Gómez PO, Ortíz SY, Martínez SHF, Guerrero BY, Plá MO

Language: English
References: 15
Page:
PDF size: 193.96 Kb.

ABSTRACT

Introduction: non-adherence to properly prescribed medications compromises the effectiveness of available treatments, interfers patient´s recovery and represents a considerable expense for the national health system.
Objective: to determine the factors that influence adherence to treatment in patients diagnosed with peptic ulcer.
Methods: a prospective observational analytical study was carried out in the health area of ​​Bayamo municipality between July 2018 and April 2019. The data were obtained in a collection form, which was completed by individual medical interview with each patient. The Chi-square test was used to establish the relationship between therapeutic adherence and independent variables.
Results: only 51 out of 177 patients included presented therapeutic adherence (28.8%). Male sex, rural residence, school level and occupation influenced the patient's attachment to treatment, while age was not decisive. Moderate knowledge about the disease, inadequate performance of non-pharmacological and pharmacological measures affected non-adherence. The complexity of the prescribed medical plan, frequent adverse reactions, relative availability and the cost of the drugs were the factors that led to poor medication adherence. Doctor´s role was not conclusive, as it was reflected in the variables analyzed on this regard, such as medical guidelines, follow-up and the doctor-patient relationship.
Conclusions: there was a low adherence to drugs in the compliance of the therapy prescribed in patients with peptic ulcer.

REFERENCES

1. Coste Murillo P, Hernández de Mezerville V. Actualización en enfermedad ácido péptica. Rev Clin Esc Med. 2015;5(1):11-8.

2. Satoh K, Yoshino J, Akamatsu T, Itoh T, Kato M, et al. Evidence-based clinical practice guidelines for peptic ulcer disease 2015. J Gastroenterol. 2016; 51(3):177-94.

3. Chung CS, Chiang TH, Lee YC. A systematic approach for the diagnosis and treatment of idiopathic peptic ulcers. Korean J Intern Med. 2015;30(5):559-70.

4. Zeber JE, Manias E, Williams AF, Hutchins D, Udezi WA, Roberts CS, et al. ISPOR Medication Adherence Good Research Practices Working Group. A systematic literature review of psychosocial and behavioral factors associated with initial medication adherence: a report of the ISPOR medication adherence & persistence special interest group. Value Health. 2013; 16(5):891-900.

5. Ramos Morales LE. La adherencia al tratamiento en las enfermedades crónicas. Rev Cubana Angiol Cir Vasc. 2015; 16(2): 175-89.

6. Martín Alfonso L de los Á, Grau Ábalo JA, Espinosa Brito AD. Marco conceptual para la evaluación y mejora de la adherencia a los tratamientos médicos en enfermedades crónicas. Rev Cubana Salud Pública . 2014; 40(2): 222-35.

7. Pagès Puigdemont N, Valverde Merino MI. Adherencia terapéutica: factores modificadores y estrategias de mejora. Ars Pharm. 2018; 59 (4): 251-8.

8. López Romero LA, Romero Guevara SL, Parra DI, Rojas Sánchez LZ. Adherencia al tratamiento: concepto y medición. Rev Hacia la Promoción de la Salud. 2016;21(1):117-37.

9. Van Heuckelum M, Van den Ende CHM, Houterman AEJ, Heemskerk CPM, Van Dulmen S, Van den Bemt BJF. The effect of electronic monitoring feedback on medication adherence and clinical outcomes: A systematic review. PLoS One. 2017; 12(10):e0185453-e10.

10. Caballero Suárez NP, Pérez Sánchez IN, Herrera Cornejo MA, Antonio Manrique M, Sánchez Sosa JJ. Efectos de una intervención cognitivo-conductual sobre la adhesión terapéutica y regulación emocional en pacientes con enfermedades gastrointestinales. Psicología y Salud. 2012 (2): 257-73.

11. Forero Villalobos J, Hurtado Castillo Y, Barrios Araya S. Factores que influyen en la adherencia al tratamiento del paciente en diálisis peritoneal. Enferm Nefrol. 2017; 20(2): 149-57.

12. Ramos Rangel Y, Morejón Suárez R, Gómez Valdivia M, Reina Suárez M, Rangel Díaz C, Cabrera Macías Y. Adherencia terapéutica en pacientes con diabetes mellitus tipo 2. Rev Finlay. 2017; 7(2): 89-98.

13. Ruiz Lurdury RA, Torres Torres LI, Velandia Novoa KL. Relación médico-paciente y adherencia al tratamiento. Ciencia y Humanismo en la Salud. 2017; 4(1):29-37.

14. Sánchez Cruz JF, Hipólito Lóenzo A, Mugártegui Sánchez SG, Yáñez González RM. Estrés y depresión asociados a la no adherencia al tratamiento en pacientes con Diabetes Mellitus tipo 2. Aten Fam. 2016;23(2):43-7.

15. Oviedo Ramírez S, Viart Almeida C, Chávez Vega R. Adherencia terapéutica en pacientes hipertensos o diabéticos ingresados en el Hospital Clínico Quirúrgico Joaquín Albarrán. Progaleno. 2020; 3(2):66-75.