Abstract
Aim: To determine the long-term therapeutic adherence to lifestyle modification in the rehabilitation of obese patients, to formulate ways of its improvement, to test their effectiveness. Materials and Methods: 288 people with degree I, II and III obesity were interviewed. After determining the starting level of long-term therapeutic adherence to lifestyle modification, an individual facilitating lecture-interview was conducted and a repeat survey was conducted. According to its results, patients were divided into groups with high therapeutic adherence (for rehabilitation measures to reduce body weight, maintain and improve the adherence) and with low therapeutic adherence (comparison group). After the implementation of the rehabilitation program, the level of therapeutic adherence was determined again. Results: A low long-term therapeutic adherence to lifestyle modification is determined in patients with obesity of the I, II and III degree, which is established by the interview method. Measures to improve it lead to an increase in the patient’s responsibility and the degree of compliance with the recommendations given by him, improves self-management, which is relevant in conditions of long-term weight loss and its maintenance at the achieved level, which is demonstrated by a statistically significant difference in the indicators the studied groups. Conclusions: It is advisable to include measures to improve long-term therapeutic adherence to lifestyle modification to programs of rehabilitation of obese patients.
Published Version
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