CRITIQUE OF LITERATURE REVIEW

Critique of Literature Review

Critique of Literature Review

Type 2 Diabetic Patients' Experiences of Two Different Educational Approaches—A Qualitative Study

Critique

This article focuses on qualitative research on Diabetes mellitus type 2 represents a public health problem is not unique to developing countries, this disease by its signs of chronicity, causes damage not only physical, but mental health concerns who suffers. It has documented a high prevalence of chronically ill psycho disorders, Lustman points out that the person with diabetes can develop virtually any psychiatric syndrome due to factors related to the disease as chronic stress, the demand for self-care and treatment of complications. The most common disorder is depression; people with diabetes have twice the risk of, in addition to being associated with, uncontrolled metabolic, poor adherence to treatment and diminished quality of life.

The difficult aspects of metabolic control conditions that require active patient participation where the affective-emotional state may be the limiting or support to stay motivated. Some studies suggest the need to consider psychosocial aspects of health promotion and education strategies, particularly vulnerable groups such as adults with type 2 diabetes. The implications of psychosocial factors in diabetes, traditionally serves patients from the biomedical point of view in primary care, hence, little is explored frequency psychosocial factors are by their nature, can hinder treatment and disease control. As ethical aspects are considered the patient's consent to participate and where they were in conditions requiring specialized care, family doctor was informed for shipment to the appropriate service level (Sally, 2006).

Prior to the study, were tested in a clinical instrument with similar characteristics and seniors trained psychology degree responsible for assessing the status of the patients' psycho. Similar to other populations, the sample was characterized by the high percentage of women, uncontrolled blood glucose, 10 years of diagnosis, home occupation, marital status or married couple, old fifth decade of life and low schooling. The medium to low self-esteem recorded coincided with that reported by other studies that report that with chronic illness, poor self-esteem, about a Japanese study reported that patients with inadequate glycemic control at 2 years had feelings of inferiority, low activity and isolation, and emotional care is more demand than those who had better glycemic control.

On the other hand, high depressive symptoms were identified, confirming previous findings, since it has been found that depression in diabetes is a prevalent chronic condition. Its etiology is not well known but is probably complex, where biological, genetic and psychosocial potentially contribute, on the other hand, neuroendocrine and neurotransmitter abnormalities common to diabetes and depression have been identified, which is added to the etiological speculation diabetes. The highest stress was found in approximately one third of the population speaks a problem that not only reduces the ability to adhere to treatment, but according to Biorntorp, stress is capable of increasing adiposity abdominal visceral, thus has a greater resistance to insulin and increased secretion of glucose, mainly due to high levels of cortisol, also, the percentage of external locus of control talks ...