 S- 8>&'&a &"#'#8$ $ #$!$&&'"a - -=" $ &'8$'"# . "8"a!$ a &aa -" - 0a!" $8$ 4 . 3 =aa &aa -" $ !"# ="*!$2a# aa!'%a"#7
Los criterios se listan a continuación1 A) TENDENCIA: $ $! 8'$2=" #$ $'$$ a! '&$2$8" " $ &$&'2'$8" $! 2'#2"7 FRECUENCIA: ^A @-$ ="&$8a$ $ !a ="*!a&'< a$&8a_ GRAVEDAD: " #$0$'a $! ="*!$2a: ^C- a0$ =aa !a #a!- $ !a# =$#"a# $# $! ="*!$2a_ B) DISPONIBILIDAD DE RECURSOS: C-$8a !a &"2-'a &" $&-#"# #'&"#, +-2a"# " 'a&'$"# =aa $#"!0$ $#$ ="*!$2a_ C) VULNERABILIDAD: . ="#'*!$ =$0$&'< $! ="*!$2a ^E# ="#'*!$ +a&$ a!" =aa @-$ !a #'8-a&'< 2$"$_ COERENCIA CON LA MISION DEL QUE PLANIFICA: I2="8a&'a ="!8'&a: ^E#8 '8$$#aa !a &"2-'a . !a #"&'$a $ $$a! $ $#"!0$ $! ="*!$2a_ La =-8-a&'< $ "# (3) =-8"#, #$ !$ "8"a a! ="*!$2a @-$ =$#$8$: a!8a $&-$&'a, a!8a a0$a, a!8a $=$&-#'< $ !a ="*!a&'<, $&-#"# '#="'*!$#, 8$$&'a a#&$$8$, a!8a 0-!$a*'!'a &" !a# '8$0$&'"$# a $#$ '0$!, &"+$$&'a &" !a 2'#'< $ !"# =!a''&a"$#7 L"# "8"# 0a!"$# #$ "8"a: a !"# @-$ &-2=!a !"# $@-'#'8"# $ =a8$, #$ !$ "8"a $! 0a!" $ 5 =-8"9 " " !"# &-2=!a, #$ !$ "8"a $! 0a!" $ 47 C-a" &"&!-.$ $#8a "=$a&'< &" 8""# !"# &'8$'"# . 8""# !"# ="*!$2a#, #$ #-2a !"# 0a!"$# "*8$'"# =aa &aa &'8$'", &" 0'#8a# a "*8$$ !a =-8-a&'< @-$ &"$#="$ a &aa ="*!$2a7 Ba#a" $ !" a8$'" $# !" @-$ +$2"# a=!'&a" a! &"-8" $ #'8-a&'"$# 2a'$#8aa# =" !"# &'-aa"# $! a $! $0$8"7 E#8"# ="*!$2a# #$ -*'&a" &"2$%a" =" $! $ 2a." =-8-a&'< . 8$2'a" =" $! @-$ ="#$$ !a 2$", @-$a" "a'%a"# =" "$ $ ='"'a =$#$8aa a &"8'-a&'<:
PROBLEMA
A B C D E
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PRIORIDA
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3
3
3
5
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55
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3
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3
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D'a$a
5
5
5
5
3
3
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5
5
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5
3
3
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RBOL DE PROBLEMA
Planteamiento Del Problema
La D'a*$8$# M$!!'8-# $# -a $$2$a &aa&8$'%aa =" - $#*a!a&$ $ $! 2$8a*"!'#2" $ !"# a%-&a$#, @-$ 8a$ &"2"
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CAPÍTULO III: MARCO REFERENCIAL E#8$ a#=$&8" #$ $'$$ a! &"-8" $ a="8$# 8$<'&"#, $'#8$8$# #"*$ $! ="*!$2a "*$8" $ $#8-'"9 $#8"# #$ $&-$8a &"8$'"# $ -$8$# "&-2$8a!$#7 ! $*$ $!$a !a# '2=!'&a&'"$# $! $#8-'", #- $!a&'< &" "8a# $a# $ &""&'2'$8"7 T"a '"2a&'< $*$ $#8a #-#8$8aa &'$8'&a2$8$, $# $&', 8$$ $#=$&''&a" a! a-8" @-$ !a $2'8'<9 $&a#" &"8a'", #$ $#8a &"2$8'$" - =!a'"7 S- 2a&" 8$<'&" $*$ $#&'*', $=!'&a . =$$&' $! "*$8" $! $#8-'"9 a# &"2" 8a2*'> !a "a'%a&'< $! &""&'2'$8" . !a "'$8a&'< $ !a '0$#8'a&'<7 A! $#=$&8", R"a#, &'8a" =" $$% . Ba=8'#8a (5), =!a8$a @-$: $! 2a&" 8$<'&" '2=!'&a aa!'%a . $="$ a@-$!!a# 8$"a#, $"@-$# 8$<'&"#, '0$#8'a&'"$# . a8$&$$8$# $ $$a!, @-$ #$ &"#'$a 0!'"#, =aa $! &"$&8" $&-a$ $! $#8-'" (=733)7
#ntecedentes De La -n!estigación.
E $!a&'< a !"# a8$&$$8$#, Gar#a, F 2 )'$. (3445) R$a!'%a" - $#8-'" $"2'a" :;revalencia de -iabetes 5ellitus + )actores de ries*o relacionados en una población urbana< $ !a &'-a $ L'2a, P$?7 E! "*$8'0" ='&'=a! $! =$#$8$ $#8-'" -$ &""&$ !a $&-$&'a $ !a D'a*$8$# M$!!'8-#, a# &"2" !a $ #-# a&8"$# $ '$#" a#"&'a"#, $ -a ="*!a&'< -*aa $ !a &'-a $ L'2a7 S$ $a!'%< - $#8-'" 8a#0$#a! $#&'=8'0", a!$a8"'" . =" &"!"2$a"# a 35H #-$8"# 2a."$# $ 5 a1"# $! '#8'8" $ B$1a, $ L'2a &'-a7 S$ $'#8< !"# 0a!"$# $ =$#'< a8$'a!, =$#", 8a!!a, 2$'&'< $ &'8-a, !'&$2'a *a#a!, &"!$#8$"! . 8'!'&>'"#7 La# &"&!-#'"$# 2# $!$0a8$# !"aa# =" $! '0$#8'a" -$": 5) S$ $&"8< -a =$0a!$&'a $!a8'0a2$8$ a!8a (6,4) $ D'a*$8$# M$!!'8-# . $ !'&$2'a *a#a! a!8$aa $ !a ="*!a&'< 2a." $ 5 a1"# $ $a $! '#8'8" $ B$1a, L'2a &'-a7 3) L"# a&8"$# $ '$#" $!a&'"a"# a !a D'a*$8$# 2# $&-$8$# -$": #$$8a'#2", #"*$=$#", +'=$8$#'< a8$'a!7 P" 8a8", $# $ #-2a a.-a $ '2="8a&'a =aa -$#8" 8a*a" a&8-a!, .a @-$, $ $! ="$2"# $&"8a a8"# $!$0a8$# @-$ $!a&'"a !"# a&8"$# $ '$#" &" !a %"a $2"'&a @-$ $8$2'aa ="*!a&'< +a*'8a7 S-2''#8a" 8a#a# $2"'&a# @-$ #$ 8"2aa $ &-$8a =aa a@-'' $! &""&'2'$8" $ &<2" . &-8" a$&8a !a 'a*$8$# 2$!!'8-# a! 2-"7
G)&/'", 2 )'$. (3443)7 R$a!'%< - $#8-'" !!a2a" :=aloración de )actores de ries*o para -iabetes 5ellitus $-5 '< $ -a &"2-'a #$2'-*aa $ !a C'-a $ M>'&"7 L"# "*$8'0"# $! $#8-'" -$": D$#&'*' !a $&-$&'a $ a&8"$# $ '$#" =aa DM 3 =$#$8$# $ -a &"2-'a #$2'-*aa $ '$8''&a $! '0$! $ '$#" =aa DM 3 $ $! -=" $ $a $8$ 34 a1"# $ -a &"2-'a #$2'-*aa7 Ma8$'a!$# . 2>8""#: E -a &"2-'a #$2'-*aa $ !a C'-a $ M>'&", #$ $a!'%< 0'#'8a "2'&'!'a'a +a#8a &"2=!$8a -a 2-$#8a $ H =$#"a# $ !a# @-$ #$ a=!'&< !a C>-!a $ E8$0'#8a Fa2'!'a (CEF) . #$ $a!'%< !a 2$'&'< $ =a2$8"# &!'&"#, &" $$$&'a $#8a =aa $! 'a<#8'&" $ DM, #"2a8"2$8a . a8"# &!'&"# $#8a*!$&'"# =" !a OMS, ADA, $! C"2'8> $ E=$8"# #"*$ $! D'a<#8'&" . C!a#''&a&'< $ !a D'a*$8$# M$!!'8-# . $! C"2'8> $ U'< Na&'"a! $ P$0$&'< . D$8$&&'< $ !a '=$8$#'<7 L"# R$#-!8a"# $! $#8-'" a"a" -a =$0a!$&'a =aa D'a*$8$# M$!!'8-# $ , &" $a ="2$'" $ H a1"# . =$"2''" $ !a# 2-$$#, $ ="="&'< $ 3:57 S$ "*#$0< - '&$2$8" $ !a =$0a!$&'a $ 7 a 57 $ $! -=" $ 4 a a1"#, . $ $! $ 4 a
a1"#7 E! '&$ $ Ma#a C"="a! =" a'*a $! $#8a =$2'8'" -$ $ 37 . 36 $ +"2*$#9 H . 34 $ &aa -=" =$#$8a a!? a" $ "*$#'a7 La# C"&!-#'"$# 2# $!$0a8$ $ $#8$ $#8-'" -$": E! >$" $2$'" =$"2'a &" 2a." =$'#="#'&'< a! #"*$=$#" . "*$#'a7 E a2*"# >$"# #$ "*8-0'$" 0a!"$# $! '&$ C'8-a Ca$a (ICC) $ '0$!$# $ '$#", #"*$ 8"" $ !"# -="# $ $a$# 2# <0$$#7 S$ '$8''&a" 8$# a&8"$# @-$ 2# #$ a#"&'a a !a =$#$&'a $ D'a*$8$# M$!!'8-#: !a $a, =a8'&-!a2$8$ $ =$#"a# $ b a1"#, !a# &'a# $ TAS 54 22 . !a =$#$&'a $ a8$&$$8$# a2'!'a$# 'a*>8'&"#7 E# =" $!!", @-$ $#8a a="8a a8"# '2="8a8$# &" $#=$&8" a -$#8a '0$#8'a&'< #"*$ !"# a&8"$# =$"2'a8$# =" #$" . a%a =aa 'a"#8'&a !a 'a*$8$# 2$!!'8-# $ !a# =$#"a#7 G-'""# $ !a "2a $ *-#&a !"# a&8"$# $ '$#" $ !"# +a*'8a8$# $ !a &"2-'a $ C-% V$$ #$&8" !"# *!"@-$#7
Mar#&, M/r+", Sa'aar, (344), E #- 8a*a" 8'8-!a" :->/?@? 5?LL>@A ?B LC ?@A->B@? -? 5?->>B -?L D6? LEB> -? L AB>=?6>-- -? C6>?B@? BFL?C BGCD@?A> ?B?6C& H?/6?6C 009<. -e la AB>=?6>-- -? C6>?B@? ;uerto La ru2. C-." "*$8'0" $$a! -$: D$8$2'a D'a*$8$# M$!!'8-# $ !"# $#8-'a8$# $! $a &!'&a $ M$'&'a7 U'0$#'a $ O'$8$7 N?&!$" A%"8$-' E$" – F$*$" 3447 C" $#=$&8" a #-# &"&!-#'"$# 2# '2="8a8$# -$", $! #$" =$"2'a8$ -$ $! $2$'", !"# a&8"$# $ '$#"# a#"&'a"# a D'a*$8$# M$!!'8-# -$": $! #$$8a'#2", #"*$=$#", '#!'='$2'a . a8$&$$8$# a2'!'a$# $ D'a*$8$#, #$ $0'$&'< - a!8" ="&$8a$ $ #"*$=$#" 8a8" =aa $! #$" $2$'" &"2" =aa $! 2a#&-!'" . $ 2$" ="&$8a$ !a "*$#'a, !"# a&8"$# $ '$#"# a2'!'a$# @-$ =$0a!$&$ $ 2a." ="&$8a$ #" '=$8$#'< A8$'a! . D'a*$8$# M$!!'8-#7 T"2a" $ &-$8a @-$ #- a="8$ 2# $!a8'0a2$8$ '2="8a8$ $# $! #a*$ $a!'%a '0$#8'a&'< $+a-#8'0a# @-$ a="8$ *$$'&'"# =aa !a '0$#8'a&'<7 E '&+" 8a*a", $a!'%a" $&-$#8a# #"*$ a8$&$$8$# a2'!'a$# . =$#"a!$#, $# =" $!!" @-$ 8"2a &"2" -a =aa -$#8" 8a*a"7
B"r*=(", 2 Ca&), (344) $ - $#8-'" #"*$ :spectos ;sicoló*icos + ;ersonales en el manejo de la -iabetes 5ellitus<. R$a!'%a" $ $! C$8" $ I0$#8'a&'"$# E"&'a# M$8a*!' G<2$% $ !a Fa&-!8a $ M$'&'a, $ !a U'0$#'a $! Z-!'a7 C-." "*$8'0" $$a! -$ $#8-'a !a# &aa&8$#8'&a# $ !a =$#"a!'a . &<2" '!-.$ $ $! &"8"! $ !a !'&$2'a $ 'a*>8'&"# 8'=" I7 La 8$$&'a $ !"# =a&'$8$# a $=$'2$8a 2$"# $2"&'"$# $a8'0a# . $! $"&a !a# $&$#'a$# $ !"# $2# a8$ $ !a# $ $!!"# 2'#2"# $2"#8< #$ - a&8" $ '$#" =aa $! 'a$&-a" &"8"! $ !a !'&$2'a7 D"$ !a# &"&!-#'"$# 2# $!$0a8$# -$" T"a0a +". $ $! #'!" 35 !a# '0$#8'a&'"$# $ $! &a2=" $ !a =#'&"!"a $ !a #a!- " #" 8a $8$#a# &"2" $ "8"# &a2="# $ &""&'2'$8"#, a-@-$ !a $!a&'< 2$8$&-$=" +a #'" ="!>2'&a2$8$ 8a8a" $#$ +a&$ 0a'"# #'!"#7 L"# 8a#8""# =#'&"!<'&"# +a $#8a" #'$2=$ =$#$8$# $ !a +'#8"'a $! 2-" . #$ &"#'$a +". &"2" &a-#a# $ 2"8a!'a $ - $!$0a" ?2$" $ !a ="*!a&'<7 A!-a# '0$#8'a&'"$# '&!-#" &"#'$a @-$ !a $=$#'< #$ $! =$" 2a! $ $#8$ #'!"7 A$2#, &aa a 2# $ $! a2*'$8$ &!'&" #$ $0'$&'a &"2" !a# =a8"!"a# 2>'&a# -aa -a $#8$&+a $!a&'< &" a$&&'"$# =#'&"!<'&a# . $! $#8'!" $ 0'a7 La $$&8'0'a $! 8a8a2'$8" 2>'&" $ !a# =a8"!"a# &<'&a# $#8a 2$'a =" !a a+$#'< a! 8a8a2'$8" =" =a8$ $! =a&'$8$7 D'&+a a+$#'< $#8a "8a*!$2$8$ '!-$&'aa =" $! -&'"a2'$8" &"'8'0", $2"&'"a!, &"-&8-a! . #"&'a! $! ''0'-"9 =" !" @-$ +a. @-$ &"#'$a a !"# a#=$&8"# =#'&"!<'&"# &"2" a&8"$# '8$0''$8$# $ !a #a!- $ $$a!7 E#8-'"# =$!'2'a$# #-'$$ @-$ $'#8$ -a $#8$&+a $!a&'< $8$ &aa&8$#8'&a# $ =$#"a!'a, 2a$" $ &""&'2'$8"# . a-8"&"8"! $ $! 2a$" $'&'$8$ $ !a !'&$2'a . !a &a!'a $ 0'a $ !"# =a&'$8$#7 E#8" "# $a &"2" $#$1a%a $! &<2" #$ $*$ 2a$a, aa!'%a . &"8"!a !a 'a*$8$# 2$!!'8-#, !" &-a! $# $! 8$2a ='&'=a! $ -$#8" =".$&8", '&+" a!'#'#, $# $! @-$ $ $a!'a "# '&8aa -a 8a#a $a! . &$8$a $ &-a8a# =$#"a# #" !a# @-$ #-$ $a!2$8$ $ DM7 T"2a" $ &-$8a &aa a#=$&8" a $0a!-a &"2" !" +'&'$" $ !a '0$#8'a&'< a8$# 2$&'"aa7
;ases Teóricas.
1. La D%a"!"$: La D'a*$8$# $# -a $$2$a &<'&a @-$ #$ ="-&$ &-a" $! =&$a# " $$a #-'&'$8$ '#-!'a " &-a" $! "a'#2" " !a =-$$ -8'!'%a $'&a%2$8$ (OMS 3445)7 . La D%a"!"$ M"''%!+$: La D'a*$8$# M$!!'8-#, $# -a $$2$a &aa&8$'%aa =" - $#*a!a&$ $ $! 2$8a*"!'#2" $ !"# a%-&a$#, @-$ 8a$ &"2" &"#$&-$&'a $! a1" $ <a"# -a2$8a!$# &"2" #" &"a%<, '1"$#, ""# . 0a#"# #a-$"# (F'-$"!a, 3444)7 3. C'a$%0%a%& (" 'a D%a"!"$ M"''%!+$: C!a#''&a&'< $8'"!<'&a $ D'a*$8$# M$!!'8-# #$? !a A2$'&a D'a*$8$# A##"&'a8'" (ADA): I7 D'a*$8$# 8'=" 5 a) A-8"'2-$7 *) I'"=8'&a7 II7 D'a*$8$# T'=" 3 III7 O8"# T'="# $ D'a*$8$#7 a) D$$&8"# $>8'&"# $ !a -&'< $ !a &>!-!a *$8a7 *) D$$&8"# $>8'&"# $ !a a&&'< $ !a '#-!'a7 &) E$2$a$# $! =&$a# $"&'"7 ) E"&'"=a8a#7 $) D'a*$8$# '-&'a =" "a# " #-#8a&'a# Q-2'&a#7 ) I$&&'"$#7 ) F"2a# '$&-$8$# $ 'a*$8$# a-8"'2-$7 +) O8"# #"2$# $>8'&"#, a!-a# 0$&$# a#"&'a"# &" 'a*$8$#7 ') D'a*$8$# $#8a&'"a!7 (C"#$#" Na&'"a! $ D'a*$8$# T'=" 3, 344H)7 . D%a"!"$ M"''%!+$ T%-) 1: S$ $'$ &"2" - >'&'8 a*#"!-8" $ !a #$&$&'< $ '#-!'a9 S-$!$ &"2$%a a8$# $ !"# 4 a1"# $ $a, #'$" $! ='&" 2'2" $ !a '&'$&'a a !"# 5 a1"#7 E'#8$ "# #-*8'="# $ DM 8'=" 5 @-$ ''$$ $ #- $8'"!"a, "2a $ =$#$8a&'< . $&-$&'a: 5) DM TIPO 5 IDIOPTICA: E $!!a " $'#8$ $0'$&'a $ a-8"'2-'a . !a $8'"!"a $a! $ !a $$2$a a? " $# &""&'a7 E# +$$a*!$, =$" " $#8 a#"&'aa a! #'#8$2a LA7 a. -a '#-!"=$'a =$2a$8$ &" 8$$&'a a !a &$8"a&'"#'# $='#<'&a7 A=a$&$ $ %"a# a'&aa# . a#'8'&a#7 E# ="&" $&-$8$7 3) DM 8'=" 5 I2-"2$'aa: E# !a 2# $&-$8$ $ !a DM T'=" 57 La $#8-&&'< $ !a &>!-!a c $# 2$'aa '2-"!<'&a2$8$ $ "2a @-$ a=a$&$ 2a&a"$# #$"!<'&"# $8$&8a*!$#7 E $! 44 $ !"# =a&'$8$# -" " 2# $ >#8"# $#8 =$#$8$# a! 'a<#8'&": A8'&-$="# $8$ a &>!-!a# $! '#!"8$ (ICA#), A8'&-$="# $8$ a! &'" !-82'&" $#&a*"'!a#a (GAD ), A8'&-$="# $8$ a "#a8a#a# $ 8'"'a (IA3 . IA3*) La
$#8-&&'< $#8-&&'< a-8"'2-$ a-8"'2-$ $ !a &>!-!a c $# 2# $&-$8$ $ =a&'$8$# &" &'$8"# a!$!"# $! #'#8$2a 2a." $ +'#8"&"2=a8'*'!'a (LA) (D$ Sa8'a" 344)7 $#"$ 2$8a*'&a a !a '#-!'a, '#'#-& &'< '< #$&$ #$&$8" 8"a a $ $#8a $#8a +"2" +"2"a a " a2*a# a2*a#,, !" &-a! &-a! ="="-&$ &$ a!8$ a!8$a a&' &'"$ "$## $ $! 2$8a*"!'#2" $ &a*"+'a8"#, !='"# . ="8$a# ., $ - =!a%" 0a'a*!$, !$#'"$# 2a&" . 2'&" 0a#&-!a$#, $#=$&'a!2$8$ $ ""#, '1<, $0'"#, &"a%< . 0a#"# #a-$"# (C"#$#" Na&'"a! $ D'a*$8$# T'=" 3, 344H)7 E# !a 2# $&-$8$, $&-$8$, &$&a $! 4 $ !"# &a#"#7 E $#8$ 8'=" $ 'a*$8$# #$ &"2*'a "# ="#'*!$# &a-#a#: 2$&a' '#2 #2"" " #$ &"" &""&$ &$ $ D"0" D"0"!) !) (" 'a '+ '+'a 'a "!a "!a -a& -a&r" r"/! /!% %a: a: E! 2$&a ="-'a, =$" # @-$ #$ +a 0'#8" -a a!8$a&'< 2'8"&"'a! $ !a# &>!-!a# *$8a $! =&$a# &" !a &"#'-'$8$ $-&&'< $ !a ="-&&'< $ ATP, !" &-a! ="0"&a -a 2$" $#=-$#8a $#= -$#8a a8$ $! $#82-!" $ !a !-&"#a7 Ta2*'> $ "8"# &a#"# !a ="=' ="='aa &>!-! &>!-!aa *$8a *$8a a*'& a*'&aa -a -a ="8$ ="8$ aa $"2 $"2' 'aa aa a2'! a2'!' 'aa @@-$$ ="-& ="-&$$ '#-!'"$#' '#-!'"$#'#8$&'a #8$&'a =$'>'&a =$'>'&a . a=a8$ $ $#8" 8a2*'> 8a2*'> $! &?2-!" $ '&+a ="8$a ="8$a $ !a &>!-!a *$8a ="-&$ 8a2*'> -a 2$" #$&$&'< $ !a +"2"a '#-!'a, $! $#-!8a" $ a2*"# &a#"# $# $! 2'#2" -a #'8-a&'< $ +'=$!-&$2'a $*'" a -a 2a!a 2$8a*"!'%a&'< $ !a !-&"#a (!0a$% 3444)7 I&$+'%&)r"$%$!"&%a: E#8a $# !a ='&'=a! &a-#a $ 'a*$8$# 8'=" 3, &"#'#8$ $ -a $-&&'< $ !a #$#'*'!'a a !a '#-!'a #"*$8"" $ 8$'"# =$'>'&"# (2?#&-!" $#@-$!>8'&", &a'a&" . 8$'" a'="#") $#8" ="0"&a - a-2$8" $ !a #$&$&'< $ '#-!'a =aa &"2=$#a $#8a $'&'$&'a $ -&'"a2'$8"7 E $#8$ #$8'" #$ +a 0'#8" -a &"$!a&'< $8$ $! #"*$=$#" . $#8$ $<2$"7 P" &'8a - $$2=!", - a-!8" $!a" #a" #$&$8a H44 U;a $ '#-!'a, - "*$#" 'a*>8'&" #$&$8a a="'2aa2$8$ 55455 U;a $*'" a !a $#'#8$&'a =$'>'&a7 E! 2$&a'#2" " $#8a &!a" =$" -a $ !a# 8$"a# 2# "0$"#a# +a*!a !'="8"'&'a &"2" &a-#a $ $#8a '#-!'"$#'#8$&'a7 D'&+a 8$"a 2-. *'$ -a2$8aa +a*!a $! 8$'" a'="#" &"2" -a !-!a $"&'a @-$ !'*$a !$=8'a @-$ $# -a &'8"@-'a (2$#a$" @-2'&") !a !'*$a&'< $ '&+" 2$#a$" @-2'&" $# ="="&'"a! a !a &a8'a $ 8$'" a'="#"7 La !$=8'a !!$a a! +'="8!a2", $#8a $#8-&8-a $! #'#8$2a $0'"#" &"8"!a $! a=$8'8" . a#=$&8"# $!a&'"a"# &" !a $="-&&'<7 E! 8$'" a'="#" 8a2*'> #$$a "8a# +"2"a# (="#8a!a'a#, &'8"@-'a# $8&7)
@-$ $#8 &a=a&'8aa# =aa 2"''&a !a #$#'*'!'a a !a '#-!'a, " #"!" $ $! 8$'" a'="#", #'" 8a2*'> $ "8"# <a"# &"2" $! +a" " $! 2?#&-!"7 Ta2*'> $! a-2$8" $! -2$" $ a'="&'8"# "''a"# =" -a '$#8a $&$#'0a $ &a!"a# ="0"&a - a-2$8" $ !a #$&$&'< $ TNFa (a&8" $ $&"#'# 8-2"a!) 2"!>&-!a @-$ '2='$ !a a&&'< $ !a '#-!'a (!0a$% 3444)7 L%-)"&"$%$: O8" a&8" '2="8a8$ $# !a !'="$$#'# ("2a&'< $ a#a) &"2" &"#$&-$&'a $ -a '$#8a $&$#'0a, !a ="-&&'< $ $&$#" $ &'"# a#"# ="0"&a - $<2$" $"2'a" !'="8"'&'a $ a@-$!!"# <a"# $ !"# &-a!$# #$ $="#'8$ '&+"# &'"# a#"# $-&'$" !a $$&8'0'a $ !a '#-!'a, #' #$ $="#'8a $ $! =&$a#, $#8a !'="8"'&'a =-$$ '2=$' !a #$&$&'< '#-!'a7 La !'="8 !'="8"' "'&' &'a a " $# 2# 2# @-$ $! $#-! $#-!8a 8a" " $ !"# !"# $$&8 $$&8"# "# 8<' 8<'&" &"## $ !a a#a a#a a&-2-!aa a8$ !a '&a=a&'a =aa '#'=a $! $&$#" $ $$a7 E#8$ 8'=" $ 'a*$8$# $#="$ 2-. *'$ a -a =a-8a -8'&'"a!, #'$" $ 2-&+"# &a#"# $! ?'&" 8a8a2'$8" $&$#a'", #' *'$ $# &'$8" @-$ $=$'$" $ !"# a"# $ #$0$'a, a 0$&$# $# $&$#a'" !a 8"2a $ a8''a*>8'&"# "a!$# . $ 2$"# &a#"# #$ $@-'$$ '#-!'a (!0a$% 3444)7 6. Fa! Fa!)r )r"$ "$ (" (" R%"$ R%"$) ):: La D'a*$8$# 8'=" 3 $# 2# $&-$8$ $ #-$8"# &" +'#8"'a a2'!'a $ !a $$2$a, $ #-$8"# &" +'=$8$#'< " '#!'='$2'a . $ a!-"# -="# >8'&"#7 E! '$#" $ $#a"!!a D'a*$8$# 8'=" 3 a-2$8a &": P$'#="#'&'< $>8'&a, @-$ $# a&8'0aa =" a&8"$# a2*'$8a!$# 2"''&a*!$#, &"2" !" #" !a "*$#'a . $! #$$8a'#2", @-$ &"!!$0a ''&'a!2$8$ a! $#a"!!" $! #"2$ 2$8a*8'&"#7 Ea 2a." " '-a! a a1"#7 A!8$a&'< $ !a !-&$2'a $ a.-a# " a!8$a&'< $ 8"!$a&'a a !a !-&"#a '$8''&aa# &" a8$'"'a7 '=$8$#'< 2a." " '-a! a 54;4 22 $ !"# a-!8"#7
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=$0a!$&'a $ $#8a $$2$a $ =$#"a# $ 34 a 6 a1"# $ $a $ !"# =a#$# 2'$2*"# $ !a F$$a&'< I8$a&'"a! $ D'a*$8$# (@-$ $=$#$8a 7 2'!$# $ 2'!!"$# $ +a*'8a8$# $! 2-"), $# $ 7 a!a $&+a, ="&$8a$ @-$ #$ '&$2$8a a 7 =aa $! a1" 3437 E $#8$ "$ $ '$a# Ba" . F$'#8, (3445), 8"2a"# $ Sa!a1a. G-%2 (344) S$1a!a @-$: D$#$ +a&$ a="'2aa2$8$ "0$8a a1"#, !"# =a8"$# $!a D'a*$8$# M$!!'8-# +a &a2*'a" #-#8a&'a!2$8$ $ !"# =a#$# $#a"!!a"#7 M'$8a# @-$ !a =$0a!$&'a $ !a# $$2$a$# a-"'$&&'"#a# +a '#2'-'" $ 2a$a#'''&a8'0a $*'" a !"# a0a&$# $ !a =$0$&'< . $! 8a8a2'$8" $ '&+"# 8a#8""#, a# &"2" $ !"# &a2*'"# "&-'"# $ $! 2"$!" $ #a!- =?*!'&a, $ "8a =a8$, #$ +a ="-&'" - '&$2$8" &"#'$a*!$ $ !a# $"2'aa# $$2$a$# =$0$'*!$#, 8a!$# &"2" $! &&$, !"# 8a#8""# &a'"0a#&-!a$# ., $0'$8$2$8$, !a 'a*$8$# M$!!'8-#, $8$ "8"#7(=753)7 ;ases Legales. Paa !a $a!'%a&'< $ $#8$ $#8-'" #$ 8"2a" $ &"#'$a&'< !a# #'-'$8$# *a#$# !$a!$#:
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T#!+') III; Ca-#!+') II D" 'a I&"$!%a%& "& S"r"$ +*a&)$: Ar!#+') 173: C-a" #$ 0a a $a!'%a -a '0$#8'a&'< &!'&a $ #$$# +-2a"# $*$ 8$$#$ $ &-$8a !"# $!$2$8"# *#'&"# $ !a >8'&a, &""&'2'$8" &'$8'&" . @-$ a8$ 8"" " #$ $*$ a ''&'" #'" +a. #-'&'$8$# =-$*a# $ !a*"a8"'" . $#a." $ a'2a!$# $ $=$'2$8a&'<7
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Ar!#+') 178: E# $*$ $! 2>'&" a! a ''&'" a -a '0$#8'a&'< &'$8'&a '"2a a !a =$#"a #"2$8'a a! 2'#2" $ "2a &!aa . &"&'#a $ &-! $# !a 'a!'a $ !a 2'#2a, !"# '$#"# @-$ +a $ &"$ . $#8a =$#"a a #- 0$% $*$ a =" $#&'8" #- &"#$8'2'$8" $ "2a !'*$, #' '? 8'=" $ =$#'< . $=!'&#$!$ @-$ $ $! 2"2$8" @-$ $#a =$#"a !" $#$$ =-$$ $8'a#$ $! $=$'2$8" #' @-$ $#8" !$ "&a#'"$ '? 8'=" $ ="*!$2a7 E &a#" $ '&a=a&'a !$a! " #'&a, $! &"#$8'2'$8" $*$ "*8$$#$ =" $#&'8" $! $=$#$8a8$ !$a! $! =a&'$8$ . a a!8a $ >#8$, $ #- a2'!'a 2# &$&a" . $#="#a*!$7
Ar!#+') 17: E! 2>8"" @-$ #'2-!8$a2$8$ '2=!'&a '0$#8'a&'< &!'&a . ="&$'2'$8" 8$a=>-8'&", &" !a 'a!'a $ a@-'' -$0"# &""&'2'$8"# 2>'&"#, #-8'&" =aa $! =a&'$8$7
Ar!#+') 117: E &a#"# $ '0$#8'a&'< &!'&a &" '$# &'$8'&"# $ #-$8"# #a"# $# $*$ ='2"'a! $! 2>'&": 57 E$&$ 8"a# !a# 2$'a# 8$'$8$# a ="8$$ !a 0'a . !a #a!- $ !a =$#"a #"2$8'a a! $=$'2$8"7 37 E=!'&a a! #-$8" *a" $=$'2$8a&'<, !a a8-a!$%a, ="=<#'8" . '$#"# $! $=$'2$8" . "*8$$ $ >#8$, =" $#&'8", $! !'*$ &"#$8'2'$8"7 H7 A#-2' " "*#8a8$ $! !'*$ &"#$8'2'$8" $! #-$8", !a $#="#a*'!'a =!$a $! $=$'2$8" @-$ $*$ #$ '8$-2='" $ &-a!@-'$ 2"2$8" $ @-$ $! #-$8" !" #"!'&'8$7
Ar!#+') 11: A- &-a" a !a =$#"a #$ !$ #"!'&'8$ =a8'&'=a $ "2a 0"!-8a'a $ - $=$'2$8" . '2$ $! &"#$8'2'$8" '"2a", " #$ $*$ $a!'%a 2-8'!a&'"$# &" $! ' $ $a!'%a $=$'2$8"#, =-$# #$ 8"2aa &"2" '!$a!$#7
C(%) (" D")&!)')#a M(%a >A-r)a() (+ra&!" 'a LVI r"+&%& "!ra)r(%&ar%a (" 'a A$a*'"a (" 'a F"("ra%& M(%a V"&")'a&a r"a'%a(a "& Caraa$ "' 7;73;185?, "& $+: T#!+') II; Ca-#!+') I. D" ')$ (""r"$ G"&"ra'"$ (" ')$ M(%)$: Ar!#+') 1: E! ='2$ $*$ $! 2>'&" $# $! $#=$8" a !a 0'a . a !a '8$'a $ !a =$#"a &"2" #$ +-2a", . &"2" &"2="$8$# $! *'$$#8a #"&'a! $# ="2"0$, . &"#$0a !a #a!-7
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Ar!#+') 83: La #a!- $# - $$&+" #"&'a!, -a2$8a!, "*!'a&'< $! $#8a", @-$ !" aa8'%a &"2" =a8$ $! $$&+" a !a 0'a7 E! $#8a" ="2"0$ . $#a"!!a ="!8'&a# "'$8aa# a $!$0a !a &a!'a $ 0'a, $! *'$$#8a &"!$&8'0" . $! a&&$#" a !"# #$0'&'"#7 T"a# !a# =$#"a# 8'$$ $$&+" a !a ="8$&&'< $ !a #a!-, a# &"2" $! $*$ $ =a8'&'=a a&8'0a2$8$ $ #- ="2"&'< . $$#a, . $! $ &-2=!' &" !a# 2$'a# #a'8a'a# . $ #a$a2'$8" @-$ $#8a*!$%&a !a !$., $ &""2'a &" !"# 8a8a"# . &"0$'"# '8$a&'"a!$# #-#&'8"# . a8''&a"# =" !a R$=?*!'&a7
Ar!#+') 85: E! $#8a" aa8'%a - =$#-=-$#8" =aa !a #a!- @-$ =$2'8a &-2=!' &" !"# "*$8'0"# $ !a ="!8'&a #a'8a'a7 E &""'a&'< &" !a# -'0$#'a$# . !"# &$8"# $ '0$#8'a&'<, #$ ="2"0$ . $#a"!!a -a ="!8'&a a&'"a! $ "2a&'< $ ="$#'"a!$#, 8>&'&"# . 8>&'&a# . -a '-#8'a a&'"a! $ ="-&&'< $ '#-2"# =aa !a #a!-7 E! $#8a" $-!a !a# '#8'8-&'"$# =?*!'&a# . ='0aa# $ #a!-7
CAPITULO IV: METODOLOGÍA E# $! &"-8" $ a&&'"$# $#8'aa# a $#&'*' . aa!'%a $! "" $! ="*!$2a =!a8$a", a 8a0># $ ="&$'2'$8"# $#=$&'&"# @-$ '&!-.$ !a# 8>&'&a# $ "*#$0a&'< . $&"!$&&'< $ a8"#, $8$2'a" $! “&<2"” #$ $a!'%a $! $#8-'", $#8a 8a$a &"#'#8$ $ +a&$ "=$a8'0a !"# &"&$=8"# . $!$2$8"# $! ="*!$2a @-$ $#8-'a2"#, a! $#=$&8" Ca!"# Sa*'" "# '&$: “E &-a8" a !"# $!$2$8"# @-$ $# $&$#a'" "=$a&'"a!'%a =-$$ '0''#$ $ "# a$# &a2="# @-$ $@-'$$ - 8a8a2'$8" '$$&'a" =" #- ="='a a8-a!$%a: $! -'0$#" . !a# 0a'a*!$#” (=7 55)7
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esultados del pre test.
M+"$!ra -)'a%)&a': 5d544 N%"' (" -ar!%%-a%& 544 PARTICIPANTES PARTE A PARTE B 1 5 5 5 3 6 3 5 5 3 6 6 < 3 8 < 5 3 17 11 5 1 5 13 1 3 1 5 15 5 ;6@? on las pre*untas buenas de onocimiento. ;6@? / on las pre*untas buenas de ctitud.
TOTAL 17 8 8 17 < 11 8 8 1 1 <
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FRECUENCIA
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BIBLIOGRAFIA Ma L-'#, M@-$% L"$a, Sa!a%a T$""*$!'#7 (344) DIABETES MELLITUS EN LOS ESTUDIANTES DE MEDICINA DEL REA CLNICA DE LA UNIVERSIDAD DE ORIENTE NgCLEO ANZOTEGUI ENERO FEBRERO 3447 P-$8" La C-%7 C"#8'8-&'< $ !a R$=?*!'&a B"!'0a'aa $ V$$%-$!a7 (5, H4 $ '&'$2*$)7 Ga&$8a
O'&'a! $ !a R$=?*!'&a7 A2$'&a D'a*$8$# A##"&'a8'"7 (56)7 R$="8 " 8+$ $=$8 &"22'8$$ " 8+$ 'a"#'# . &!a##''&a8'" " D'a*$8$# M$!!'8-#9 34: 55H5567 Aa-&" O7 (5)7 F$&-$&'a $ D'a*$8$# M$!!'8-# . Fa&8"$# $ R'$#" A#"&'a"# $ $! D'#8'8" $ V'!!a7 E! Sa!0a" – L'2a7 T$#'# $ 2a$#8a – UPCTL7 +88=#:;;$#7'K'=$'a7";'K';'K'=$'a:P"8aa
