2017, Number 3
Rev Cubana Med Gen Integr 2017; 33 (3)
Therapeutic adherence in patient with noncommunicable chronic diseases
Mora MGR, Verdecia TK, Rodríguez VTM, del Pino BN, Guerra CC
Language: Spanish
References: 0
Page: 270-280
PDF size: 93.77 Kb.
ABSTRACT
Introduction: Chronic noncommunicable diseases represent a major burden for morbidity worldwide. Lack of adherence to treatments has medical, economic and psychosocial repercussions.Objective: To characterize therapeutic adherence in patients with some chronic noncommunicable diseases.
Methods: Retrospective, longitudinal, descriptive study performed in the family physician's office # 13 belonging to Octavio de la Concepción y Pedraja Polyclinic in Camajuaní Municipality. The population was made up of all patients diagnosed with chronic noncommunicable diseases (182). The sample was chosen using nonprobabilistic sampling by criteria (68). A questionnaire was applied to compare information collected in the history of family health and medical records. The level of knowledge was assessed by means of a diagnostic questionnaire.
Results: The age group 80 and over (20.5 %) and the female sex were predominant. According to the affection's control, 55.8 % did not meet the adherence criteria, a figure of which 47.0 % and 35.2 % were partially controlled and not controlled, respectively. Among the causes of poor control of chronic diseases, inadequate adherence to medical treatment (90.5 %) predominated, inadequate therapeutic adherence was significant for the different chronic diseases, and there was a relationship between the level of knowledge and therapeutic adherence, with a predominant low level of knowledge with lack of therapeutic adherence.
Conclusions: Lack of therapeutic adherence was associated with low level of knowledge and poor control of chronic diseases.