Limits...
Metabolic syndrome patient compliance with drug treatment.

Lopes N, Zanini AC, Casella-Filho A, Chagas AC - Clinics (Sao Paulo) (2008)

Bottom Line: Low compliance has been one of the greatest challenges for the successful treatment of chronic diseases.The level of patient knowledge of diet and dyslipidemia was considered to be low.Patients involved in this study exhibited a high level of compliance with drug treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Pharmacy, Faculdade de Ciências Farmacêuticas, Universidade de São Paulo, São Paulo, SP, Brazil. nilceias@yahoo.com

ABSTRACT

Objectives: 1) To evaluate the compliance with drug treatment in patients with metabolic syndrome. 2) To determine association between access to and use of medicines, as well as the level of knowledge of cardiovascular risk factors and compliance.

Introduction: Low compliance has been one of the greatest challenges for the successful treatment of chronic diseases. Although this issue has been widely studied in patients with isolated hypertension, diabetes and dyslipidemia, compliance studies involving patients with these concomitant diseases or with metabolic syndrome diagnosis are scarce.

Methods: This was a cross-sectional study involving patients who have been diagnosed with metabolic syndrome according to the IDF criteria. Patients were being treated in a Health-Medical School Center bound to the Public Brazilian Healthcare System. This study was conducted in two phases. Phase I was characterized by analyzing medical records and Phase II involved interviewing the patients. A variation of the Morisky-Green Test was used to evaluate compliance. Compliance was the dependent variable and the independent variables included access to medicines, the use of medicines and the level of knowledge concerning cardiovascular risk factors.

Results: Two hundred and forty-three patients were identified as being eligible for Phase II, and 75 were included in the study. The average level of compliance was 5.44 points (standard deviation of 0.68), on a scale ranging from 1.00 to 6.00 points. There was no statistically meaningful association between independent variables and compliance. The level of patient knowledge of diet and dyslipidemia was considered to be low.

Conclusions: Patients involved in this study exhibited a high level of compliance with drug treatment. Further research is needed to better elucidate the compliance behavior of patients who have been diagnosed with metabolic syndrome.

Show MeSH

Related in: MedlinePlus

Patient knowledge about cardiovascular risk factors: % average of correct answers of 75 patients
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2664712&req=5

f1-02-0052: Patient knowledge about cardiovascular risk factors: % average of correct answers of 75 patients

Mentions: Among the 75 patients evaluated, 35 (46.6%) exhibited a good level of knowledge about cardiovascular risk factors (correct answers ≥ 75%), while 24 (32.0%) patients had only a moderate level of knowledge (50% < correct answers < 74.9%). Ten (13.4%) patients exhibited a low level of knowledge (25% < correct answers < 49.9%) and 6 others (8.00%) demonstrated a very low level of knowledge (correct answers ≤ 24.9%). Figure 1 shows the average distribution of percentages of correct answers for each cardiovascular risk factor assessed.


Metabolic syndrome patient compliance with drug treatment.

Lopes N, Zanini AC, Casella-Filho A, Chagas AC - Clinics (Sao Paulo) (2008)

Patient knowledge about cardiovascular risk factors: % average of correct answers of 75 patients
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2664712&req=5

f1-02-0052: Patient knowledge about cardiovascular risk factors: % average of correct answers of 75 patients
Mentions: Among the 75 patients evaluated, 35 (46.6%) exhibited a good level of knowledge about cardiovascular risk factors (correct answers ≥ 75%), while 24 (32.0%) patients had only a moderate level of knowledge (50% < correct answers < 74.9%). Ten (13.4%) patients exhibited a low level of knowledge (25% < correct answers < 49.9%) and 6 others (8.00%) demonstrated a very low level of knowledge (correct answers ≤ 24.9%). Figure 1 shows the average distribution of percentages of correct answers for each cardiovascular risk factor assessed.

Bottom Line: Low compliance has been one of the greatest challenges for the successful treatment of chronic diseases.The level of patient knowledge of diet and dyslipidemia was considered to be low.Patients involved in this study exhibited a high level of compliance with drug treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Pharmacy, Faculdade de Ciências Farmacêuticas, Universidade de São Paulo, São Paulo, SP, Brazil. nilceias@yahoo.com

ABSTRACT

Objectives: 1) To evaluate the compliance with drug treatment in patients with metabolic syndrome. 2) To determine association between access to and use of medicines, as well as the level of knowledge of cardiovascular risk factors and compliance.

Introduction: Low compliance has been one of the greatest challenges for the successful treatment of chronic diseases. Although this issue has been widely studied in patients with isolated hypertension, diabetes and dyslipidemia, compliance studies involving patients with these concomitant diseases or with metabolic syndrome diagnosis are scarce.

Methods: This was a cross-sectional study involving patients who have been diagnosed with metabolic syndrome according to the IDF criteria. Patients were being treated in a Health-Medical School Center bound to the Public Brazilian Healthcare System. This study was conducted in two phases. Phase I was characterized by analyzing medical records and Phase II involved interviewing the patients. A variation of the Morisky-Green Test was used to evaluate compliance. Compliance was the dependent variable and the independent variables included access to medicines, the use of medicines and the level of knowledge concerning cardiovascular risk factors.

Results: Two hundred and forty-three patients were identified as being eligible for Phase II, and 75 were included in the study. The average level of compliance was 5.44 points (standard deviation of 0.68), on a scale ranging from 1.00 to 6.00 points. There was no statistically meaningful association between independent variables and compliance. The level of patient knowledge of diet and dyslipidemia was considered to be low.

Conclusions: Patients involved in this study exhibited a high level of compliance with drug treatment. Further research is needed to better elucidate the compliance behavior of patients who have been diagnosed with metabolic syndrome.

Show MeSH
Related in: MedlinePlus