Correlación entre la funcionalidad familiar y el control glucémico de la diabetes mellitus tipo 2 en el primer nivel de atención

Introduction: Family dysfunction has been correlated with the metabolic control of patients with DM2, and for this reason it is important to investigate this relationship in order to provide integral attention. Objective: To determine the correlation between the family functionality profile and the glucemic control of the type 2 DM patient at the first level of attention. Methodology: A correlational study of diabetic patients who use out-patient services of the #9,13 and 16 Family Medicine Units of the IMSS( from its initials in Spanish), Queretaro division, from April to December, 2011. 88 patients were studied of different ages and sexes who had laboratory test in the last six months and who accepted participation in the study. They were equally distributed among the units, selected in a simple probabilistic aleatory manner from out-patients. Socio-demographic and family functionality variables, as well as glycosylated hemoglobin and glucose values were studied. The Emma Espejel test was used to measure family functionality. Analysis was done with descriptive statistics and the Pearson test was used whit a confidence level of 95%. Results: 88 patients were studied whit an average age of 60.57 ± 11.7 years (33-88), females predominated 66%, elementary school education 33%; married 68% and housewives 44%. The evolution average for a history of diabetes mellitus was 10.8 ± 8.8 years (1-42). 78% had co-morbidity, 41% due to arterial hypertension. The average glucose was 155.96 ± 64.16 mg/dl (57-465), glycosylated hemoglobin 8.03 ± 1.91% (5.7-16.9). Global dysfunction 76%, especially in the authority indicators (71%), control (70%), affect (51%), support (88%), communication (85%) and negative affect (75%). Upon correlating the areas globally and individually, no correlation with the Pearson index was noted -0.55 (p=0.614) for glucose and for gluycosylated hemoglobin the Pearson index was -0.179 (p=0.95). Conclusions: No correlation was found between family functionality and glucose and glycosylated hemoglobin values.