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Adherencia al tratamiento en pacientes polimedicados mayores de 65 años con prescripción por principio activo

AIM: To assess the level of adherence, by active ingredient, to treatment and associated factors in polymedicated patients over 65 years-old. DESIGN: Observational, descriptive and cross-sectional study over polymedicated patients over 65 years of the Costa del Sol Health District and the North Mala...

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Autores principales: Núñez Montenegro, Antonio J., Montiel Luque, Alonso, Martín Aurioles, Esther, Torres Verdú, Barbara, Lara Moreno, Celinda, González Correa, José Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983607/
https://www.ncbi.nlm.nih.gov/pubmed/24378196
http://dx.doi.org/10.1016/j.aprim.2013.10.003
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author Núñez Montenegro, Antonio J.
Montiel Luque, Alonso
Martín Aurioles, Esther
Torres Verdú, Barbara
Lara Moreno, Celinda
González Correa, José Antonio
author_facet Núñez Montenegro, Antonio J.
Montiel Luque, Alonso
Martín Aurioles, Esther
Torres Verdú, Barbara
Lara Moreno, Celinda
González Correa, José Antonio
author_sort Núñez Montenegro, Antonio J.
collection PubMed
description AIM: To assess the level of adherence, by active ingredient, to treatment and associated factors in polymedicated patients over 65 years-old. DESIGN: Observational, descriptive and cross-sectional study over polymedicated patients over 65 years of the Costa del Sol Health District and the North Malaga Health Area. The study was performed between January 2011 and September 2012 on 375 subjects obtained by simple random sampling from lists provided by each health centre. Data was collected by means of an interview with structured questions. Informed consent was given and signed by all patients before interview. STUDY VARIABLES: Main results variable adherence to treatment (Morisky-Green's test). PREDICTABLE VARIABLES: Prescription by active ingredient, socio-demographic variables, health care centre variables, and treatment associated variables. A descriptive analysis of variables was performed. Statistical inference was determined using univariate analysis (t test of Student or Mann-Whitney U, and Chi-squared), and controlling for confounding factors by multivariate analysis (linear and logistic regression). RESULTS: The result for therapeutic compliance was 51.7%. No statistically significant differences were observed as regards sex and age. A relationship was found in those who resided in rural areas (P=.001), lived with family (P<.05), and were not at risk of suffering from anxiety (P=.046). CONCLUSIONS: We found similar patient adherence to treatment despite the prescribing generic drugs. Failure to therapeutic compliance was greater in those patients who lived by themselves, in a city close to the coast, or in those patients who were at risk of suffering from anxiety.
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spelling pubmed-69836072020-01-29 Adherencia al tratamiento en pacientes polimedicados mayores de 65 años con prescripción por principio activo Núñez Montenegro, Antonio J. Montiel Luque, Alonso Martín Aurioles, Esther Torres Verdú, Barbara Lara Moreno, Celinda González Correa, José Antonio Aten Primaria Originales AIM: To assess the level of adherence, by active ingredient, to treatment and associated factors in polymedicated patients over 65 years-old. DESIGN: Observational, descriptive and cross-sectional study over polymedicated patients over 65 years of the Costa del Sol Health District and the North Malaga Health Area. The study was performed between January 2011 and September 2012 on 375 subjects obtained by simple random sampling from lists provided by each health centre. Data was collected by means of an interview with structured questions. Informed consent was given and signed by all patients before interview. STUDY VARIABLES: Main results variable adherence to treatment (Morisky-Green's test). PREDICTABLE VARIABLES: Prescription by active ingredient, socio-demographic variables, health care centre variables, and treatment associated variables. A descriptive analysis of variables was performed. Statistical inference was determined using univariate analysis (t test of Student or Mann-Whitney U, and Chi-squared), and controlling for confounding factors by multivariate analysis (linear and logistic regression). RESULTS: The result for therapeutic compliance was 51.7%. No statistically significant differences were observed as regards sex and age. A relationship was found in those who resided in rural areas (P=.001), lived with family (P<.05), and were not at risk of suffering from anxiety (P=.046). CONCLUSIONS: We found similar patient adherence to treatment despite the prescribing generic drugs. Failure to therapeutic compliance was greater in those patients who lived by themselves, in a city close to the coast, or in those patients who were at risk of suffering from anxiety. Elsevier 2014-05 2013-12-27 /pmc/articles/PMC6983607/ /pubmed/24378196 http://dx.doi.org/10.1016/j.aprim.2013.10.003 Text en © 2013 Elsevier España, S.L. Todos los derechos reservados. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Originales
Núñez Montenegro, Antonio J.
Montiel Luque, Alonso
Martín Aurioles, Esther
Torres Verdú, Barbara
Lara Moreno, Celinda
González Correa, José Antonio
Adherencia al tratamiento en pacientes polimedicados mayores de 65 años con prescripción por principio activo
title Adherencia al tratamiento en pacientes polimedicados mayores de 65 años con prescripción por principio activo
title_full Adherencia al tratamiento en pacientes polimedicados mayores de 65 años con prescripción por principio activo
title_fullStr Adherencia al tratamiento en pacientes polimedicados mayores de 65 años con prescripción por principio activo
title_full_unstemmed Adherencia al tratamiento en pacientes polimedicados mayores de 65 años con prescripción por principio activo
title_short Adherencia al tratamiento en pacientes polimedicados mayores de 65 años con prescripción por principio activo
title_sort adherencia al tratamiento en pacientes polimedicados mayores de 65 años con prescripción por principio activo
topic Originales
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983607/
https://www.ncbi.nlm.nih.gov/pubmed/24378196
http://dx.doi.org/10.1016/j.aprim.2013.10.003
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