Study of Etiology and Prevalence of Non-Adherence to Treatment in Patients with Inflammatory Bowel Disease Referring to Gastroenterology Clinic of Imam Khomeini Hospital in Ahvaz and Private Gastroenterology Clinics in 2016
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 9
Abstract
Abstract:This study was conducted to determine etiology and prevalence of non-adherence to treatment in patients with inflammatory bowel disease referred to the gastroenterology clinic of Imam Khomeini Hospital in Ahvaz and private gastroenterology clinics in 2015. In this descriptive-analytical study, 233 patients with inflammatory bowel disease were studied. People aged 18 and over. These patients were selected among those referred to the gastroenterology clinic of Imam Khomeini Hospital in Ahvaz and those who were referred to private gastroenterology clinics. Data were analyzed by SPSS software version 20. Of 233 participants in this study, 147 people (63.1%) were female and 86 people (36.9%) were male. Regarding of non- adherence of 130 patients among our 233 patients, the percentage of non-adherence was 55.7%. The results of this study showed statistical significance and effectiveness of variables (P-value <0.05). Of the 26 people who had Crohn's disease, 3 had no medical care and 23 had medical care. All those who had non-care, their involvement site was colon. Of the people who had care, 65.5% of the cases were affected both large and small intestines, and frequencyof involvement in each large and small intestines was separately 21.7%. The relationship between the site of intestinal involvement in Crohn's disease and non- adherence was statistically significant (P <0.05). In this part, people with ulcerative colitis were analyzed for medical care. Of the 233 participants in this study, 207 were suffering from ulcerative colitis that 127 of them had no medical care and 80 had care. The results showed a statistically significant relationship between the site of intestinal involvement in patients with ulcerative colitis and non-adherence (P <0.05). This study showed the effect of some factors onnon- adherence to treatment in patients with inflammatory bowel disease. Keywords:lack of medical care, lack of health care, inflammatory bowel disease, ulcerative colitis and Crohn's disease, adherence, non-adherence
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