Asociación entre la adherencia terapéutica y las fases de duelo en pacientes con diabetes mellitus tipo 2

Objective

To evaluate the association between therapeutic adherence and the phases of grief in patients with type 2 diabetes mellitus.

Design

Cross-sectional observational study.

Site

Family Medicine Unit No. 53 of the Mexican Institute of Social Security in the State of Guanajuato.

Participants

A total of 354 patients with type 2 diabetes mellitus were recruited, of whom 236 corresponded to the group without therapeutic adherence and 118 to the group with therapeutic adherence.

Interventions

Two structured surveys were administered to both groups.

Main measurements

The Morisky 8 scale was used to measure therapeutic adherence and the phases of grief scale (EFD-66) to measure grief due to loss of health.

Results

The median denial phase and depression phase scores were higher in the nonadherence group than in the adherence group (p = .000). The median negotiation phase and acceptance phase score was higher in the adherence group than in the nonadherence group (p = .000). Multivariate analysis identifies that denial is the main factor associated with non-adherence (OR = 1.25; 95% CI: 1.14–1.37); while negotiation (OR = 0.88; 95% CI: 0.82–0.94) and acceptance are associated with adherence (OR = 0.79; 95% CI: 0.75–0.83).

Conclusions

There is an association between therapeutic adherence and phases of grief.