ABSTRACT
INTRODUCTION: The lack of adherence to the treatment is one of the big problems of the actual public health. It has great importance in advanced in years people, due to the increasing ageing of the population in developed countries and because of they are the population group that more often presents chronic diseases. The aim of the project was to evaluate the grade of adherence to the pharmacological treatment of patients aged 75 in a basic area of primary attention rural health. MATERIAL AND METHODS: An observational descriptive study was made from August to October 2008. Morisky Green's questionnaire is employed as a measure instrument to evaluate the grade of therapeutic fulfilment. RESULTS: 89 patients were studied (response rate of 100%). 55,1% of the patients didn't have got adherence with the prescribed pharmacological treatment, but 44,9% of the patients have got it. There is a bigger grade of fulfilment in women. The main cause of no adherence to the therapeutic system was the absent mindedness of taking the medical treatment (64,8%). CONCLUSION: It is obtained from this study that the lack of adherence to the highlighted treatment is high in our basic area of health, so we have to develop activities in every day clinic practice to generate estrategies to improve the therapy fulfilment.
Subject(s)
Medication Adherence/statistics & numerical data , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Humans , Male , Surveys and QuestionnairesABSTRACT
La falta de adherencia al tratamiento supone uno de los grandes problemas de la salud pública actual, teniendo gran trascendencia en las personas de avanzada edad, tanto por el creciente envejecimiento de las poblaciones de los países desarrollados, como por tratarse del grupo etario que presenta con mayor frecuencia enfermedades crónicas. El objetivo del trabajo fue valorar el grado de adherencia al tratamiento farmacológico de los pacientes mayores de 75 años en una zona básica de salud rural de Atención Primaria. Para ello se realizó un estudio descriptivo observacional durante los meses de agosto a octubre de 2008; como instrumento de medida se utilizó el cuestionario de Morisky Green para valorar el grado de cumplimiento terapéutico. Se estudió un total de 89 pacientes (tasa de respuesta del 100%). El 55,1% no tenía adherencia con el tratamiento farmacológico prescrito, mientras que el 44,9% sí. Existe un mayor grado de cumplimiento del tratamiento entre las mujeres. La causa principal de no adhesión al régimen terapéutico fue el olvido a la hora de tomar la medicación (64,8%). De este estudio se deduce que el grado de falta de adherencia a la prescripción indicada es alto en nuestra zona básica de salud, por lo que hay que desarrollar actividades en la práctica clínica diaria para generar estrategias de mejora en el cumplimiento de la terapia(AU)
Introducction: The lack of adherence to the treatment is one of the big problems of the actual public health. It has great importance in advanced in years people, due to the increasing ageing of the population in developed countries and because of they are the population group that more often presents chronic diseases. The aim of the proyect was to evaluate the grade of adherence to the pharmacological treatment of patiens aged 75 in a basic area of primary atention rural health. Material and methods: An observational descriptive study was made from August to October 2008. Morisky Green´s questionarire is employed as a measure instrument to evaluate the grade of therapeutic fulfilment. Results: 89 patiens were studied (response rate of 100%). 55,1% of the patients didn´t have got adherence with the prescribed phamacological tretment, but 44,9% of the patients have got it. There is a bigger grade of fulfilment in women. The main cause of no adherence to the therapeutic system was the absentmindedness of taking the medical treatment (64,8%). Conclusion: It is obtained from this study that the lack of adherence to the highlighted treatment is high in our basic area of health, so we have to develop activities in every day clinic practice to generate estrategies to improve the therapy fulfilment(AU)
