STUDYING THE RELATIONSHIP OF PSYCHOLOGICAL CHARACTERISTICS WITH THE LEVEL OF ADHERENCE TO TREATMENT OF PATIENTS WITH CHRONIC GASTRITIS

Abstract

Abstract. Aim: to study the relationship between the level of adherence to treatment of patients with chronic gastritis and psychological characteristics and the severity of stress. Materials and methods. 302 patients with chronic gastritis (CG) were examined, which, de-pending on the level of adherence to treatment, were included in 4 groups: group 1 - 96 patients with HG associated with H.pylori (HP); in group 2 - 110 patients with chronic hepatitis not associated with HP. In patients of these groups, the compliance level was observed to be high. Group 3 was formed from 36 patients with CG associated with HP who refused treatment (low compliance), in group 4 - 60 patients diagnosed with CG associated with HP, who partially complied with the doctor's recommendations (moderate compliance). The data of the life history were analyzed, in particular, they were interviewed for the influence of stressful situations in everyday life and in the process of professional activity. The degree of adherence to treatment was assessed using the Davydov Compliance Questionnaire, anxiety levels (personal and situational) were determined using the Spielberger-Khanin questionnaire, anxiety and depression levels were determined using the Hospital Anxiety and Depression Scale (HADS). A correlation analysis was carried out to identify associations be-tween the level of patient’s adherence to treatment with the severity of the effect of stress factors on them and indicators of psychological status. Results. It was established that the maximum result of treatment - a high degree of eradication of the causative agent of CG was observed in patients of the first group. These patients fully complied with the recommendations of the doctor, at the same time, they were characterized by a lower frequency of exposure to stress. The minimum result of treatment was typical for pa-tients of the third group, which was due to their extremely low compliance. At the same time, these patients noted a high frequency of the influence of stress factors, at the same time they had relatively low levels of anxiety, assessed by the Spielberger and HADS questionnaires. The presence of statistically significant negative correlations of the average strength of the compliance level with the frequency of exposure to stressful life situations and professional stress, as well as positive associations of the compliance level with anxiety indica-tors, was established. Conclusion. The implementation of a set of measures, including correctly organized support for a patient with chronic gastritis, methods of psychological support based on the psychological characteristics of the patient, can increase the adherence of patients to the treatment, which, in turn, increases the frequency of effective eradication of Helicobacter pylori.