Especialidad en Medicina Familiar y Comunitaria

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    Evaluación de la dherencia terapéutica y factores influyentes en pacientes hipertensos, sector Er05, San Marcos, 2016
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Cañar Jiménez, Miryan Janeth Md.,; Castell-Florit Caballero Dr. Esp, Abel
    Hypertension (HTA) has a high prevalence in the Ecuadorian population. Treatment includes pharmacological and non-pharmacological alternatives. Is an important public health problem, despite advances in detection, treatment and control, many patients have difficulty adhering to treatment, considering that one of the main causes lies in the personal, family, drug-related and with health services. A cross-sectional, descriptive study was conducted with 69 hypertensive patients in the Health Center San Marcos period 2015-2016. people older than 35 years were included with previous diagnosis of hypertension composed of 46 women (66.7%) and 23 men (33.3%) a survey through which information no pharmacological and pharmacological treatment was applied was obtained patients on adherence to treatment; a scale to assess the degree of adherence of patients was used. The results achieved: 4 patients with total adherence, 63 and 2 partial adhesion without adhesion, alternative hypothesis is approved by Chi square (X2), where the personal, family and health systems influence adherence. Implementing the educational strategy a culture of compliance to treatment it will be created over time.
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    Factores que influyen sobre la adherencia terapéutica en la hipertensión arterial, Parroquia San Andrés
    (Universidad Técnica de Ambato.- Facultad de Ciencias de la Salud .- Dirección de Posgrado, 2016-11-01) Chiluiza Ramírez, Mayra Alexandra Md.; Salvador Dr. Esp, Vidal Revé
    Background: The lack of adherence in hypertensive patients represent a high health costs, as the asymptomatic nature of hypertensive disease. Objective. To determine the factors influencing adherence in patients with hypertension Parish San Andrés del Píllaro Canton. January-August 2015. Materials and methods. Cross-sectional study in which a population of 110 hypertensive patients (65.5% female, predominant age group 50 to 59 years) dispensarizados by family and hypertensive tab and treated at the Health Center of San Andrés was used. the Martin-Bayarre-Grau (MBG) questionnaire was used to assess the level of adherence, and an interview to assess the various associated factors based on the 2004 WHO report. Results. Adherents total 45% according Morinsky-Green, total 13.6% according MBG adherents, not adherents 48.2% and 38.2% Little adherents. Adherence according showed significant dependence between variables such as education level (p = 0.000), satisfaction with care received from the doctor (p = 0.000), medical indications given clearly and in writing (p = 0.000). Availability of the drug (p = 0.049). Conclusion. The study population has low levels of adherence associated with low education, low knowledge of pathology, protective factors are the level of satisfaction with medical care, poor grip level also was linked to oblivion by the patient, often taking medication and the number of medicines for treatment
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    Factores que Influyen sobre la Adherencia Terapéutica en la Hipertensión Arterial, Parroquia San Andrés
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Dirección de Posgrado, 2016-11-01) Mayra Alexandra Md., Chiluiza Ramírez; Salvador, Vidal Revé Dr. Esp.
    Background: The lack of adherence in hypertensive patients represent a high health costs, as the asymptomatic nature of hypertensive disease. Objective. To determine the factors influencing adherence in patients with hypertension Parish San Andrés del Píllaro Canton. January-August 2015. Materials and methods. Cross-sectional study in which a population of 110 hypertensive patients (65.5% female, predominant age group 50 to 59 years) dispensarizados by family and hypertensive tab and treated at the Health Center of San Andrés was used. the Martin-Bayarre-Grau (MBG) questionnaire was used to assess the level of adherence, and an interview to assess the various associated factors based on the 2004 WHO report. Results. Adherents total 45% according Morinsky-Green, total 13.6% according MBG adherents, not adherents 48.2% and 38.2% Little adherents. Adherence according showed significant dependence between variables such as education level (p = 0.000), satisfaction with care received from the doctor (p = 0.000), medical indications given clearly and in writing (p = 0.000). Availability of the drug (p = 0.049). Conclusion. The study population has low levels of adherence associated with low education, low knowledge of pathology, protective factors are the level of satisfaction with medical care, poor grip level also was linked to oblivion by the patient, often taking medication and the number of medicines for treatment