Riesgo ecológico para desarrollar Diabetes Mellitus tipo 2: derivación de una teoría de rango medio

Natalia Ramírez-Girón; Esther Gallegos-Cabriales; Bertha Cecilia Salazar-Gonzalez

Natalia Ramírez-Girón Facultad de Enfermería. Universidad Autónoma de Nuevo León. Monterrey, México.
Esther Gallegos-Cabriales Facultad de Enfermería. Universidad Autónoma de Nuevo León. Monterrey, México.
Bertha Cecilia Salazar-Gonzalez Facultad de Enfermería. Universidad Autónoma de Nuevo León. Monterrey, México

Palabras clave: Riesgo, Diabetes Mellitus tipo 2, Teoría, Enfermería

Key-words: Risk, Type 2 Diabetes Mellitus, Theory, Nursing

Resumen

Objetivo: Describir la teoría de rango medio (TRM) “Riesgo ecológico para desarrollar Diabetes Mellitus Tipo 2”. Metodología: Se aplicó la estrategia “derivación teórica” por Walker y Avant a partir del Modelo Ecológico para la Promoción de la Salud. Resultados: La teoría explica los factores individuales y del entorno involucrados en el riesgo de desarrollar Diabetes Mellitus tipo 2 (DMT2). Conclusión: Existen en la literatura factores más allá del ámbito individual que influyen en las conductas de riesgo para desarrollar DMT2. Estos factores se pueden estructurar por medio del desarrollo de una TRM para facilitar la comprensión teórica del fenómeno. En este caso, la TRM se derivó del Modelo Ecológico para la Promoción de la Salud y permitió abordar el riesgo de desarrollar DMT2 desde una perspectiva ecológica.

Abstract

Aim: To describe the theory of mid-range (TRM) "Ecological risk to develop Type 2 Diabetes Mellitus". Methodology: The "theoretical derivation" strategy proposed by Walker y Avant was applied starting from the Ecological Model for the Promotion of Health. Results: The theory explains the individual and environmental factors involved in the risk of developing Type 2 Diabetes Mellitus (DMT2). Conclusion: There are factors in the literature beyond the individual scope that influence risk behaviors to develop DMT2. These factors can be structured through the development of a TRM to facilitate the theoretical understanding of the phenomenon. In this case, the TRM was derived from the Ecological Model for Health Promotion and allowed addressing the risk of developing DMT2 from an ecological perspective.

Bibliografía

1. Im EO. Theory development strategies for middle range theories. Advances in Nursing Science 2018; 41(3):275-292.
2. American Diabetes Association. Standards of medical care in diabetes. Diabetes Care 2019; 40 (Suplemento 1): s8-s9. Disponible en: http://care.diabetesjournals.org/content/42/Supple ment_1/S1 [acceso: 15/02/2019].
3. Federacion Internacional de Diabetes. Atla de la Diabetes de la FID 2017. Bruselas: International Diabetes Federation. Disponible en https://www. idf.org/e-library/epidemiology-research/diabetes-atlas.html [acceso: 8/10/2018].
4. Instituto Nacional de Salud Pública INSP. Encuesta Nacional de Salud y Nutrición de medio camino. 2016. (C.O.Abúndez, Ed.) Cuernavaca, Morelos, México. Disponible en https://www.gob. mx/cms/uploads/attachment/file/209093/ENSANU T.pdf [acceso: 8/1/2019].
5. Rojas-Martínez R, Basto-Abreu A, Aguilar-Salinas CA, Zárate-Rojas E, Villalpando S, Barrientos-Gutiérrez T. Prevalencia de diabetes por diagnóstico médico previo en México. Salud Pública de México 2018; 60(1):224-232.
6. Centro Nacional de Programas Preventivos y Control de Enfermedades, Programa de acción especifico: prevención y control de la diabetes mellitus 2012. Nuevo León: Secretaría de Salud. Disponible en http://www.cenaprece.salud.gob.mx/ descargas/pdf/PAE_PrevencionControlDiabetesMe llitus2013_2018.pdf [acceso: 01/01/2019].
7. DiBonaventura MD, Meincke H, Le Lay A, Fournier J, Bakker E, Ehrenreich A. Obesity in Mexico: prevalence, comorbidities, associations with patient outcomes, and treatment expe-riences. Diabetes, metabolic syndrome and obesity: targets and therapy 2017;11:1-10.
8. Dimova ED, Mohan ARM, Swanson V, Evans JMM. Interventions for prevention of type 2 diabetes in relatives: A systematic review. Primary care diabetes 2017; 11(4):313-326
9. Alouki K, Delisle H, Bermúdez-Tamayo C, Johri M. Lifestyle Interventions to Prevent Type 2 Diabetes: A Systematic Review of Economic Evaluation Studies. Journal of diabetes research 2016; 2016:2159890.
10. McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Education Quarterly 1988; 15(4):351-377.
11. Walker LO, Avant KC. Strategies for Theory Construction in Nursing (Quinta ed.). Texas: Prentice Hall, 2011.
12. DeFronzo RA. From the triumvirate to the ominous octet: a new paradigm for the treatment of type 2 diabetes mellitus. Diabetes 2009; 58(4):773-795.
13. Al-Saeed AH, Constantino MI, Molyneaux L, D'Souza M, Limacher-Gisler F, Luo C, Wu T, Twigg SM, Yue DK, Wong J. An Inverse Relationship Between Age of Type 2 Diabetes Onset and Complication Risk and Mortality: The Impact of Youth-Onset Type 2 Diabetes. Diabetes Care 2016; 39(5):823-829.
14. Centro de Control de Enfermedades. Awareness of prediabetes-United States, 2005-2010. Morbidity and Mortality Weekly Report 2013; 62(11):209-212. Disponible en https://www.cdc.gov/mmwr/preview/ mmwrhtml/mm6211a4.htm [acceso: 8/12/2018].
15. Kahl KG, Schweiger U, Correll C, Müller C, Busch M-L, Bauer M, Schwarz P. Depression, anxiety disorders, and metabolic syndrome in a population at risk for type 2 diabetes mellitus. Brain and Behavior 2015; 5(3):e00306.
16. Mamtani M, Kulkarni H, Dyer TD, Almasy L, Mahaney MC, Duggirala R, Curran J E. Waist circumference is genetically correlated with incident Type 2 diabetes in Mexican-American families. Diabetic Medicine: a Journal of the British Diabetic Association 2014; 31(1):31-35.
17. Meiloud G, Arfa I, Kefi R, Abdelhamid I, Veten F, Lasram K, Houmeida AO. Type 2 diabetes in Mauritania: prevalence of the undiagnosed diabetes, influence of family history and maternal effect. Primary care diabetes 2013; 7(1):19-24.
18. Rivera LA, Lebenbaum M, Rosella LC. The influence of socioeconomic status on future risk for developing Type 2 diabetes in the Canadian popula-tion between 2011 and 2022: differential associa-tions by sex. International Journal for Equity in Health 2015;14: 101.
19. Shah LL, Perkhounkova Y, Daack-Hirsch S. Evaluation of the Perception of Risk Factors for Type 2 Diabetes Instrument in an At-Risk, Nondia-betic Population. Journal of Nursing Measurement 2016; 24(2):83-100.
20. Wang KW, Shu ZK, Cai L, Wu JQ, Wei W. Assessment of the magnitude of contextual and individual demographic effects on diabetes mellitus and glucose intolerance in rural Southwest China: a multilevel analysis. PLoS One 2013; 8(7):e68553.
21. Wang C, Yatsuya H, Tamakoshi K, Toyoshima H, Wada K, Li Y, et al. Association between parental history of diabetes and the incidence of type 2 diabetes mellitus differs according to the sex of the parent and offspring's body weight: A finding from a Japanese worksite-based cohort study. Preventive Medicine 2015; 81:49-53.
22. Yan F, Cha E, Lee ET, Mayberry RM, Wang W, Umpierrez G. A Self-assessment Tool for Screening Young Adults at Risk of Type 2 Diabetes Using Strong Heart Family Study Data. The Diabetes Educator 2016; 42(5):607-617.
23. Zhuo X, Zhang P, Hoerger TJ. Lifetime direct medical costs of treating type 2 diabetes and diabetic complications. American Journal of Preventive Medicine 2013; 45(3):253-261.
24. Yoon U, Kwok LL, Magkidis A. Efficacy of lifestyle interventions in reducing diabetes incidence in patients with impaired glucose tolerance: a systematic review of randomized controlled trials. Metabolism 2013; 62(2):303-314.
25. Dunkley AJ, Bodicoat DH, Greaves CJ, Russell C, Yates T, Davies MJ, Khunti, K. Diabetes preven-tion in the real world: effectiveness of pragmatic lifestyle interventions for the prevention of type 2 diabetes and of the impact of adherence to guideline recommendations: a systematic review and meta-analysis. Diabetes Care 2014; 37(4):922-933.
26. Simmons LA, Wolever RQ, Bechard EM, Snyderman R. Patient engagement as a risk factor in personalized health care: a systematic review of the literature on chronic disease. Genome Medicine 2014; 6(2):16.
27. Altevers J, Lukaschek K, Baumert J, Kruse J, Meisinger C, Emeny RT, Ladwig KH. Poor struc-tural social support is associated with an increased risk of Type 2 diabetes mellitus: findings from the MONICA/KORA Augsburg cohort study. British Diabetic Association 2016; 33(1):47-54.
28. Kivimaki M, Virtanen M, Kawachi I, Nyberg ST, Alfredsson L, Batty GD, Jokela M, et al. Long working hours, socioeconomic status, and the risk of incident type 2 diabetes: a meta-analysis of published and unpublished data from 222120 individuals. The Lancet. Diabetes & Endocrinology 2015; 3(1):27-34.
29. Nyberg ST, Fransson EI, Heikkila K, Ahola K, Alfredsson L, Bjorner JB, Kivimaki M. Job strain as a risk factor for type 2 diabetes: a pooled analysis of 124,808 men and women. Diabetes Care 2014; 37(8): 2268-2275.
30. Shan Z, Ma H, Xie M, Yan P, Guo Y, Bao W, Liu L. Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies. Diabetes Care 2015; 38(3):529-537.
31. Christine PJ, Auchincloss AH, Bertoni AG, Carnethon MR, Sanchez BN, Moore K, Diez Roux AV. Longitudinal Associations Between Neighbor-hood Physical and Social Environments and Incident Type 2 Diabetes Mellitus: The Multi-Ethnic Study of Atherosclerosis. JAMA Internal Medicine 2015; 175(8):1311-1320.
32. Clark CR, Ommerborn MJ, Hickson DA, Grooms KN, Sims M, Taylor HA, Albert MA. Neighborhood Disadvantage, Neighborhood Safety and Cardiometabolic Risk Factors in African Amer-icans: Biosocial Associations in the Jackson Heart Study. PloS ONE 2013; 8(5): e63254.
33. Dalton AM, Jones AP, Sharp SJ, Cooper AJ, Griffin S, Wareham NJ. Residential neighbourhood greenspace is associated with reduced risk of incident diabetes in older people: a prospective cohort study. BMC Public Health 2016; 16(1):1-10.
34. Fawcett J. Analysis and evaluation of contemporary nursing knowledge: nursing models and theories. Philadelphia: FA Davis Company, 2005.
35. Peterson S, Bredow T. Middle range theories. Application to nursing research. Philadephia: Wolters Kluwer. Lippincott Williams and Wilkins, 2009.
36. Sousa VD, Zauszniewski JA. Toward a Theory of Diabetes Self-Care Management. Journal of Theory Construction & Testing 2005; 9(2): 61-72.
37. Fearon-Lynch JA, Stover CM. A Middle-Range Theory for Diabetes Self-management Mastery. ANS Advances in Nursing Science 2015; 38(4):330-346.
38 Riegel B, Jaarsma T, Strömberg A. A middle-range theory of self-care of chronic ill-ness. Advances in Nursing Science 2012; 35(3):194-204.
39. Pickett S, Peters RM, Jarosz PA. Toward a middle–range theory of weight manage-ment. Nursing Science Quarterly 2014; 27(3):242-247.
40. Whittemore R, Roy SC. Adapting to diabetes mellitus: a theory synthesis. Nursing Science Quar-terly 2002; 15(4):311-317.
41. Guzmán Facundo FR, Herrera Paredes JM, Trujillo Martínez MP, Juárez Medina LL, Candia Arredondo JS. Derivación de un modelo de resilien-cia para el no consumo de alcohol en escolares. Index Enfermería 2018; 27(1-2): 57-1.

Biografía del autor/a

Natalia Ramírez-Girón, Facultad de Enfermería. Universidad Autónoma de Nuevo León. Monterrey, México.

Estudiante de Doctorado en Ciencias de Enfermería de la Universidad Autónoma de Nuevo León, México. Maestra en Enfermería de la Benemérita Universidad Autónoma de Puebla, México. Licencida en Enfermería por la Universidad del Quindío, Colombia.

Esther Gallegos-Cabriales, Facultad de Enfermería. Universidad Autónoma de Nuevo León. Monterrey, México.

Doctora en Ciencias de Enfermería de la Wayne StateUniversity-College of Nursing, Michigan, Estados Unidos. Actualmente profesora e Investigadora de la Facultad de Enfermería de la Universidad Autónoma de Nuevo León, México. Miembro del Sistema Nacional de Investigadores.

Bertha Cecilia Salazar-Gonzalez, Facultad de Enfermería. Universidad Autónoma de Nuevo León. Monterrey, México