Frequency and association between family functionality and adherence to treatment in diabetic patients
Keywords:
treatment adherence and compliance, diabetes mellitus, primary health care.Abstract
Introduction: The family represents the closest environment to the patient and for this reason, family functionality is the most important support because with it the patient achieves optimal adherence to the treatment of chronic diseases, including diabetes.
Objective: To determine the relationship between family functionality and adherence to diabetes treatment in patients treated in the chronic patients' program in a primary care health facility in Lima.
Methods: Cross-sectional study carried out in 2020. Information was collected on adherence to treatment and family functionality of the patients. Likewise, sociodemographic variables and variables related to diabetes were measured. A simple and multiple regression analysis were performed to estimate the association between adherence to treatment and the sociodemographic variables.
Results: 71.6% of respondents were women. 78.4% of the patients reported having some comorbidity. In addition, the average glycated hemoglobin of the respondents was 8.9%. It was found that 59.7% of patients belonged to a dysfunctional family and 87.3% did not optimally comply with the treatment for their disease. In the bivariate analysis, a significant association was found between family functionality and adherence to treatment (p= 0.028). In the multiple regression analysis, the association was maintained (PR= 2.73, 95% CI: 1.08-6.87).
Conclusions: The frequency of poor adherence to treatment in diabetic patients is high. Family functionality is associated with adherence to drug treatment.
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References
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3. Carrillo-Larco RM, Bernabé-Ortiz A. Diabetes mellitus tipo 2 en Perú: una revisión sistemática sobre la prevalencia e incidencia en población general. Rev Peru Med Exp Salud Publica. 2019 [acceso: 10/05/2022]; 36(1):26-36. Disponible en: http://www.scielo.org.pe/pdf/rins/v36n1/a05v36n1.pdf
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5. Viigimaa M, Sachinidis A, Toumpourleka M, Koutsampasopoulos K, Alliksoo S, Titma T. Macrovascular Complications of Type 2 Diabetes Mellitus. Curr Vasc Pharmacol. 2020 [acceso: 10/05/2022]; 18(2):110-6. Disponible en: http://www.eurekaselect.com/article/97859
6. Zheng Y, Ley SH, Hu FB. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat Rev Endocrinol. 2018 [acceso: 10/05/2022]; 14(2):88-98. Disponible en: https://www.nature.com/articles/nrendo.2017.151
7. Swe K, Reddy SSK. Improving Adherence in Type 2 Diabetes. Clin Geriatr Med. 2020 [acceso: 17/05/2022]; 36(3):477-89. Disponible en: https://www.geriatric.theclinics.com/article/S0749-0690(20)30027-6/fulltext
8. Figueira ALG, Boas LCGV, Coelho ACM, Freitas MCF, Pace AE. Educational interventions for knowledge on the disease, treatment adherence and control of diabetes mellitus. Rev Lat Am Enfermagem. 2017 [acceso: 17/05/2022]; 25:e2863. Disponible en: https://www.scielo.br/j/rlae/a/nxygX8xKc9DmKcCDNWg5mnq
9. Quiñones A, Ugarte C, Chávez C, Mañalich J. Psychological variables associated with adherence to treatment and complications in patients with type 2 diabetes mellitus. Rev Med Chile. 2018 [acceso: 18/05/2022]; 146:1151-8. Disponible en: https://www.scielo.cl/pdf/rmc/v146n10/0034-9887-rmc-146-10-01151.pdf
10. Puigdemont N, Valverde-Merino MI. Medication Adherence: Modifiers and Improvement Strategies. Ars Pharm. 2018 [acceso: 18/05/2022]; 59(4):251-8. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6799398
11. Feldman MA, Anderson LM, Shapiro JB, Jedraszko AM, Evans M, Weil LEG et al. Family-Based Interventions Targeting Improvements in Health and Family Outcomes of Children and Adolescents with Type 1 Diabetes: a Systematic Review. Curr Diab Rep. 2018 [acceso: 18/05/2022]; 18(15):1-15. Disponible en: https://link.springer.com/article/10.1007/s11892-018-0981-9
12. Gupta L, Khandelwal D, Lal PR, Gupta Y, Kalra S, Dutta D. Factors Determining the Success of Therapeutic Lifestyle Interventions in Diabetes - Role of Partner and Family Support. Eur Endocrinol. 2019 [acceso: 20/05/2022]; 15(1):18-24. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6587903/
13. Paredes JL, Navarro R, Cabrera DM, Diaz MM, Mejia F, Caceres CF. Los desafíos en la continuidad de atención de personas viviendo con VIH en el Perú durante la pandemia de la COVID-19. Rev Peru Med Exp Salud Publica. 2021 [acceso: 20/05/2022]; 38(1):166-70. Disponible en: http://www.scielo.org.pe/pdf/rins/v38n1/1726-4642-rins-38-01-166.pdf
14. López-Medina C, Ladehesa-Pineda L, Gómez-García I, Puche-Larrubia MÁ, Sequí-Sabater JM, Armenteros-Ortiz P, et al. Treatment adherence during the COVID-19 pandemic and the impact of confinement on disease activity and emotional status: A survey in 644 rheumatic patients. Joint Bone Spine. 2021 [acceso: 22/05/2022]; 88(2):105085. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590637/
15. Quera R, Simian D, Flores L, Ibáñez P, Figueroa C. Impact of the COVID-19 pandemic on treatment adherence in patients with inflammatory bowel disease: Experience of a tertiary hospital in Chile. Gastroenterol Hepatol. 2021 [acceso: 22/05/2022]; 44(9):654-6. Disponible en: https://investigadores.uandes.cl/en/publications/impacto-de-la-pandemia-covid-19-en-la-adherencia-al-tratamiento-e
16. Krzemińska S, Lomper K, Chudiak A, Ausili D, Uchmanowicz I. The association of the level of self-care on adherence to treatment in patients diagnosed with type 2 diabetes. Acta Diabetol. 2021 [acceso: 22/05/2022]; 58(4):437-45. Disponible en: https://link.springer.com/article/10.1007/s00592-020-01628-z
17. Rohde C, Knudsen JS, Schmitz N, Østergaard SD, Thomsen RW. The impact of hospital-diagnosed depression or use of antidepressants on treatment initiation, adherence and HbA1c/LDL target achievement in newly diagnosed type 2 diabetes. Diabetologia. 2021 [acceso: 02/06/2022]; 64(2):361-74. Disponible en: https://link.springer.com/article/10.1007/s00125-020-05303-4
18. Martin-Latry K, Latry P, Pucheu Y, Couffinhal T. Hospital medication adherence scale development in cardiovascular disorders. Ann Pharm Fr. 2021 [acceso: 02/06/2022]; 79(4):457-64. Disponible en: https://europepmc.org/article/med/33309605
19. Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986 [acceso: 02/06/2022]; 24: 67-84. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3945130/
20. Esquivel N, Díaz LP. Validity and Reliability of the Treatment Adherence Questionnaire for Patients with Hypertension. Invest Educ Enferm. 2019 [acceso: 12/06/2022]; 37(3):e09. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-53072019000300009
21. Olson DH. Circumplex model of marital and family systems. Assessing family funtioning. En: Walsh F, editor. Normal family processes. 2nd ed. New York: The Guilford Press; 1993. [acceso: 12/06/2022]. Disponible en: https://onlinelibrary.wiley.com/doi/pdf/10.1111/1467-6427.00144
22. Bazo-Alvarez JC, Bazo-Alvarez OA, Aguila J, Peralta F, Mormontoy W, Bennett IM. Propiedades psicométricas de la escala de funcionalidad familiar FACES-III: un estudio en adolescentes peruanos. Rev Peru Med Exp Salud Publica. 2016 [acceso: 12/06/2022]; 33(3):462-70. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1726-46342016000300011
23. Farías-Vílchez BA, Bardales-Ruíz D. Knowledge on diabetes mellitus type 2 and adherence to treatment in patients from the hospital Reátegui from Piura, Peru. Acta Med Peru. 2021 [acceso: 12/06/2022]; 38(1):34-41. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172021000100034
24. Pocohuanca-Ancco L, Villacorta J, Hurtado-Roca Y. Factors associated with non-adherence to antihypertensive treatment in patients with social security. Rev Cuerpo Med HNAAA. 2021 [acceso: 12/06/2022]; 14(3):316-21. Disponible en: http://www.scielo.org.pe/scielo.php?pid=S2227-47312021000400011&script=sci_abstract&tlng=en
25. Zhang Y. Family functioning in the context of an adult family member with illness: A concept analysis. J Clin Nurs. 2018 [acceso: 23/07/2022]; 27(15-16):3205-24. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/jocn.14500
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Published
2023-02-15
How to Cite
1.
Hernández-Yepez PJ, Cordori-Carpio J, Basurto-Ayala P, Inga-Berrospi F, Valladares-Garrido MJ-. Frequency and association between family functionality and adherence to treatment in diabetic patients. Rev Cubana Med Milit [Internet]. 2023 Feb. 15 [cited 2025 May 12];52(1):e02302437. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2437
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