DIFICULTADES EN LOS CUIDADOS DE LAS PERSONAS CON ENFERMEDADES CRÓNICAS DIABETES MELLITUS TIPO 2: ESTADO DE LA CUESTIÓN.

The World Health Organization (WHO) estimates that one in 20 deaths worldwide is attributable to diabetes. Chronic diseases are the main causes of disability and dependence in the medium and long term. This study aims to identify the scientific evidence on factors influencing adherence to treatment, care and self-care in people with type 2 diabetes mellitus. It is a qualitative documentary research from a hermeneutic methodological approach. Fifty-two relevant documents in Spanish and English were considered for this study. Chronic diseases and type 2 diabetes mellitus were considered as categories for analysis, with five dimensions: adherence to treatment, care and selfcare, social inequalities and inequity, psychosocial factors and social vulnerability. Through the study and documentary analysis it has been found that adherence to treatment, care and self-care are influenced by multiple factors: individual, family, socioeconomic, environmental, ..., gratly hinder the control of chronic diseases. Despite this evidence, it is necessary to initiate new research from the approach of social vulnerability, which would help to look after people according to their social reality. This research gap allows the author to initiate the elaboration and scientific validation of a self-administered questionnaire which measures individual social vulnerability in people with type 2 diabetes mellitus. [ABSTRACT FROM AUTHOR]