IMPACT ON TREATMENT ADHERENCE USING PHARMACOTHERAPY CONSULTATION IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND HYPERTENSION IN RURAL AND URBAN POPULATION OF HIDALGO, MEXICO
Journal Title: World Journal of Pharmaceutical Research - Year 2018, Vol 7, Issue 8
Abstract
Objective: To evaluate the impact of a pharmacotherapy consultation identifying problems related to medication and areas of opportunity to improve treatment adherence in patients with type 2 diabetes mellitus and hypertension in health centers in “Jesús de Rosal” in Pachuca and Epazoyucan, Hidalgo. Material and methods: This was an experimental comparative study of rural and urban population performed from January to December 2017 in the health centers of Pachuca and Epazoyucan, Hidalgo. Results: A total of 60 (30 urban and 30 rural) patients were included; 67% were women with a mean age of 64 years; 36% had a disease evolution between 11 and 20 years. Only 45% had a secondary education. The level of knowledge of disease before the intervention in both populations was sufficient in 17%; after intervention, it increased to 90%. This was in contrast with the control group which had sufficient knowledge in 13% at the beginning and in 14% at the end. In therapeutic adherence, initially 54% had adequate adherence, which increased to 78% at the end. The control group started at 33% and decreased to 30%. Mean HbA1c before the intervention in both populations was 7.40% and at the end 7%. The control group was 6.45% at the beginning and at the end it increased to 8.54%. Rural population had a more significant reduction in HbA1c (p=0.0377). Conclusions: The main problems related with medication where need (60%), followed by quantitative security (36.3%) and to a lesser extent qualitative security (23.3%).
Authors and Affiliations
Lourdes Cristina Carrillo- Alarcón
Keywords
Related Articles
- EP ID EP626740
- DOI -
- Views 90
- Downloads 0
LOCAL SURVEY FOR AWARENESS OF HYPERACIDITY AND/OR OTHER ASSOCIATED PROBLEMS
Awareness for Hyperacidity and associated problems was judged in a population of Worli area of Mumbai during a medical camp held on March 15, 2017 at the campus of M.A. Podar (Govt.) Hospital, Worli, Mumbai-18. As prepar...
IMPACT OF CULTURE ON THE MARKETING OF HEALTH SERVICES
Health organizations operating within a specific market, determined by certain features of supply and demand and buying and consumption behavior, which leaves its mark on how to develop marketing strategies. Health care...
“SEERAKA CHOORANAM” A SIDDHA FORMULATION FOR IRATHTHAK KOTHIPPU NOAI (HYPERTENSION)
Iraththak kothippu noai (Hypertension) is one of dangerous non communicable diseases in the world. National survey on health of Sri Lankans finds 18 percent of population suffers a chronic illness. Among the cases report...
ENTOMOCIDAL EFFICACY OF ETHANOLIC EXTRACT AND PHYTOCHEMICAL SCREENING OF SOURSOP (ANNONA MURICATA) SEEDS AGAINST BRUCHID WEEVILS OF STORED VIGNA SUBTERRANEAN L. VERC. IN NIGERIA
Experiment was conducted in 2016/2017 to evaluate the insecticidal properties of Sour-sop fruit seed extracts on the mortality of Bambara groundnut (Vigna subterranea) bean weevil, Callosobruchus maculatus in the Departm...
EARLY OUTCOME, MORTALITY AND MAJOR MORBIDITY AFTER LUNG CANCER SURGERY FOR PRIMARY CARCINOMA
Background: Radical surgical resection of lung cancer with or without adjuvant treatment is still a prerequisite for cure. Advances in operative and postoperative care led to a decline in complications and mortality rate...