The aim of the study was to examine the degree of influence of the complex of factors on adherence to long —term drug therapy. Material and Methods. The survey of hospitalized patients with diseases of cardiovascular system has been performed in the therapeutic department of the district hospital of the Saratov region. The questionnaire included socio-demographic indicators, the presence of comorbidity. After 6 months follow-up calls to patients were performed. The relationship between the characteristics were analyzed using one-factor analysis. Results. 100 patients (54% of those invited to the study) completed the survey. After 6 months 86 (80%) patients has managed to be in contact, 44 (51 %) — continue taking drugs after discharge. Continued drug therapy patients, who considered theoretically correct constant mode of therapy (p<0,01), with hypertensive crises in history (p<0,01), with higher education (p<0,01), pre-domina (p<0,01), satisfied therapy (p<0,01) that define the disease as "lifestyle" (p<0,01) receiving information about the disease from the attending physician (p<0,01) having a "friendly" relationship with the physician (p<0,01). Conclusions. 6 months after discharge, the recommendations should be followed by the half of the patients. Those patients who are aware of the importance of continuous treatment, chronically ill, not previously terminating treatment often continue therapy. The predominant model of the relationship doctor-patient is paternalistic.
Bulaeva Y.V., Naumova Е.А., Semenova O.N. A prospective 6-month study of adherence to treatment of patients with cardiovascular diseases of regional hospital of the Saratov region // Saratov Journal of Medical Scientific Research, Vol. 11, Issue 2, 2015, pp. 129-135