Originales
Determinantes del cumplimiento terapéutico en personas mayores de 60 años en España
Determinants of the adherence to therapeutic plan in elderly Spaniards, over 60 years of age
Rafael Tuesca-Molinaa,
, Pilar Guallar-Castillónb, José Ramón Banegas-Banegasb, Auxiliadora Graciani-Pérez Regaderab
Autor para correspondencia
rtuesca@uninorte.edu.co
Correspondencia: Rafael Tuesca-Molina. Universidad del Norte. Departamento de Salud Familiar y Comunitaria. Km 5 Antigua carretera a Puerto Colombia. Barranquilla. Colombia.
Correspondencia: Rafael Tuesca-Molina. Universidad del Norte. Departamento de Salud Familiar y Comunitaria. Km 5 Antigua carretera a Puerto Colombia. Barranquilla. Colombia.
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Universidad del Norte. Departamento de Salud Familiar y Comunitaria. Km 5 Antigua carretera a Puerto Colombia. Barranquilla. Colombia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Determinants of the adherence to therapeutic plan in elderly Spaniards, over 60 years of age" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-08-24" "fechaAceptado" => "2005-11-17" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec14087" "palabras" => array:3 [ 0 => "Adhesión" 1 => "Ancianos" 2 => "Hipertensión" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec14088" "palabras" => array:3 [ 0 => "Adherence" 1 => "Elderly" 2 => "Hypertension" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Identificar los factores asociados al cumplimiento terapéutico en varones y mujeres hipertensos conocidos.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio poblacional de 4.009 sujetos a partir de los datos del estudio «Hipertensión arterial y otros factores de riesgo en la población de 60 años y más de España ». Entrevista en el domicilio que recoge información sobre cumplimiento terapéutico, variables sociodemográficas, estilo de vida, uso de servicios de salud y calidad de vida relacionada con la salud.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En varones el cumplimiento terapéutico según las zonas estudiadas (odds ratio [OR] área rural = 3,9 frente a OR litoral cantábrico = 1,9) y con respecto a la salud general (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1,01). En mujeres, las cumplidoras con nivel escolar bajo (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1,8), la calidad de vida en el componente físico (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1,02) y visitas mensuales al domicilio (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>3,0). Las no cumplidoras autorreportan 2 enfermedades crónicas (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,6).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El cumplimiento terapéutico se relaciona con diferencias de género, regionales, educacionales y en la calidad de vida. Es recomendable diseñar estrategias diferenciadas por las anteriores variables a fin de incrementar el cumplimiento terapéutico.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To identify factors associated with the adherence to a therapeutic plan of awareness of hypertension.</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">The data of the study: «arterial Hypertension and other factors of risk in the elderly (≥ 60 years) Spanish population». This was a population-based survey of 4.009 older Spaniards. Information for this survey was obtained thorough household personal interviews to evaluate if these determining factors are independent of socio-demographic variables, the use of health system, lifestyles and the quality of life related to health.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In men, the adherence to a therapeutic plan according to the regions studied (OR Rural = 3.9; OR Cantabrian = 1.9). Beside general health (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.01). With respect to the women, the ones that complied with the therapeutic plan more frequently had a low scholastic level (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.8), physical condition (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.02), and had more frequent home medical visits monthly (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>3.0). The women with poor adherence had two chronic illnesses (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.6)</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">There are regional differences, gender, educational and to measure health-related quality of life. 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Información del artículo
ISSN: 02139111Idioma original: Español
DOI:10.1157/13088853
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