Actitudes y barreras percibidas para la asistencia a controles médicos en pacientes con diabetes mellitus tipo 2 atendidos en el Instituto Nacional del Diabético de Tegucigalpa, del 10 de febrero al 06 de marzo de 2026
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Date
2026-06-06
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Centro Universitario Tecnológico CEUTEC
Abstract
La presente investigación se desarrolló con el propósito de analizar las actitudes y barreras percibidas para la asistencia a controles médicos en pacientes con diabetes mellitus tipo 2 atendidos en el Instituto Nacional del Diabético (INADI) de Tegucigalpa, durante el primer trimestre del año 2026. La finalidad del estudio fue generar evidencia científica que permitiera comprender los factores psicosociales que interrumpen la continuidad del tratamiento y fundamentar estrategias institucionales para mejorar la adherencia clínica. El proceso metodológico se basó en un enfoque cuantitativo, con un diseño descriptivo y de corte transversal, mediante la aplicación de cuestionarios estructurados a una muestra de 377 pacientes adultos. Los resultados más relevantes evidenciaron una contradicción conductual: aunque el 81.9% de los participantes mostró una actitud positiva hacia la importancia del control médico, se identificaron barreras críticas como el miedo a resultados desfavorables (62.8%), los altos costos de exámenes complementarios y la deficiente comprensión de la información clínica (34.2%). Se concluyó que la asistencia regular no dependió únicamente de la voluntad del paciente, sino de una fractura en el control conductual provocada por factores logísticos, emocionales y económicos del entorno hospitalario. Como recomendación principal, se estableció la necesidad de que el INADI implemente un modelo de gestión centrado en la persona, que simplifique los trámites administrativos, mejore el subsidio de servicios de
This research was developed with the purpose of analyzing the perceived attitudes and barriers to medical appointment attendance in patients with type 2 diabetes mellitus treated at the National Diabetes Institute (INADI) in Tegucigalpa during the first quarter of 2026. The aim of the study was to generate scientific evidence to understand the psychosocial factors that disrupt treatment continuity and to provide a basis for institutional strategies to improve clinical adherence. The methodological process was based on a quantitative approach, with a descriptive and crosssectional design, through the application of structured questionnaires to a sample of 377 adult patients. The most relevant results evidenced a behavioral contradiction: although 81.9% of participants showed a positive attitude toward the importance of medical control, critical barriers were identified, such as fear of unfavorable results (62.8%), high costs of complementary exams, and poor understanding of clinical information (34.2%). It was concluded that regular attendance did not depend solely on the patient's will, but on a fracture in behavioral control caused by logistical, emotional, and economic factors in the hospital environment. As a primary recommendation, it was established that INADI should implement a person-centered management model that simplifies administrative procedures, improves the subsidizing of critical diagnostic services, and strengthens health literacy through more empathetic and accessible medical communication.
This research was developed with the purpose of analyzing the perceived attitudes and barriers to medical appointment attendance in patients with type 2 diabetes mellitus treated at the National Diabetes Institute (INADI) in Tegucigalpa during the first quarter of 2026. The aim of the study was to generate scientific evidence to understand the psychosocial factors that disrupt treatment continuity and to provide a basis for institutional strategies to improve clinical adherence. The methodological process was based on a quantitative approach, with a descriptive and crosssectional design, through the application of structured questionnaires to a sample of 377 adult patients. The most relevant results evidenced a behavioral contradiction: although 81.9% of participants showed a positive attitude toward the importance of medical control, critical barriers were identified, such as fear of unfavorable results (62.8%), high costs of complementary exams, and poor understanding of clinical information (34.2%). It was concluded that regular attendance did not depend solely on the patient's will, but on a fracture in behavioral control caused by logistical, emotional, and economic factors in the hospital environment. As a primary recommendation, it was established that INADI should implement a person-centered management model that simplifies administrative procedures, improves the subsidizing of critical diagnostic services, and strengthens health literacy through more empathetic and accessible medical communication.
Keywords
Actitudes del Paciente, Asistencia a Controles Médicos, Barreras Percibidas, Diabetes Mellitus Tipo 2, Seguimiento Clínico