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ASSESSING FACTORS THAT FORM PATIENT’S ATTITUDE TO TREATMENT PRECEDING HOSPITALIZATION FOR ACUTE CORONARY SYNDROM (DATA OF QUESTIONNAIRE WITHIN THE LIS REGISTER)

https://doi.org/10.20996/1819-6446-2013-9-5-472-481

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Abstract

Aim. To determine the most significant factors forming patient’s attitude to treatment and factors of adherence to treatment preceding hospitalization in patients with acute coronary syndrome (ACS).
Material and methods. A register of patients admitted to Lyubertsy Regional Hospital №2 for ACS from 01.12.2011 to 01.12.2012 was used in the study. A total of 272 patients (men – 157, women – 115) were enrolled into the study. Age range was between 31 and 89 years, mean age was 63.6±12.6 years. Acute myocardial infarction was diagnosed in 181 patients, unstable angina pectoris – in 91 patients. While in hospital all the patients had filled out the questionnaire on therapy adherence.
Results. Half of the 272 patients (133 persons) enrolled into the study had regularly been followed-up for chronic diseases in different medical centers; 138 patients (50.7%) had not been followed-up before the reference hospitalization. According to the valid Morisky-Green test results 120 patients (44.1%) were adherent to treatment, in 141 (51.8%) patients the adherence was unsatisfactory, 11 persons (4.1%) did not answer the test questions. Younger patients adhered to doctors’ recommendations better. According to the patients (125 patients – 46%) the most effective strategy to improve treatment adherence was the obtaining of detailed information about their disease and methods of its treatment provided by the doctor. 32 patients (11.8%) pointed out the importance of lowering drug costs. 11 patients of 272 respondents demanded more care from their doctor; 4 persons suggested that better quality of medical care organization would help to ameliorate treatment adherence. Regular follow-up for chronic diseases with detailed informing about the condition by a physician positively influences adherence to recommended therapy. Patients of commercial medical centers and patients without any medical follow-up least of all adhered to treatment.
Conclusion. Specially designed questionnaire allowed to determine the most significant factors that form patients’ attitude to therapy preceding the reference hospitalization and factors of adherence to treatment prescribed before the hospitalization. All the significant factors were related to the physician-patient relationships, what emphasizes the important role of both doctors and patients in improvement of treatment adherence.

About the Authors

Yu. V. Lukina
State Research Centre for Preventive Medicine, Moscow
Russian Federation
PhD, MD, Senior Researcher,  Department of Preventive Pharmacotherapy, State Research Centre for Preventive Medicine (SRCPM)


M. L. Gynzburg
Lyubertsy Regional Hospital №2, Moscow Region
Russian Federation
PhD, MD, Head of Cardiology Department, Lyubertsy Regional Hospital №2


V. P. Smirnov
Lyubertsy Regional Hospital №2, Moscow Region
Russian Federation
PhD, MD, Head of Lyubertsy Regional Hospital №2


S. Yu. Martsevich
State Research Centre for Preventive Medicine, I.M. Sechenov First Moscow State Medical University, Moscow
Russian Federation
PhD, MD, Professor, Head of Department of Preventive Pharmacotherapy, SRCPM; Professor of Chair of the Evidence-Based Medicine, I.M. Sechenov First Moscow State Medical University


N. P. Kutishenko
State Research Centre for Preventive Medicine, I.M. Sechenov First Moscow State Medical University, Moscow
Russian Federation
PhD, MD, Professor, Head of Laboratory of Pharmaco-Epidemiological Research, Department of Preventive Pharmacotherapy, SRCPM


A. V. Fokina
Lyubertsy Regional Hospital №2, Moscow Region
Russian Federation
MD, Doctor of Cardiology Department, Lyubertsy Regional Hospital №2


E. V. Daniels
Lyubertsy Regional Hospital №2, Moscow Region
Russian Federation
MD, Doctor of the same Department


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For citation:


Lukina Yu.V., Gynzburg M.L., Smirnov V.P., Martsevich S.Yu., Kutishenko N.P., Fokina A.V., Daniels E.V. ASSESSING FACTORS THAT FORM PATIENT’S ATTITUDE TO TREATMENT PRECEDING HOSPITALIZATION FOR ACUTE CORONARY SYNDROM (DATA OF QUESTIONNAIRE WITHIN THE LIS REGISTER). Rational Pharmacotherapy in Cardiology. 2013;9(5):472-481. https://doi.org/10.20996/1819-6446-2013-9-5-472-481

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