Adherencia terapéutica en pacientes dermatológicos subsecuentes valorada por Moriski Medication Adherence Scale-8
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Se ha descrito pobre adherencia terapéutica en pacientes con enfermedades dermatológicas crónicas. Nuestro trabajo determinó el grado de adherencia terapéutica en pacientes con enfermedades dermatológicas crónicas valoradas por Morisky Medication Adherence Scale-8 tanto para medicación por vía oral como tópica. De Los 97 pacientes que recibieron medicación por vía oral obtuvieron alta adherencia 15 (15.5%), moderada 43 (44,3%) y baja 39 pacientes (40.2%). En tratamientos tópicos de 141 pacientes obtuvieron un grado alto de adherencia 25 (17.7%), moderada 62 (44%) y baja adherencia fueron 54 pacientes (38.3%), siendo el grado de adherencia moderada la prevalente en tratamiento oral y tópico. En nuestra población constituyeron factores de riesgo para baja adherencia oral y tópica la edad menor o igual a 50 años, tabaquismo y la ausencia de mejoría al tratamiento. El consumo de alcohol constituye un factor de riesgo solo para quienes reciben tratamientos tópicos.
Poor therapeutic adherence has been described in patients with chronic dermatological diseases. Our work determined the degree of therapeutic adherence in patients with chronic dermatological diseases assessed by Morisky Medication Adherence Scale-8 for both oral and topical medication. Of the 97 patients who received oral medication obtained high adherence 15 (15.5%), moderate 43 (44.3%) and low 39 patients (40.2%). In topical treatments of 141 patients obtained a high degree of adherence 25 (17.7%), moderate 62 (44%) and low adherence were 54 patients (38.3%), the degree of moderate adherence being prevalent in oral and topical treatment. In our population, risk factors for low oral and topical adherence were age less than or equal to 50 years, smoking and the absence of improvement in treatment. Alcohol consumption is a risk factor only for those who receive topical treatments.
Poor therapeutic adherence has been described in patients with chronic dermatological diseases. Our work determined the degree of therapeutic adherence in patients with chronic dermatological diseases assessed by Morisky Medication Adherence Scale-8 for both oral and topical medication. Of the 97 patients who received oral medication obtained high adherence 15 (15.5%), moderate 43 (44.3%) and low 39 patients (40.2%). In topical treatments of 141 patients obtained a high degree of adherence 25 (17.7%), moderate 62 (44%) and low adherence were 54 patients (38.3%), the degree of moderate adherence being prevalent in oral and topical treatment. In our population, risk factors for low oral and topical adherence were age less than or equal to 50 years, smoking and the absence of improvement in treatment. Alcohol consumption is a risk factor only for those who receive topical treatments.
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Cumplimiento y adherencia al tratamiento, Factores de riesgo, Morisky Medication Adherence Scale-8, Enfermedades de la piel, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador