出版社：Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia
摘要：Objective To evaluate the effect of a participative educational intervention on the clinical competence of Mexican family physicians regarding the nutritional management of patients with diabetes mellitus Type 2.Materials and Methods Quasi-experimental study with a before-and-after control group.Convenience sample included 60 family physicians distributed in two social security primary health care units, randomly selected: 30 in the "A" unit and 30 in the "B" unit.Unit "A" was assigned randomly as control group, and "B" unit as intervention group.The intervention consisted of a theoretical-practical course-workshop that lasted six months where real cases were discussed and solved.Clinical competence was evaluated by means of an instrument designed ex professo, with a maximum theoretical value of 100 and 94% reliability according to the Kuder-Richardson test.Medians of clinical competence were compared among groups, before and after intervention, using the Mann-Whitney U test, while frequencies distribution of clinical competence level were analyzed with the Kolmogorov-Smirnov test (p≤0.05).Results 0.05), although they were observed pos-intervention (p≤0.05).Conclusions The educational intervention evaluated proved to improve, in a statistically significant way, the overall and by dimensions clinical competence level of Mexican family physicians for nutritional management of patients with diabetes mellitus type 2.
关键词：Atención primaria de salud;diabetes mellitus tipo 2;dietoterapia;educación médica;competencia clínica;estudios controlados antes y después (fuente: DeCS; BIREME)
其他关键词：Primary health care;diabetes mellitus; type 2;diet therapy;education; medical;clinical competence;controlled before-after studies (source: MeSH; NLM)
