Factors associated with therapeutic adherence in diabetics in two Peruvians hospitals

Introduction: Different studies show poor therapeutic adherence in diabetic patients, so it is important to identify the factors associated with this one. Objective: To determine the frequency of and factors associated with therapeutic adherence in type 2 diabetics treated at two hospitals in Lambay...

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Main Authors: Erick Joel Vilcamango Ugaldez, Sharon Maryseli Gil Merino, Mario Josue Valladares Garrido
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas - ECIMED 2021-04-01
Series:Revista Cubana de Medicina Militar
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Online Access:http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1201
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author Erick Joel Vilcamango Ugaldez
Sharon Maryseli Gil Merino
Mario Josue Valladares Garrido
author_facet Erick Joel Vilcamango Ugaldez
Sharon Maryseli Gil Merino
Mario Josue Valladares Garrido
author_sort Erick Joel Vilcamango Ugaldez
collection DOAJ
description Introduction: Different studies show poor therapeutic adherence in diabetic patients, so it is important to identify the factors associated with this one. Objective: To determine the frequency of and factors associated with therapeutic adherence in type 2 diabetics treated at two hospitals in Lambayeque, Peru-2020. Methods: Analytical cross-sectional study in 119 patients with type 2 diabetes mellitus with microangiopathy and/or neuropathy, who were applied the Morisky-Green questionnaire validated in Spanish. An association was explored between therapeutic adherence and time of illness, presence of complications, type of antidiabetic, polypharmacy, comorbidity, sex, age, and degree of education. Results: Of 119 participants, 61,3 % were women, 56,3 % were aged 65 years or older, 43,7 % had neuropathies, and 33,6 % of patients were taking oral antidiabetics and insulin.Only 26,9 % of the patients presented therapeutic adherence. In the simple regression analysis, it was found that the factors associated with a greater frequency of therapeutic adherence were male sex (Prevalence ratio=2,04) and having a higher level of education (Prevalence ratio=2,24). In the multiple regression analysis, male patients had an 85 % greater frequency of therapeutic adherence than female patients (Prevalence ratio=1,85). Therapeutic adherence in patients with higher educational levels was 106 % higher than in participants with no higher educational level (Prevalence ratio=2,06). Conclusions: The patients studied show low therapeutic adherence. The factors associated with greater therapeutic adherence are male sex and higher educational level.
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spelling doaj-art-fd2ea90ad0ee4a0c80d83a1bb259ed252025-08-20T03:25:50ZspaEditorial Ciencias Médicas - ECIMEDRevista Cubana de Medicina Militar1561-30461561-30462021-04-01502e02101201e02101201393Factors associated with therapeutic adherence in diabetics in two Peruvians hospitalsErick Joel Vilcamango Ugaldez0Sharon Maryseli Gil Merino1Mario Josue Valladares Garrido2Universidad San Martín de PorresUniversidad San Martín de PorresUniversidad San Martín de Porres de la región de Lambayeque - PerúIntroduction: Different studies show poor therapeutic adherence in diabetic patients, so it is important to identify the factors associated with this one. Objective: To determine the frequency of and factors associated with therapeutic adherence in type 2 diabetics treated at two hospitals in Lambayeque, Peru-2020. Methods: Analytical cross-sectional study in 119 patients with type 2 diabetes mellitus with microangiopathy and/or neuropathy, who were applied the Morisky-Green questionnaire validated in Spanish. An association was explored between therapeutic adherence and time of illness, presence of complications, type of antidiabetic, polypharmacy, comorbidity, sex, age, and degree of education. Results: Of 119 participants, 61,3 % were women, 56,3 % were aged 65 years or older, 43,7 % had neuropathies, and 33,6 % of patients were taking oral antidiabetics and insulin.Only 26,9 % of the patients presented therapeutic adherence. In the simple regression analysis, it was found that the factors associated with a greater frequency of therapeutic adherence were male sex (Prevalence ratio=2,04) and having a higher level of education (Prevalence ratio=2,24). In the multiple regression analysis, male patients had an 85 % greater frequency of therapeutic adherence than female patients (Prevalence ratio=1,85). Therapeutic adherence in patients with higher educational levels was 106 % higher than in participants with no higher educational level (Prevalence ratio=2,06). Conclusions: The patients studied show low therapeutic adherence. The factors associated with greater therapeutic adherence are male sex and higher educational level.http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1201adherencia terapéuticadiabetes mellitusenfermedad crónicaestilo de vida.
spellingShingle Erick Joel Vilcamango Ugaldez
Sharon Maryseli Gil Merino
Mario Josue Valladares Garrido
Factors associated with therapeutic adherence in diabetics in two Peruvians hospitals
Revista Cubana de Medicina Militar
adherencia terapéutica
diabetes mellitus
enfermedad crónica
estilo de vida.
title Factors associated with therapeutic adherence in diabetics in two Peruvians hospitals
title_full Factors associated with therapeutic adherence in diabetics in two Peruvians hospitals
title_fullStr Factors associated with therapeutic adherence in diabetics in two Peruvians hospitals
title_full_unstemmed Factors associated with therapeutic adherence in diabetics in two Peruvians hospitals
title_short Factors associated with therapeutic adherence in diabetics in two Peruvians hospitals
title_sort factors associated with therapeutic adherence in diabetics in two peruvians hospitals
topic adherencia terapéutica
diabetes mellitus
enfermedad crónica
estilo de vida.
url http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1201
work_keys_str_mv AT erickjoelvilcamangougaldez factorsassociatedwiththerapeuticadherenceindiabeticsintwoperuvianshospitals
AT sharonmaryseligilmerino factorsassociatedwiththerapeuticadherenceindiabeticsintwoperuvianshospitals
AT mariojosuevalladaresgarrido factorsassociatedwiththerapeuticadherenceindiabeticsintwoperuvianshospitals