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2004, Number 1

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Rev Med Inst Mex Seguro Soc 2004; 42 (1)

Compliance with hormonal substitute-suppressive treatment in patients with thyroid cancer

Medrano Ortiz ZME, González ÁG, Aguilar ME
Full text How to cite this article

Language: Spanish
References: 6
Page: 31-35
PDF size: 57.14 Kb.


Key words:

thyroid cancer, patient compliance, treatment failure.

ABSTRACT

Introduction: fulfilling medical treatment means the central objective to control and govern any kind of sickness, is a process where there is a commitment between the medical physician and the patient. In chronic illness, 50% of patients do not comply with medical instructions and those considered at a dangerous stage fell into a range of 31 to 49 %.
Objective: our objective was to determine whether patient knowledge of illness is a conclusive factor in non-compliance with medical prescriptions for thyroid cancer.
Design: survey.
Intervention: the questionnaire was applied and considered demographic data, patient knowledge of illness, and compliance with medical prescriptions.
Results: we studied 32 patients with 48.1 ± years of age; 48.3 % completed primary school, 55.1 % were married, 68.7 % recognized their disease satisfactorily when confronted with the thyroid profile, and 81.2 % had euthyroidism. We found sensitivity of 77 % and 66 % specificity under fulfillment probability ranging from 0.6 to 1.25, as well as exactness of 0.75.
Conclusions: we were unable to demonstrate that lack of knowledge of the disease was the cause of patient non-compliance with medical prescriptions.


REFERENCES

  1. Sackett D, Haynes B, Guyatt G, Tugwell P. Ayudar a los pacientes a cumplir los tratamientos. En: Sackett D, Haynes B, Guyatt G, Tugwell P, editors. Epidemiología clínica. Buenos Aires: Panamericana; 2000. p. 249-278.

  2. Durán-Varela BR, Rivera-Chavira B, Franco-Gallegos E. Apego al tratamiento farmacológico en pacientes con diagnóstico de diabetes mellitus 2. Salud Publica Mex 2001;43:233-236.

  3. Marín-Reyes F, Rodríguez-Morán M. Apoyo familiar en el apego al tratamiento de la hipertensión arterial esencial. Salud Publica Mex 2001;43:336-339.

  4. Reyes H, Muñoz O, Guiscafré H, Pérez-Cuevas R, Libreros V, Gutiérrez G. Cumplimiento terapéutico y desperdicio de medicamentos. Gac Med Mex 1992; 128(5):543-548.

  5. Haynes RB, Mckibbon KA, Kanni R, Brouwers MC, Oliver T. Revisiones Cochrane. Intervenciones para ayudar a los pacientes a cumplir las prescripciones de medicamentos. http://www.atheneum.doyma.es.

  6. Cowie K. Muchos médicos encuentran que la mejor educación del paciente permite buenos resultados comerciales. http://lafacu.com/notables/educar_ paciente.




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C?MO CITAR (Vancouver)

Rev Med Inst Mex Seguro Soc. 2004;42