Actitudes de los médicos de familia ante la insulinización de diabéticos tipo 2 / Family physician attitudes towards insulinization in type II diabetics

Objetivo: Determinar las actitudes de los médicos de familia del Área Sanitaria de Toledo ante el inicio de la insulinización en pacientes con diabetes mellitus tipo 2 (DM2). Material y métodos: Estudio observacional, descriptivo, transversal, mediante encuesta elaborada ad hoc con datos sociodemográficos y laborales, e inclusión de la versión española del cuestionario Diabetes Attitude Scale (DAS-3sp) para evaluar actitudes y motivaciones relacionadas con la diabetes, enviada a 353 médicos de familia del Área Sanitaria de Toledo. Resultados: Se recibieron 66 encuestas, siendo mujeres el 50,8%, con una edad media (± desviación estándar) de 49,97 ± 7,40 años. Los resultados en las diferentes subescalas (valores de 1 a 5) del DAS-3sp fueron, respectivamente: S1 (necesidad de entrenamiento especial): 4,52 ± 0,38; S2 (percepción de gravedad): 4,18 ± 0,42; S3 (valoración del control estricto): 4,15 ± 0,39; S4 (valoración del impacto psicosocial): 3,79 ± 0,48, y S5 (autonomía del paciente): 3,72 ± 0,55. No se obtuvieron diferencias estadísticamente significativas al comparar las 4 primeras subescalas con el sexo, la formación vía MIR, el ser tutor de residentes, el tipo de contrato o la ubicación de la consulta. Se encontraron diferencias en la subescala S5 por sexo (3,90 ± 0,60 en varones vs 3,54 ± 0,45 en mujeres; t = 2,701; p = 0,009) y por ser tutor de residentes (3,99 ± 0,58 frente a 3,64 ± 0,52 de los no tutores; t = 2,188; p = 0,033). Conclusiones: Entre los médicos de familia del Área Sanitaria de Toledo, las actitudes con respecto al inicio del tratamiento con insulina en pacientes con DM2 son positivas, especialmente en lo referido a los aspectos clínicos, siendo menor en los aspectos más relacionados con el impacto psicosocial en el paciente y su autonomía (AU)

Aim: To determine the attitudes of Toledo Health Area family physicians about starting insulinization in type 2 diabetic patients. Materials and methods: Descriptive, cross-sectional study. A self-completed questionnaire was given to 353 family physicians of the Toledo Health Area, asking about socio-demographic and occupational data, and including the Spanish version of the Diabetes Attitude Scale (DAS-3sp) questionnaire to evaluate attitudes and motivations related to diabetes. Results: A total of 66 responses were received, of which 50.8% were from females. Mean age (± standard deviation) was 49.97 ± 7.40. Results of the different DAS-3sp subscales (values from 1 to 5) were: S1 (need for special training): 4.52 ± 0.38; S2 (seriousness of type 2 diabetes): 4.18 ± 0.42; S3 (value of tight control): 4.15 ± 0.39; S4 (psychosocial impact of diabetes): 3.79±0.48; and S5 (need for patient autonomy): 3.72 ± 0.55. No statistically significant differences were obtained with the four first subscales with sex, specialized training, being a resident tutor, type of contract or clinical setting. There were statistically significant differences in S5 compared with sex (3.90±0,60 in men vs 3.54 ± 0.45 in women; t = 2.701; P = .009) and with being a resident tutor (3.99±0.58 vs 3.64±0.52 in non-tutors; t = 2.188; P = .033). Conclusions: The attitudes regarding starting insulin treatment in type 2 diabetic patients are positives among Toledo Health Area family physicians, specially in the clinical aspects, but they are lower in the psychosocial impact and patient autonomy (AU)

[Family physician attitudes towards insulinization in type II diabetics]. / Actitudes de los médicos de familia ante la insulinización de diabéticos tipo 2.

AIM: To determine the attitudes of Toledo Health Area family physicians about starting insulinization in type 2 diabetic patients. MATERIALS AND METHODS: Descriptive, cross-sectional study. A self-completed questionnaire was given to 353 family physicians of the Toledo Health Area, asking about socio-demographic and occupational data, and including the Spanish version of the Diabetes Attitude Scale (DAS-3sp) questionnaire to evaluate attitudes and motivations related to diabetes. RESULTS: A total of 66 responses were received, of which 50.8% were from females. Mean age (±standard deviation) was 49.97±7.40. Results of the different DAS-3sp subscales (values from 1 to 5) were: S1 (need for special training): 4.52±0.38; S2 (seriousness of type2 diabetes): 4.18±0.42; S3 (value of tight control): 4.15±0.39; S4 (psychosocial impact of diabetes): 3.79±0.48; and S5 (need for patient autonomy): 3.72±0.55. No statistically significant differences were obtained with the four first subscales with sex, specialized training, being a resident tutor, type of contract or clinical setting. There were statistically significant differences in S5 compared with sex (3.90±0,60 in men vs 3.54±0.45 in women; t=2.701; P=.009) and with being a resident tutor (3.99±0.58 vs 3.64±0.52 in non-tutors; t=2.188; P=.033). CONCLUSIONS: The attitudes regarding starting insulin treatment in type2 diabetic patients are positives among Toledo Health Area family physicians, specially in the clinical aspects, but they are lower in the psychosocial impact and patient autonomy.