Perception of adherence to treatment among patients with cardiovascular risk factors
DOI:
https://doi.org/10.17533/udea.rfnsp.10239Keywords:
adherence to treatment, compliance, diabetes, hypertension, cardiovascular riskAbstract
Objective: To identify the perceptions regarding adherence to treatment among patients with cardiovascular risk undergoing pharmacological or non-pharmacological treatment. Methodology: A transversal study using the instrument “issues influencing adherence to pharmacological or non-pharmacological treatments in patients with cardiovascular risk factors". The study assesses four major factors in 256 adults living in Medellín (Colombia, South America), namely: socio-economic factors, factors related to the healthcare service provider, factors related to the therapy itself, and patient-related factors. Results: In terms of the perception of treatment adherence, socio-economic factors had the lowest score. Additionally, the educational level of patients was found to be the factor with the strongest influence on adherence perception. Discussion: This study approaches the various aspects of the issue of treatment adherence with more extensive knowledge in order to contribute to the development of strategies for improving treatment adherence in patients with cardiovascular risk. The study also suggests communicating medical recommendations in different manners and in a patient-friendly language (i.e. a kind of language with no technical words). Likewise, establishing more effective strategies for diet management is suggested.
Downloads
References
(1). Organización Mundial de la Salud. Informe sobre la salud en el mundo 2003: forjemos el futuro. Ginebra: oms; 2003.
(2). Organización Mundial de la Salud. El incumplimiento del trata-miento prescrito para las enfermedades crónicas es un problema mundial de gran envergadura. Comunicado de prensa; Ginebra, 1 de julio de 2003.
(3). Ministerio de la Protección Social. Encuesta Nacional de Salud – ENS 2007 [Internet]. Bogotá: Ministerio de la Protección Social; 2007 [Acceso 28 de junio de 2012]. Disponible en: http://www.scp.com.co/ArchivosSCP/boletines_Pedianet/DocumentosPedianet/Encuesta_Nacional_de_Salud_2007.pdf
(4). Flórez I. Adherencia al tratamiento en pacientes con riesgo cardio-vascular. Avances en enfermería 2009; 27(2): 25-32 DOI: https://doi.org/10.15446/av.enferm.v32n1.46032
(5). Herrera A. Factores que influyen en la adherencia al tratamiento en pacientes con riesgo de enfermedad cardiovascular. Avances en enfermería 2008; 26(1): 36-42.
(6). Martín L. Acerca del concepto de adherencia terapéutica. Rev Cubana Salud Pública 2004; 30(4).
(7). Rodríguez-Marín J. Cumplimiento terapéutico del paciente y se-guridad clínica. Monografías Humanitarias 2004; 8: 101-110.
(8). Amigó I, Fernández C, Pérez M. La adhesión a los tratamientos terapéuticos. En: Amigó I. Manual de Psicología de la Salud. Madrid: Pirámide; 1998: 229-70.
(9). Silva G, Galeano E, Correa J. Adherencia al tratamiento. Implica-ciones de la no adherencia. Acta Médica Colombiana 2005; 34(4): 268-273.
(10). Basterra M. El cumplimiento terapéutico. Pharmaceutical Care España 1999; 1: 97-106.
(11). Blackwell B. Drug therapy compliance. N Engl J Med1973; 289: 249-252. DOI: https://doi.org/10.1056/NEJM197308022890506
(12). Bonilla C. Adherencia y factores que influyen en la adherencia a tratamientos farmacológicos en personas que presentan factores de riesgo de enfermedad cardiovascular: una revisión de literatura. Bogotá: Universidad Nacional de Colombia; 2008.
(13). La Rosa Y, Martín L, Bayarre H. Adherencia terapéutica y factores psicosociales en pacientes hipertensos. Rev Cubana Med Gen Integr 2007; 23 (1).
(14). Contreras A, Flórez I, Herrera L. Un instrumento para evaluar la adherencia: su validez facial y confiabilidad.Avances en Enfermería. 2008; 26(2): 35-42.
(15). Ortiz, C. Instrumento para evaluar la adherencia a tratamientos en pacientes con factores de riesgo cardiovascular. Avances en Enfermería. 2010; 28 (2): 73-87
(16). Arce L, Monge-Nágera, J. Género y niveles de adherencia al tra-tamiento antihipertensivo en el personal de la Universidad Estatal a Distancia de Costa Rica. Cuadernos de investigación UNED. 2009; 1 (2): 173-170. DOI: https://doi.org/10.22458/urj.v1i2.226
(17). Atulomah N, Florence O, Oluwatosin A. Treatment adherence and risk of non-compliance amonghypertensives at a Teaching Hospital in Ogun state, southwest Nigeria. Acta SATECH; 3 (2): 143-149.
(18). Martín L, Bayarre H, La Rosa Y, Orbay M, Rodríguez J, Vento F, Acosta M. Cumplimiento e incumplimiento del tratamiento anti-hipertensivo desde la perspectiva del paciente. Revista Cubana de Salud Pública. 2007; 33 (3): 1-10 DOI: https://doi.org/10.1590/S0864-34662007000300013
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Renato Zambrano C., John F. Duitama M., Jorge I. Posada V., José F. Flórez A.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The contents of the articles are the responsibility of the authors
The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.
The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.
When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.
Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.
The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.
The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.
The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "
-- 
--
