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Dissertation presented as the partial requirement for obtaining a Master's degree in Information Management, specialization in Marketing Intelligence Introduction: For most type 2 diabetic patients, the most challenging issue of treatment is knowing what to eat. A healthy and adequate diet, associated with regular physical activity and, in most cases, pharmacotherapy, are the pillars of disease control. To minimise patient noncompliance, the goal is to use Patient Relationship Management (PRM), which allows planning in a systematic and skilled manner, enhancing decision making, as well as delegation and control of tasks. Many hospitals have already recognised the use of the best practice in PRM practices, which has enabled them to deal more effectively and efficiently with the entire healthcare process by responding directly to patients' needs and experiences throughout the assistance process. Objectives: The main objective of this project is to find strategies that support the Win-Win model (patient, institution) to understand the importance of PRM associated with a specific nutritional protocol in adherence to therapy, and whether it is associated with effective health gains. Methodology and Sample: Epidemiological and interventional research study in a convenience sample of all type 2 diabetes outpatients followed in the external diabetes consultation within the time frame established for the study and who agreed to participate and use the proposed tools. The study took place at the Garcia de Orta Hospital, E.P.E., during the period between April and June 2019, in the Diabetes medical appointment. It was used the Statistical Package for Social Sciences (IBM SPSS Statistics), version 21 IBM. The results are considered significant at a 5% significance level. Descriptive statistics were used to evaluate the changes in the different parameters mentioned in the questionnaires, as well as the variation of glycated hemoglobin (HbA1c), weight and BMI. To compare the groups CG and IG we used the Mann-Whitney U test. To compare weight and BMI between the two groups, the independent samples test was used, since the assumption of normality of data in BMI categories is not verified. To compare the parameters between two moments, we used the Wilcoxon test. Results: This study included 62 type 2 diabetes outpatients who were admitted for nutritional therapy through the Endocrinology service in Garcia de Orta Hospital, E.P.E.: 39 men and 23 women, with ages ranging between 32-82 years (51 patients ≥ 50 years old) and a mean age of 59 years (SD=11.18). Patients were randomly divided into two groups using the envelope method: intervention group (IG) and control group (CG). Of the total sample (n = 62), BMI ranged between 21.17 and 48.56 kg/m2, with a mean value of 32 kg/m2. Weight was assessed in 62 patients, ranging from 52-143 kg. It was found a mean HbA1c of 9 ± 0.4g / L, with values ranging from 5.6 to 13.9 g/L. Regarding groups evolution, after six weeks, the CG between T0 and T2 had a variation between 3-6% of their BMI, variation between a 9% loss in body weight and a 6% increase of their weight and a variation between a 3.2g/L decrease and a 2g/L increase in HbA1c. For the IG, the BMI between T0 and T2 had a variation between 1-9%, all patients lost a total of weight ranging from 1-9% and none of the patients had an increase in HbA1c value. The decrease in this value ranged from 0-7 g/L. Conclusions: The use of a nutritional protocol that combines a regular and adapted nutritional therapy, accompanied by a digital tool, boosted health gains in the group of diabetics who had this follow-up. |
