jequitinhonha山谷老年人和成人的研究:治疗依从性和合并症的患病率

Pedro Henrique de Almeida Andrade, Maria Isabel Menezes Guedes, Mariana América Gonçalves, Bruno Souto Rangel de Castro, Gabriel Junqueira Lopes, Gustavo Antunes Rodrigues Duarte, Gustavo Couto Pereira da Silva, Hugo Pimenta Ferreira, Juliana Toledo Mesquita, Maria Carolina Padovani Guerra, Mateus Pinto Ribeiro, Rafael Las Casas, Rebeca Carolina Campos e Almeida Silva, Vitor Barbosa Abrantes, A. P. Real, Fernanda Mendes Amorim, Lívia Pires Calastri, Lucas Bastos Pereira Carneiro, Nathanna Fernandes Maciel, Fernando Henrique Pereira, Bruno Cézar Lage Cota, Luís Felipe José Ravic de Miranda
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摘要

这项工作的目的是核实米纳斯吉拉斯州Ponto dos Volantes市人口主要合并症的流行情况;评估患者对疾病相关知识的掌握程度;验证合并症知识、学校教育、社会经济水平和治疗依从性之间的关系;并促进在UFMG医学院学生志愿服务。从Ponto dos Volantes市的老年人和成年人中挑选了87名患者,有男有女。数据收集由武汉医科大学医学院的学生在2017年7月24日至29日的访问期间完成,他们被分配在城市和农村地区的门诊诊所。通过Morisky药物依从性量表(MMAS-8)对依从性进行验证。采用SPSS 18、Shapiro-Wilk、Student’s T和Mann-Whitney检验进行统计分析。根据全国文献,动脉高血压(75.3%)和糖尿病(27.1%)是样本中最普遍的发病率。在处方知识和疾病含义方面,40.2%的患者不了解处方,49.4%的患者不了解疾病本身。虽然没有统计学上的显著差异,但我们发现24.4%的老年人和14.3%的成年人的依从性较低。该研究有助于评估Ponto dos Volantes人口的社会人口学和合并症概况,此外还有助于促进学生的健康教育和志愿服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study between elderly and adults of jequitinhonha valley: treatment adherence and prevalence of comorbidities
The aims of this work are to verify the prevalence of the main comorbidities of the population in the city of Ponto dos Volantes, Minas Gerais; to assess the patients knowledge degree in relation to their diseases; to verify the association between knowledge of comorbidities, schooling, socioeconomic level and adherence to treatment; and to foster volunteering in the UFMG medical students. Eighty-seven patients, males and females, were selected from elderly and adults in the city of Ponto dos Volantes. The data collection was done by students of the Faculty of Medicine of the UFMG, allocated in outpatient clinics in the urban and rural area, during the visits, from July 24th to 29th, 2017. It was verified the adherence through the 8-item Morisky Medication Adherence Scale (MMAS-8). Statistical analysis was performed using the SPSS 18, Shapiro-Wilk, Student's T and Mann-Whitney tests. According to the national literature, arterial hypertension (75.3%) and diabetes mellitus (27.1%) are the most prevalent morbidities in the sample. Regarding the knowledge of the prescription and the meaning of the disease, 40.2% of patients did not understand the prescription and 49.4% of them did not understand the disease itself. Although there was no statistically significant difference, we identified low adherence in 24.4% of the elderly and in 14.3% of adults. The study was useful to evaluate the sociodemographic and comorbid profile of the population of Ponto dos Volantes, besides promoting health education and volunteering among students.
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