Adherència al tractament farmacològic en el pacient crònic a l’Alt Penedès. Funció i reptes de la infermeria

Identifier:  TDX:2913

Handle: https://hdl.handle.net/20.500.11797/TDX2913

Authors:  Raventos Torner, Rosa Dolores

Abstract:
Introduction: Lack of adherence to drug therapy is a problem prevalent and relevant in clinical practice, especially in the treatment of chronic diseases. WHO considers that it is priority for public health because of its negative consequences: therapeutic failures, higher rates of hospitalization and increased healthcare costs. Objectives: The main objective of this thesis is to deepen in the meaning of the phenomenon by both the patients and the nurses, and try to identify and describe the factors associated with adherence to drug treatment and associated variables. Methodology: This research is based on a mixed method which consists, on one hand, a quantitative study design multicenter descriptive cross sectional area of the patient from Alt Penedès (Catalonia, Spain), using the test Morisky-Green and demographics data, and the other two studies is complemented with qualitative exploratory, using grounded theory and technique of participant observation, in addition to a focal group. Results: The most important result was that the percentage of adherence to drug treatment was 66.67%, higher than that observed in other studies. In addition, all three studies agree that there is a lack of adherence to drug treatment, the use of generic drugs is presented as a significant problem and the economic factor affecting the purchase of medicines. Conclusions: Based on the results obtained in different studies it was proposed a series of recommendations with the aim of providing elements that contribute to the design of interventions and strategies for a multidisciplinary approach to this problem and improve the adherence with the pharmacological treatment.