Factores que influyen en la no adherencia al tratamiento en pacientes diabéticos tipo 2. Sector 2. Centro de Salud Santa Elena. Año 2018.

Abstract

Background: Diabetes Mellitus type 2 represents high rates of morbidity and mortality as a result of patients not adhering to pharmacological and nonpharmacological treatment; When this happens, patients can present complications, disability and death. In studies carried out worldwide, adherence in industrialized countries is 50%, in countries with less developed it is 25%. Materials and Methods: An observational, prospective, cross-sectional, analytical study was carried out, with a relational research level of 92 type 2 diabetic patients from the Santa Elena health center, sector 2, a questionnaire was applied that included the Morisky test in one section. Green to identify pharmacological adherence, another section for non-pharmacological adherence and influential factors in non-adherence, the relationship between the variables was calculated through the Chi-square test. Results: The group of 50 to 59 years old (32.6%), female sex (55.4%), primary schooling (57.6%), housewives (48.9%) married marital status predominated. 71.7%), 52.2% did not have pharmacological adherence, 81.5% did not have nonpharmacological adherence; The factors associated with non-pharmacological adherence were: primary schooling with (p = 0.03), overweight (p = 0.008), no family support (p = 0.00); with non-pharmacological non-adherence: primary schooling with (p = 0.01), overweight (p = 0.001), no family support (p = 0.00), perception of medical care (p = 0.01). Conclusions: Schooling, overweight, lack of family support and the perception of medical attention were factors associated with non-adherence in diabetic patients.