Abstract
To determine the association between treatment adherence and health-related quality of life. A cross-sectional investigation was performed in an arterial hypertension program of a general hospital. The Spanish version of the Short Form-36 Health Survey and the Spanish version of the Morisky-Green test. The scores of the subscales and Physical Component (PCS) and Mental Component (MCS) summaries of the SF-36 survey were obtained, then the respective bivariate and multivariate analyzes (Poisson regression) were executed. 39% of patients had therapeutic adherence. All the dimensions of the SF-36 survey presented a statistical association with adherence to antihypertensive treatment. Poisson regression was executed to identify the independent variables associated with obtaining a score higher than 50 in the PCS [presence of comorbidity (risk factor), work status, and therapeutic adherence (protective factor)] and MCS (therapeutic adherence as a protective factor). Therapeutic adherence, work status, and absence of comorbidity were associated with a better health-related quality of life.
Highlights
Los residuos estandarizados de Pearson se hallaron entre -2 y +2
Health-related quality of life among general practice patients with differing chronic diseases in Germany: cross sectional survey
Summary
Diseño de estudio Investigación transversal, analítica, realizada en el programa de HTA del Hospital Regional José Cayetano Heredia de Piura (Perú). La variable exposición de interés fue la presencia de AT, evaluada mediante la versión española de la prueba de Morisky y Green, realizada por Val Jiménez y validada en pacientes con HTA (se tramitó el correspondiente permiso de uso) [26]. Finalmente, se ejecutó un análisis de regresión de Poisson para la construcción de un modelo de asociación con las puntuaciones PCS y MCS, incluyendo la detección de variables de confusión. Los pacientes tuvieron una media de edad de 67,99 años (SD 10,09) y más del 30% habían recibido educación superior. Adherencia terapéutica y dimensiones del cuestionario SF-36 Existió adherencia al tratamiento antihipertensivo en 140 pacientes (39%); asimismo, su asociación con la variable edad (p=0,0025) y otras variables se presentan en la (Tabla 1). Características de la población de estudio y según la presencia de adherencia terapéutica
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