{"id":117528,"date":"2018-03-11T10:47:08","date_gmt":"2018-03-11T10:47:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/situacion-actual-de-la-diabetes-gestacional-en-el-area-1-de-la-region-de-murcia\/"},"modified":"2018-03-11T10:47:08","modified_gmt":"2018-03-11T10:47:08","slug":"situacion-actual-de-la-diabetes-gestacional-en-el-area-1-de-la-region-de-murcia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/endocrinologia\/situacion-actual-de-la-diabetes-gestacional-en-el-area-1-de-la-region-de-murcia\/","title":{"rendered":"Situaci\u00f3n actual de la diabetes gestacional en el \u00e1rea 1 de la regi\u00f3n de murcia."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Zoila Mar\u00eda Lifante Pedrola <\/strong><\/h2>\n<p>Universidad de murcia. Facultad de enfermer\u00eda tesis doctoral: &quot;situaci\u00f3n actual de la diabetes gestacional en el \u00e1rea 1 de la regi\u00f3n de murcia&quot; autora: d\u00f1a. Zoila mar\u00eda lifante pedrola introducci\u00f3n: la diabetes mellitus gestacional (dmg) es una alteraci\u00f3n de la glucosa que se manifiesta durante el embarazo. El impacto de la dmg afecta tanto a la salud del feto como de la madre. Las mujeres con dmg tienen un riesgo siete veces mayor de desarrollar diabetes mellitus tipo 2, y lo hacen a una edad temprana, lo que incrementa su riesgo de desarrollar complicaciones asociadas a esta enfermedad. Estas mujeres son id\u00f3neas como objeto de intervenciones en cuanto a estilo de vida para retrasar o prevenir el inicio de una diabetes.  objetivo: identificar la poblaci\u00f3n con dmg atendida en el hospital cl\u00ednico universitario virgen de la arrixaca de la regi\u00f3n de murcia (\u00e1rea 1, murcia-oeste), durante los a\u00f1os 2009-2012, y comprobar el registro y revaluaci\u00f3n de dicha poblaci\u00f3n en atenci\u00f3n primaria.  metodolog\u00eda: estudio no experimental, transversal, correlacional retrospectivo y observacional descriptivo simple. La poblaci\u00f3n a estudio fueron las mujeres con diagn\u00f3stico de dmg atendidas en la unidad de diabetes gestacional (udg) del hospital cl\u00ednico universitario virgen de la arrixaca en los a\u00f1os 2009-2012. Se estudiaron las variables edad, semana de gestaci\u00f3n en primera visita a la unidad, tratamiento, registro en historia cl\u00ednica de atenci\u00f3n primaria, y revaluaci\u00f3n postparto. Los datos fueron recogidos del centro regional de estad\u00edstica de murcia y de las historias cl\u00ednicas obtenidas del servicio del \u00e1rea de sistemas de informaci\u00f3n del \u00e1rea 1 (murcia-oeste) arrixaca y del servicio de informaci\u00f3n de la direcci\u00f3n de asistencia sanitaria del servicio murciano de salud. Las variables de estudio se introdujeron en una base de datos, creada a tal efecto, utilizando el programa microsoft office access 2003. Se realiz\u00f3 un an\u00e1lisis descriptivo mediante el c\u00e1lculo de frecuencias y porcentajes para todas las variables. Los datos obtenidos se procesaron utilizando el paquete estad\u00edstico statistical package for the social sciences (spss), versi\u00f3n 22. resultados: en los cuatro a\u00f1os de estudio se confirm\u00f3 el diagnostico de dmg en 650 sobre un total de 12.064 mujeres, encontrando una incidencia del 5,4% (2009: 4,7%; 2010: 5,4%; 2011: 5,5% y 2012: 6,1%). La media de edad de las mujeres fue de 30 5 a\u00f1os, teniendo el 40% de ellas m\u00e1s de 35 a\u00f1os. En la udg, las mujeres fueron atendidas en primera visita en la semana 31 4. Respecto al tratamiento, el 20% de ellas requiri\u00f3 insulina para su control. En atenci\u00f3n primaria ten\u00edan registro en la historia 263 de ellas (40,5%) y solo 63 (9,5%) fueron revaluadas despu\u00e9s del parto. conclusiones: la incidencia de dmg encontrada en nuestra poblaci\u00f3n es ligeramente superior a la descrita en otras \u00e1reas del pa\u00eds, observ\u00e1ndose un aumento progresivo en su detecci\u00f3n a lo largo de los cuatro a\u00f1os de estudio. Las mujeres fueron atendidas en la unidad hospitalaria en la semana 31 de gestaci\u00f3n, m\u00e1s tarde de lo deseable y de lo que est\u00e1 establecido en el protocolo del \u00e1rea. En atenci\u00f3n primaria se detect\u00f3 un bajo registro del diagn\u00f3stico en las historias cl\u00ednicas, y se constat\u00f3 un bajo nivel de la revaluaci\u00f3n postparto. Dada la relevancia de la dmg en la salud materno-fetal, ser\u00eda deseable mejorar las intervenciones de detecci\u00f3n, registro y seguimiento de esta patolog\u00eda de cara al futuro.   abstract &quot;current status of gestational diabetes in area i of the region of murcia&quot;  introduction: gestational diabetes mellitus (gdm) is a glucose alteration that manifests during pregnancy. Gdm has an impact on both foetal and maternal health. Women with gdm have a 7-fold risk of developing type 2 diabetes mellitus and do so at an early age, increasing their risk of developing complications associated with this disorder. These women are an ideal target for lifestyle-related interventions aimed at postponing or preventing the onset of diabetes.  objective: to identify the population with gdm at the hospital cl\u00ednico universitario virgen de la arrixaca of the murcia region (area 1, murcia-west) during the period 2009-2012, and confirming the record and reassessment of this population in primary care.  methods: non-experimental, cross-sectional, retrospective correlational and descriptive observational study. The population analysed were the women with a diagnosis of gdm who attended the gestational diabetes unit (gdu) at hospital cl\u00ednico universitario virgen de la arrixaca during the years 2009-2012. The variables age, week of gestation at first visit to the unit, treatment, register in the primary care medical record, and postpartum reassessment were studied. Data was collected from the regional statistics centre of murcia and from medical records obtained from the information systems area service of arrixaca area 1 (murcia-west) and the information service of the health care direction of the murcia health service. The variables were introduced into a database that was constructed to this effect using the microsoft office access 2003 program. For the descriptive analysis, frequencies and percentages were calculated for all study variables. The data obtained were processed using the statistical package for the social sciences (spss) version 22. results: during the four years of the study, the diagnosis of gdm was confirmed in 650 out of a total of 12,064 women, yielding an incidence of 5.4% (2009: 4.7%; 2010: 5.4%; 2011: 5.5% and 2012: 6.1%). The mean age of the women was 30 5 years, with 40% being over 35 years. In the gdu, women were first seen at week 31 4. Regarding treatment, 20% required insulin for an adequate control. In primary care 263 (40.5%) of them had a relevant register in their medical record, and only 63 (9.5%) were reassessed after childbirth.  conclusions: the incidence of gdm found in our population is somewhat larger than that described in other regions of the country, with a progressive increase in its diagnosis observed throughout the four years of the study. Women were first seen at the unit at week 31 of pregnancy, which is later than would be desirable and what is established in the area&apos;s protocol. In primary care, a low level of registration of the diagnosis in the medical records and a low level of postpartum reassessment were found. Given the relevance of gdm for materno-foetal health, an improvement in the diagnosis, record and follow-up of this disorder would be desirable in the future.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Situaci\u00f3n actual de la diabetes gestacional en el \u00e1rea 1 de la regi\u00f3n de murcia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Situaci\u00f3n actual de la diabetes gestacional en el \u00e1rea 1 de la regi\u00f3n de murcia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Zoila Mar\u00eda Lifante Pedrola <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/05\/2015<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Antonio  Miguel Hernandez Martinez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda jos\u00e9 L\u00f3pez montesinos <\/li>\n<li>M\u00aa concepcion Carratala munuera (vocal)<\/li>\n<li>Francisco Jos\u00e9 Pomares gomez (vocal)<\/li>\n<li>Manuel L\u00f3pez morales (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Zoila Mar\u00eda Lifante Pedrola Universidad de murcia. Facultad de enfermer\u00eda tesis doctoral: &quot;situaci\u00f3n actual de la diabetes [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[851,1086,8235],"tags":[128827,175417,72706,200331,195281,231536],"class_list":["post-117528","post","type-post","status-publish","format-standard","hentry","category-endocrinologia","category-epidemiologia","category-murcia","tag-antonio-miguel-hernandez-Martinez","tag-francisco-jose-pomares-gomez","tag-manuel-lopez-morales","tag-maria-jose-lopez-montesinos","tag-ma-concepcion-carratala-munuera","tag-zoila-maria-lifante-pedrola"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117528","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=117528"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117528\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=117528"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=117528"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=117528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}