Factores asociados a la no adherencia al tratamiento antidiabético, en pacientes con diabetes mellitus tipo 2 del servicio de Clínica del Hospital Vicente Corral Moscoso. Cuenca, 2019 - 2020

Abstract

Background: Diabetes Mellitus 2 is a prevalent cause of morbidity and mortality in our country, being required adequate therapeutic adherence to treat it. Objective: Determine the factors associated with non-adherence to antidiabetic treatment in patients with Diabetes Mellitus Type 2 in the Clinic service of the Vicente Corral Moscoso Hospital in the city of Cuenca during the period 2019-2020. Materials and methods: Analytical cross-sectional study. The sample was 204 patients, using the formula for finite universe. It was analyzed in the PSPP 1.2.0 program, using the prevalence ratio to measure the association. The bioethics committee approved the study. Results: The mean age was 68.88 ± 16.37 years. The frequency of non-adherence to the treatment was 70.6%. The associated factors were: use of 4 or more drugs (PR 3.99 IC 2.77 - 6.99), smoking (PR 2.61 IC 1.49 - 4.58), distance to the health center was more than 30 minutes (PR 2.81 IC 1.79 - 4.4), rural origin (PR 2.26 IC 1.07 - 4.77), depression (PR 2.14 IC 1.5 - 3.06), time of diagnosis more than ten years (PR 2.0 IC 1.4 - 2.87) and use of oral treatment (PR 1.7 IC 1.19 - 2.43); all statistically significant (p <0.05). Conclusions: The lack of adherence to antidiabetic treatment was associated with the concomitant use of 4 or more medications, smoking, distance to the health center more than or equal to 30 minutes, a rural origin, depression, time of diagnosis more than ten years, and the use of oral treatment.