2024, Number 01
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Ginecol Obstet Mex 2024; 92 (01)
Level of knowledge and adherence to treatment in patients with gestational anemia
Pacheco TLE, Santos RYR, Campos CKE
Language: Spanish
References: 21
Page: 8-16
PDF size: 205.65 Kb.
ABSTRACT
Objective: To determine the relationship between the level of knowledge and adherence
to the prescribed regimen of ferrous sulfate and folic acid to prevent or treat
gestational anemia in patients attended in a public hospital in Peru.
Materials and Methods: Observational, descriptive, case series, cross-sectional
and prospective study carried out between February and April 2022 in patients in the
immediate postpartum period with a diagnosis of gestational anemia established two
months before the end of pregnancy. Knowledge was assessed by means of a questionnaire
and adherence by means of the Morisky-Green-Levine test, both validated
and reliable instruments. Statistical analysis was performed with the STATA program;
Pearson's χ
2 and the generalized linear model of the Poisson family with robust variance
and 95% confidence level were used.
Results: A total of 217 patients were studied; 2 out of 10 had a diagnosis of gestational
anemia and were compliant with treatment. Overall, 71.89% of the participants
had adequate knowledge of the importance of treatment with ferrous sulfate and folic
acid, and 23.96% reached an intermediate level. The relationship between the level
of knowledge and adherence was close to statistical significance (p = 0.05 RPa:1.63;
95%CI: 0.99-2.71), established by adjusted analysis. Understanding the importance of
antianemic treatment for the mother increased the prevalence of adherence threefold
(p = 0.04; RPa: 3.17; 95%CI: 1.04-9.72).
Conclusiones: Mothers' knowledge of the importance of antianemic treatment significantly
increased adherence.
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