Abstract

IGLESIAS MARICHAL, Ileydis; CASTELO ELIAS-CALLES, Lizet; DOMINGUEZ ALONSO, Emma  and  MENDOZA TRUJILLO, Madelín. Adherence to treatment in patients with dyslipoproteinemias. Rev Cubana Endocrinol [online]. 2013, vol.24, n.3, pp. 229-241. ISSN 1561-2953.

Background: adherence to treatment in dyslipoproteinemias is an essential element for the prevention of atherosclerosis complications. Objectives: to determine the extent of adherence to treatment in patients with dyslipoproteinemias and to identify the factors related to it. Methods: a cross-sectional and descriptive study of 91 individuals who went to the dyslipoproteinemias service of the Center of Care for Diabetic Patients in the National Institute of Endocrinology in Havana, Cuba from January to June 2011. They were aged ³ 20 years and attended this service for at least 12 weeks. A self-administered anonymous questionnaire divided into 3 sections was applied; it included variables about the group characterization such as sex, age group, schooling, occupation, categories describing adherence to treatment and factors related to it. Summary statistics were estimated and chi-square test was used. Results: the predominant age group was 40 to 59 years (94.9 %). In this sample, 85.8 % had finished high school and 40.7 % showed adherence to treatment. Compliance with diet, meal times and drug doses was significantly associated to adherence to treatment (p< 0.05). Conclusions: most of patients did not comply with treatment in terms of diet and exercising. In a lower number of patients, compliance with meal times and drug doses were related to better adherence to treatment. The factors hindering the adherence proved to be lack of fruits and vegetables at the marketplace as well as ignoring diet. The favoring factors were adequate family support and correct information provided by the attending physician.

Keywords : adherence to treatment; dyslipoproteinemias; atherosclerosis.

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