Cumplimiento terapéutico en pacientes con hipertensión arterial y diabetes mellitus 2 / Therapeutic compliance in patients with arterial hypertension and type 2 diabetes mellitus

Objetivos. 1) Determinar las diferencias de género en el cumplimiento terapéutico en pacientes con hipertensión arterial y diabetes mellitus tipo 2. 2) Detectar diferencias en función de la edad. 3) Determinar las relaciones existentes entre el nivel de cumplimiento según el test de Morisky-Green, el test de Batalla, y el recuento de comprimidos expresado en porcentaje de cumplimiento. Método. Estudio descriptivo, transversal, realizado durante 7 meses en atención primaria, Centro de Salud Rentería-Beraun (Guipúzcoa), Sistema Vasco de Salud (Osakidetza), con una muestra incidental de 100 pacientes diagnosticados de hipertensión y diabetes tipo 2 con tratamiento oral. Variables principales: edad y género. Variables condicionantes: años de evolución de cada una de las patologías, número de fármacos prescritos, tiempo de recogida de recetas, test de Morisky-Green, test de Batalla y recuento de comprimidos. Resultados. El análisis estadístico evidenció un cumplimiento similar en hombres y mujeres y en los distintos rangos de edad (Morisky-Green y recuento). Aproximadamente el 50% de los pacientes tuvieron un cumplimiento adecuado con al menos uno de los 3 tests empleados. Se halló mayor relación entre el Morisky-Green y el recuento de comprimidos y se comprobó que el cumplimiento mejoró con un mayor nivel de conocimiento de la enfermedad y un menor número de pastillas prescritas. Conclusiones. El cumplimiento varía según el instrumento de evaluación utilizado, el incumplimiento es elevado y el nivel de conocimiento de la enfermedad ayuda al cumplimiento. Esto sugiere la conveniencia de revisar sistemáticamente los tratamientos y proporcionar mayor información a los pacientes (AU)

Objective. 1) To determine gender differences regarding therapeutic adherence in patients with arterial hypertension and type 2 diabetes mellitus. 2) To detect differences in terms of age. 3) To determine existing relationships in patient compliance levels between Morisky-Green's test, Batalla's test and the pill count expressed as a percentage of compliance. Method. Descriptive, transversal study, carried out for a period of 7 months in the Primary Health Care, Health Centre in Rentería-Beraun (Guipúzcoa), Basque Health Service (Osakidetza), with an incidental sample of 100 patients diagnosed with hypertension and type 2 diabetes mellitus and receiving oral treatment. Principal variables: age, gender. Conditioning variables: years of evolution of each pathology, number of prescribed medicines, time lapse of prescription collection, Morisky-Green's test, Batalla's test and pill count. Results. The statistical analysis yielded similar compliance for men and women, and for different age groups (Morisky-Green and pill count). Approximately 50% of the patients had adequate compliance according to at least one of the 3 tests. A greater relationship was found between Morisky-Green's test and the pill count method, and medication adherence improved when knowledge of the disease increased, and when the number of prescribed pills became smaller. Conclusions. Adherence varies according to the evaluation tool used, non-adherence is high and knowledge of the disease helps compliance. This suggests the convenience of systematically reviewing treatments and supplying more information to patients (AU)

[Therapeutic compliance in patients with arterial hypertension and type 2 diabetes mellitus]. / Cumplimiento terapéutico en pacientes con hipertensión arterial y diabetes mellitus 2.

OBJECTIVE: 1) To determine gender differences regarding therapeutic adherence in patients with arterial hypertension and type 2 diabetes mellitus. 2) To detect differences in terms of age. 3) To determine existing relationships in patient compliance levels between Morisky-Green's test, Batalla's test and the pill count expressed as a percentage of compliance. METHOD: Descriptive, transversal study, carried out for a period of 7 months in the Primary Health Care, Health Centre in Rentería-Beraun (Guipúzcoa), Basque Health Service (Osakidetza), with an incidental sample of 100 patients diagnosed with hypertension and type 2 diabetes mellitus and receiving oral treatment. Principal variables: age, gender. Conditioning variables: years of evolution of each pathology, number of prescribed medicines, time lapse of prescription collection, Morisky-Green's test, Batalla's test and pill count. RESULTS: The statistical analysis yielded similar compliance for men and women, and for different age groups (Morisky-Green and pill count). Approximately 50% of the patients had adequate compliance according to at least one of the 3 tests. A greater relationship was found between Morisky-Green's test and the pill count method, and medication adherence improved when knowledge of the disease increased, and when the number of prescribed pills became smaller. CONCLUSIONS: Adherence varies according to the evaluation tool used, non-adherence is high and knowledge of the disease helps compliance. This suggests the convenience of systematically reviewing treatments and supplying more information to patients.

Assessment of a cooperative-creative program of assertive behavior and self-concept.

This study examined the effects of a game program of assertive behavior, helpful behavior, and self-concept in children aged 8 to 10. A pretest-intervention-posttest design was used with a sample of 126 experimental and 28 control subjects. Three instruments were administered before and after intervention: the Children's Assertive Behavior Scale, Sensitivity Scale, and the Adjective Check List. Assertive behavior, helpful behavior, and self-concept were the dependent variables. Intervention consisted of a group play-session carried out once a week during the whole academic year. The program's games encourage children to cooperate and share, as well as to develop creative play. The program included presentation, communication, help, cooperation, creativity, and emotional expression games. Results of multiple variance analyses suggest that the program caused significant improvement in assertive behavior (p < .001) and self-concept (p < .01). This paper reveals empirical evidence of the positive contribution of cooperative-creative play to child development.