2017, Number 4
Rev Cubana Med Gen Integr 2017; 33 (4)
Castillo MM, Martín AL, Almenares RK
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ABSTRACTIntroduction: Low adherence to treatment is a problem for the management of diabetes mellitus. The disease is present for its impact on the morbidity and mortality of the country and the province of Pinar del Río.
Objective: To identify the levels of therapeutic adherence and the influencing factors in insufficient adherence in a sample of diabetic patients.
Methods: We carried out a descriptive, cross-sectional study with a mixed design. We worked with a sample of 143 patients treated in the basic working group number 1 of Pedro Borrás Astorga University Polyclinic of the city of Pinar del Río in the period from June to September 2013. We used the MBG questionnaire to assess therapeutic adherence and a survey about knowledge about the disease and treatment and a structured interview.
Results: Partial adherence prevailed in 74.1% of patients. The greatest contribution to the lack of therapeutic adherence was provided by the component of personal involvement. Personal factors related to knowledge about diet and motivation towards treatment were the main variables with influence on insufficient adherence to treatment.
Conclusions: The therapeutic adherence of people with type 2 diabetes mellitus was presented in its three levels, with predominance of the partial level of adherence. The factors that condition insufficient adherence are related to the lack of knowledge about the diet to follow and the lack of motivation to adequately perform the treatment.