Therapeutic Adherence of Patients with Type 2 Diabetes Mellitus in Four Health Areas of the Country

<strong>Foundation:</strong> non-compliance with treatment by diabetic people not only worsens the prognosis, but also their quality of life. <br /><strong>Objective:</strong> to characterize therapeutic adherence in type 2 diabetic patients belonging to four health are...

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Main Authors: Addys María Díaz Piñera, Armando Rodríguez Salvá, Fernando Jesús Achiong Estupiñán, Dania Lidia Cardona Garbey, Geominia Maldonado Cantillo, Esteban Augusto Londoño Agudelo, Patrick Van der Stuyft
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Language:Spanish
Published: Universidad de las Ciencias Médicas de Cienfuegos 2024-03-01
Series:Revista Finlay
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Online Access:https://revfinlay.sld.cu/index.php/finlay/article/view/1367
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author Addys María Díaz Piñera
Armando Rodríguez Salvá
Fernando Jesús Achiong Estupiñán
Dania Lidia Cardona Garbey
Geominia Maldonado Cantillo
Esteban Augusto Londoño Agudelo
Patrick Van der Stuyft
author_facet Addys María Díaz Piñera
Armando Rodríguez Salvá
Fernando Jesús Achiong Estupiñán
Dania Lidia Cardona Garbey
Geominia Maldonado Cantillo
Esteban Augusto Londoño Agudelo
Patrick Van der Stuyft
author_sort Addys María Díaz Piñera
collection DOAJ
description <strong>Foundation:</strong> non-compliance with treatment by diabetic people not only worsens the prognosis, but also their quality of life. <br /><strong>Objective:</strong> to characterize therapeutic adherence in type 2 diabetic patients belonging to four health areas, from two municipalities in Cuba. <br /><strong>Methods:</strong> a descriptive and cross-sectional study was carried out in two health areas of the municipalities of Cárdenas and Santiago de Cuba, in the period January - August 2019. The universe was represented by 1091 diabetic people who recovered from a previous study carried out between 2015 and 2016 in the same health areas. They underwent anthropometric measurements, blood pressure, glycated hemoglobin and a questionnaire was applied. Variables were studied: sociodemographic (age, sex, skin color, occupation, level of education, cohabitation), risk factors and comorbidities, pharmacological and non-pharmacological treatment and their relationship with adherence. Categorical variables were presented as frequencies and percentages. <br /><strong>Results:</strong> adherence was 70.7 %, statistically related to white skin color, high level of education, control of glycated hemoglobin according to age and value less than 7 %, as well as not suffering from comorbidities such as cardiovascular diseases, chronic respiratory diseases, dyslipidemia, no consumption of alcoholic or sugary beverages. <br /><strong>Conclusions:</strong> the non-availability of medications in the pharmacy, forgetting to take them and at the established times were the main barriers reported by patients, this must be taken into account to have a favorable impact on the control of diabetes mellitus.
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spelling doaj-art-cc2148438a2b4708a97cedbb7030e7472025-01-30T21:22:03ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342024-03-011417890701Therapeutic Adherence of Patients with Type 2 Diabetes Mellitus in Four Health Areas of the CountryAddys María Díaz Piñera0Armando Rodríguez Salvá1Fernando Jesús Achiong Estupiñán2Dania Lidia Cardona Garbey3Geominia Maldonado Cantillo4Esteban Augusto Londoño Agudelo5Patrick Van der Stuyft6Instituto Nacional de Higiene, Epidemiología y Microbiología. La Habana. Cuba.Instituto Nacional de Higiene, Epidemiología y Microbiología. La Habana. Cuba.Centro Provincial de Higiene, Epidemiología y Microbiología de Matanzas. Matanzas. Cuba.Centro de Atención al Diabético de Santiago de Cuba. Santiago de Cuba. Cuba.Instituto Nacional de Higiene, Epidemiología y Microbiología. La Habana. Cuba.Facultad Nacional de Salud Pública. Medellín. Colombia.Facultad de Medicina y Ciencias de la Salud. Departamento de Salud Pública y Atención Primaria. Universidad de Ghent. Bélgica.<strong>Foundation:</strong> non-compliance with treatment by diabetic people not only worsens the prognosis, but also their quality of life. <br /><strong>Objective:</strong> to characterize therapeutic adherence in type 2 diabetic patients belonging to four health areas, from two municipalities in Cuba. <br /><strong>Methods:</strong> a descriptive and cross-sectional study was carried out in two health areas of the municipalities of Cárdenas and Santiago de Cuba, in the period January - August 2019. The universe was represented by 1091 diabetic people who recovered from a previous study carried out between 2015 and 2016 in the same health areas. They underwent anthropometric measurements, blood pressure, glycated hemoglobin and a questionnaire was applied. Variables were studied: sociodemographic (age, sex, skin color, occupation, level of education, cohabitation), risk factors and comorbidities, pharmacological and non-pharmacological treatment and their relationship with adherence. Categorical variables were presented as frequencies and percentages. <br /><strong>Results:</strong> adherence was 70.7 %, statistically related to white skin color, high level of education, control of glycated hemoglobin according to age and value less than 7 %, as well as not suffering from comorbidities such as cardiovascular diseases, chronic respiratory diseases, dyslipidemia, no consumption of alcoholic or sugary beverages. <br /><strong>Conclusions:</strong> the non-availability of medications in the pharmacy, forgetting to take them and at the established times were the main barriers reported by patients, this must be taken into account to have a favorable impact on the control of diabetes mellitus.https://revfinlay.sld.cu/index.php/finlay/article/view/1367adherencia terapéutica y cumplimientodiabetes mellitus
spellingShingle Addys María Díaz Piñera
Armando Rodríguez Salvá
Fernando Jesús Achiong Estupiñán
Dania Lidia Cardona Garbey
Geominia Maldonado Cantillo
Esteban Augusto Londoño Agudelo
Patrick Van der Stuyft
Therapeutic Adherence of Patients with Type 2 Diabetes Mellitus in Four Health Areas of the Country
Revista Finlay
adherencia terapéutica y cumplimiento
diabetes mellitus
title Therapeutic Adherence of Patients with Type 2 Diabetes Mellitus in Four Health Areas of the Country
title_full Therapeutic Adherence of Patients with Type 2 Diabetes Mellitus in Four Health Areas of the Country
title_fullStr Therapeutic Adherence of Patients with Type 2 Diabetes Mellitus in Four Health Areas of the Country
title_full_unstemmed Therapeutic Adherence of Patients with Type 2 Diabetes Mellitus in Four Health Areas of the Country
title_short Therapeutic Adherence of Patients with Type 2 Diabetes Mellitus in Four Health Areas of the Country
title_sort therapeutic adherence of patients with type 2 diabetes mellitus in four health areas of the country
topic adherencia terapéutica y cumplimiento
diabetes mellitus
url https://revfinlay.sld.cu/index.php/finlay/article/view/1367
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