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[Association between therapeutic adherence and phases of grief in patients with type 2 diabetes mellitus]. / Asociación entre la adherencia terapéutica y las fases de duelo en pacientes con diabetes mellitus tipo 2.
Medina Ávila, A; Leyva Jiménez, R.
Afiliação
  • Medina Ávila A; Unidad de Medicina Familiar No. 53, Instituto Mexicano del Seguro Social, León, Guanajuato, México.
  • Leyva Jiménez R; Unidad de Medicina Familiar No. 56, Instituto Mexicano del Seguro Social, León, Guanajuato, México. Electronic address: leyvajimenez@msn.com.
Semergen ; 50(5): 102178, 2024.
Article em Es | MEDLINE | ID: mdl-38301398
ABSTRACT

OBJECTIVE:

To evaluate the association between therapeutic adherence and the phases of grief in patients with type 2 diabetes mellitus.

DESIGN:

Cross-sectional observational study. SITE Family Medicine Unit No. 53 of the Mexican Institute of Social Security in the State of Guanajuato.

PARTICIPANTS:

A total of 354 patients with type 2 diabetes mellitus were recruited, of whom 236 corresponded to the group without therapeutic adherence and 118 to the group with therapeutic adherence.

INTERVENTIONS:

Two structured surveys were administered to both groups. MAIN MEASUREMENTS The Morisky 8 scale was used to measure therapeutic adherence and the phases of grief scale (EFD-66) to measure grief due to loss of health.

RESULTS:

The median denial phase and depression phase scores were higher in the nonadherence group than in the adherence group (p=.000). The median negotiation phase and acceptance phase score was higher in the adherence group than in the nonadherence group (p=.000). Multivariate analysis identifies that denial is the main factor associated with non-adherence (OR=1.25; 95% CI 1.14-1.37); while negotiation (OR=0.88; 95% CI 0.82-0.94) and acceptance are associated with adherence (OR=0.79; 95% CI 0.75-0.83).

CONCLUSIONS:

There is an association between therapeutic adherence and phases of grief.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pesar / Depressão / Diabetes Mellitus Tipo 2 Tipo de estudo: Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Mexico Idioma: Es Revista: Semergen Ano de publicação: 2024 Tipo de documento: Article País de publicação: Espanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pesar / Depressão / Diabetes Mellitus Tipo 2 Tipo de estudo: Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Mexico Idioma: Es Revista: Semergen Ano de publicação: 2024 Tipo de documento: Article País de publicação: Espanha