<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182021000500002</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Factors that influence adherence to treatment in patients with peptic ulcer in Bayamo]]></article-title>
<article-title xml:lang="es"><![CDATA[Factores que influyen en la adherencia al tratamiento en pacientes con úlcera péptica en Bayamo]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fatores que influenciam a adesão ao tratamento em pacientes com úlcera péptica em Bayamo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Padilla]]></surname>
<given-names><![CDATA[Odalmys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortíz Sánchez]]></surname>
<given-names><![CDATA[Yurisnel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Suárez]]></surname>
<given-names><![CDATA[Heriberto Fidel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero Ballester]]></surname>
<given-names><![CDATA[Yanet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Plá Milanés]]></surname>
<given-names><![CDATA[Odalis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Granma University of Medical Sciencies Bayamo Faculty of Medical Sciencies ]]></institution>
<addr-line><![CDATA[ Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182021000500002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182021000500002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182021000500002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: non-adherence to properly prescribed medications compromises the effectiveness of available treatments, interfers patient´s recovery and represents a considerable expense for the national health system.  Objective:  to determine the factors that influence adherence to treatment in patients diagnosed with peptic ulcer.  Methods:  a prospective observational analytical study was carried out in the health area of &#8203;&#8203;Bayamo municipality between July 2018 and April 2019. The data were obtained in a collection form, which was completed by individual medical interview with each patient. The Chi-square test was used to establish the relationship between therapeutic adherence and independent variables.  Results:  only 51 out of 177 patients included presented therapeutic adherence (28.8%). Male sex, rural residence, school level and occupation influenced the patient's attachment to treatment, while age was not decisive. Moderate knowledge about the disease, inadequate performance of non-pharmacological and pharmacological measures affected non-adherence. The complexity of the prescribed medical plan, frequent adverse reactions, relative availability and the cost of the drugs were the factors that led to poor medication adherence. Doctor´s role was not conclusive, as it was reflected in the variables analyzed on this regard, such as medical guidelines, follow-up and the doctor-patient relationship.  Conclusions:  there was a low adherence to drugs in the compliance of the therapy prescribed in patients with peptic ulcer.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: la no adherencia a los medicamentos debidamente prescritos compromete la efectividad de los tratamientos disponibles, interfiere en la recuperación del paciente y representa un gasto considerable para el sistema nacional de salud.  Objetivo: determinar los factores que influyen en la adherencia al tratamiento en pacientes diagnosticados de úlcera péptica.  Métodos: se realizó un estudio analítico observacional prospectivo en el área de salud del municipio de Bayamo entre julio de 2018 y abril de 2019. Los datos se obtuvieron en un formulario de recolección, el cual se completó mediante entrevista médica individual con cada paciente. Se utilizó la prueba de Chi-cuadrado para establecer la relación entre la adherencia terapéutica y las variables independientes.  Resultados: solo 51 de 177 pacientes incluidos presentaron adherencia terapéutica (28,8%). El sexo masculino, la residencia rural, el nivel escolar y la ocupación influyeron en el apego del paciente al tratamiento, mientras que la edad no fue determinante. El conocimiento moderado sobre la enfermedad, la realización inadecuada de medidas no farmacológicas y farmacológicas afectaron la no adherencia. La complejidad del plan médico prescrito, las reacciones adversas frecuentes, la disponibilidad relativa y el costo de los medicamentos fueron los factores que llevaron a una mala adherencia a la medicación. El papel del médico no fue concluyente, como se reflejó en las variables analizadas al respecto, como las pautas médicas, el seguimiento y la relación médico-paciente.  Conclusiones: hubo una baja adherencia a los fármacos en el cumplimiento de la terapia prescrita en pacientes con úlcera péptica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: a não adesão aos medicamentos devidamente prescritos compromete a eficácia dos tratamentos disponíveis, interfere na recuperação do paciente e representa um gasto considerável para o sistema nacional de saúde.  Objetivo: determinar os fatores que influenciam a adesão ao tratamento em pacientes com diagnóstico de úlcera péptica.  Métodos: foi realizado um estudo prospectivo observacional analítico na área de saúde do município de Bayamo entre jalo de 2018 e abril de 2019. Os dados foram obtidos em formulário de coleta, presencio por entrevista médica individual com cada paciente. O teste Qui-quadrado foi utilizado para estabelecer a relaja entre a adesão terapêutica e as variáveis &#8203;&#8203;independentes.  Resultados: apenas 51 dos 177 pacientes incluídos apresentaram adesão terapêutica (28,8%). Sexo masculino, residência rural, escolaridade e ocupação influenciaram o apego do paciente ao tratamento, enquanto a idade não foi determinante. O conhecimento moderado sobre a doença, o desempenho inadequado das medidas não farmacológicas e farmacológicas afearan a não adesão. A complexidade do plano médico prescrito, as reações adversas frequentes, a disponibilidade relativa e o costó dos medicamentos foram os fatores que levaram à má adesão aos medicamentos. O papel do médico não foi conclusivo, ponis se refletóunas variáveis &#8203;&#8203;analisadas a esse respeito, como orientações médicas, acompanhamento e relajó médico-paciente.  Conclusões: houve baixa adesão aos medicamentos na adesão à terapia prescrita em pacientes com úlcera péptica.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[peptic ulcer]]></kwd>
<kwd lng="en"><![CDATA[adherence]]></kwd>
<kwd lng="en"><![CDATA[pharmacological treatment]]></kwd>
<kwd lng="es"><![CDATA[úlcera péptica]]></kwd>
<kwd lng="es"><![CDATA[adherencia]]></kwd>
<kwd lng="es"><![CDATA[tratamiento farmacológico]]></kwd>
<kwd lng="pt"><![CDATA[úlcera péptica]]></kwd>
<kwd lng="pt"><![CDATA[aderência]]></kwd>
<kwd lng="pt"><![CDATA[tratamento farmacológico]]></kwd>
</kwd-group>
</article-meta>
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