Rivera-Picón Cristina, Benavente-Cuesta María Hinojal, Quevedo-Aguado María Paz, Sánchez-González Juan Luis, Rodríguez-Muñoz Pedro Manuel
Faculty of Health Sciences, Nursing, Pontifical University of Salamanca, 37002 Salamanca, Spain.
Faculty of Nursing and Physiotherapy, University of Salamanca, 37008 Salamanca, Spain.
J Pers Med. 2023 Jan 31;13(2):269. doi: 10.3390/jpm13020269.
We aim to identify the factors that influence the therapeutic adherence of subjects with chronic disease. The design followed in this work was empirical, not experimental, and cross-sectional with a correlational objective. The sample consisted of a total of 400 subjects (199 patients with HIV and 201 patients with diabetes mellitus). The instruments applied for data collection were a sociodemographic data questionnaire, the 4-item Morisky Medication Adherence Scale (MMAS-4) and the Coping Strategies Questionnaire. In the group of subjects with HIV, that the use of emotional coping strategies was related to lower adherence to treatment. On the other hand, in the group of subjects with diabetes mellitus, the variable related to compliance with treatment was the duration of illness. Therefore, the predictive factors of adherence to treatment were different in each chronic pathology. In the group of subjects with diabetes mellitus, this variable was related to the duration of the disease. In the group of subjects with HIV, the type of coping strategy used predicted adherence to treatment. As a result of these results, it is possible to develop health programmes to promote, from nursing consultations to adherence to treatment of patients with HIV and diabetes mellitus.
我们旨在确定影响慢性病患者治疗依从性的因素。本研究采用的设计是实证性的，而非实验性的，是具有相关性目标的横断面研究。样本总共包括400名受试者（199名艾滋病毒患者和201名糖尿病患者）。用于数据收集的工具包括一份社会人口统计学数据问卷、4项Morisky药物依从性量表（MMAS - 4）和应对策略问卷。在艾滋病毒感染者组中，使用情绪应对策略与较低的治疗依从性相关。另一方面，在糖尿病患者组中，与治疗依从性相关的变量是病程。因此，每种慢性病中治疗依从性的预测因素各不相同。在糖尿病患者组中，该变量与疾病持续时间有关。在艾滋病毒感染者组中，所使用的应对策略类型可预测治疗依从性。基于这些结果，有可能制定健康计划，从护理咨询方面促进艾滋病毒和糖尿病患者坚持治疗。
