Adherencia al tratamiento de personas con hipertensión y/o diabetes de San José del Guaviare - Colombia, 2019.

Abstract

Due to the increase in morbidity and mortality from chronic non-communicable conditions in Colombia and the lack of knowledge in the department of Guaviare about adherence to treatment for people with hypertension and/or diabetes, a cross-sectional study was conducted to describe the therapeutic adherence of people with hypertension and/or diabetes in the municipality of San José del Guaviare, identifying the factors associated with strict compliance with the recommendations on pharmacological and non-pharmacological forms of treatment. Through the analysis of data, gathered via questionnaires provided during July and August 2019 to 258 hyper-tense and diabetic people, the study identified 181 (70,2%) people with hypertension; 9 (3,5%) with diabetes and 68 (26,3%) who share a diagnosis of hypertension + diabetes. 79,1% of participants who answered the questionnaire are users of pharmacological treatment and of complementary forms of treatment; 61,2% are aware that they ought to modify their dietary habits and 29,1% ought to do physical activity. The Morisky-Green test showed an adherence rate of 55% to pharmacological treatment, while the Miller Behavioral Style Scale (MBSS) reflects an inappropriate level of therapeutical adherence. As main factors associated to complying with recommendations we identified the complexity of treatments, attending accompanied consultations, receiving support and the presentation of medical indications in written form.