Tsiligianni Ioanna G, Papadokostakis Polyvios, Prokopiadou Dimitra, Stefanaki Ioanna, Tsakountakis Nikolaos, Lionis Christos
Asites rural practice, Agia Barbara Health Care Centre, Heraklion, Crete, Greece Cretan Practice-based Primary Care Research Network 'G. Lambrakis' & Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece;, Email:
Cretan Practice-based Primary Care Research Network 'G. Lambrakis' & Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece Garipa rural practice, Arkalohori Health Care Centre, Crete, Greece.
Qual Prim Care. 2014;22(5):238-44.
The global economic crisis has affected Greece. Data on patients' adherence to medications for chronic diseases are missing. The objective of this study was to identify to what extent the financial crisis and the repeated pharmacists strike have influenced patients adherence to therapy.
A quantitative and qualitative study in rural Crete was designed and implemented in February 2013 with the use of a pretested questionnaire with opened and closed questions. Setting Rural practices in a well-defined geographical area of Crete.
The questionnaire was addressed in all patients that visited the rural practices with chronic or acute diseases for two consecutive weeks. Main Outcome(s) and Measure(s): Age, annual income, adherence to therapy, patient's views and feelings.
288 patients participated. The mean age was 68±6.87. The majority of the patients have lowered the doses of several medications by themselves as they weren't able to afford the cost ie; all patients receiving insulin had lowered the dosages; 46.42% of patients with COPD or asthma had stopped their medications completely, decreased dosages or used similar medications that had in the past; patients with dislipidemia received their medications as suggested only in 51.8%. Patients with cardiovascular diseases received their medications as suggested in 75.6% while the rest have dismissed or skipped dosages. Most common emotions reported were those of sadness, fear, stress, anxiety and isolation.
The economic crisis has influenced patients' adherence to therapy in rural areas as well as their psychological and emotional status. There is an urgent need for action within the context of primary care.
全球经济危机影响了希腊。目前尚缺乏关于慢性病患者药物治疗依从性的数据。本研究的目的是确定金融危机和药剂师多次罢工在多大程度上影响了患者的治疗依从性。
2013年2月，在克里特岛农村地区开展了一项定量和定性研究，采用了一份经过预测试的包含开放式和封闭式问题的问卷。地点为克里特岛一个明确地理区域内的农村诊所。
连续两周到农村诊所就诊的所有慢性病或急性病患者均接受问卷调查。主要结局和测量指标：年龄、年收入、治疗依从性、患者的观点和感受。
288名患者参与了研究。平均年龄为68±6.87岁。大多数患者因无力承担费用而自行降低了几种药物的剂量，例如，所有接受胰岛素治疗的患者都降低了剂量；46.42%的慢性阻塞性肺疾病（COPD）或哮喘患者完全停药、减少剂量或改用过去使用过的类似药物；血脂异常患者仅51.8%按医嘱服药。心血管疾病患者75.6%按医嘱服药，其余患者则停药或漏服。报告最多的常见情绪是悲伤、恐惧、压力、焦虑和孤独。
经济危机影响了农村地区患者的治疗依从性及其心理和情绪状态。在初级保健背景下迫切需要采取行动。
