scholarly journals Therapeutic adherence of patients with breast and prostate cancers

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e62495
Author(s):  
Lia Raquel de Carvalho Viana ◽  
Gerlania Rodrigues Salviano Ferreira ◽  
Cláudia Jeane Lopes Pimenta ◽  
Tatiana Ferreira da Costa ◽  
Cleane Rosa Ribeiro da Silva ◽  
...  

Objective: to analyze the treatment compliance of patients with breast and prostate cancers. Methods: cross-sectional study with 303 patients with breast and prostate cancers. A semi-structured instrument and the Adherence Determinants Questionnaire Scale Brazilian version were used, and the data were analyzed using descriptive and inferential statistics. Results: mean adherence was found among all participants (100.0%). In patients with prostate cancer, we observed weak correlations between age and interpersonal aspects of care (r=0.198; p=0.048); and between treatment time and intentions (r=-0.295; p=0.049). In breast cancer patients, there was a positive correlation between age and perceived support/severity (r=0.174; p=0.013); and between years of study and interpersonal aspects of care (r=0.145; p=0.038) and intentions (r=0.156; p=0.026). Conclusion: patients with breast and prostate cancers showed moderate adherence to treatment, with higher means in the Support/Severity domain and lower in the Perceived Susceptibility domain.

Author(s):  
Jackeline De Souza Alecrim ◽  
Josiane Marcia de Castro ◽  
Francisco Antônio Fernandes Reinaldo ◽  
Dayane Cristine Andrade Lacerda ◽  
Jéssica Fernandes dos Reis ◽  
...  

Avaliar a prevalência de erros de prescrição de medicamentos em uma instituição de utilidade pública do Vale do Aço/Minas Gerais. Trata-se de um estudo descritivo, transversal, por meio de uma abordagem qualiquantitativa. As informações foram coletadas por meio de uma amostra de 150 prescrições de uma instituição de utilidade pública da região, na qual foram contabilizados os erros, a partir de uma análise quanto a: legibilidade, rasuras, emendas, abreviaturas, nome do medicamento, concentração, unidade de medida, forma farmacêutica, intervalo de administração, dosagem, quantidade, via de administração, tempo de tratamento e orientações sobre administração, no período de março a setembro de 2015. Detectou-se o predomínio de alguns erros, tais como: ilegibilidade, presença de rasuras, presença apenas do nome fantasia, ausência do tempo de tratamento, ausência de concentração e ausência de unidade de medida. Diante desses problemas reforça-se a importância do seguimento de prescrições padronizadas, a fim de aumentar a adesão ao tratamento e, assim, reduzir ocorrências relacionadas aos erros destas, fato que pode ser aprimorado pelo diálogo interdisciplinar.Palavras-chave: Erros de Medicação. Ilegibilidade. Interdisciplinariedade.AbstractTo evaluate the prevalence of prescription drug errors in a public utility institution Valley Steel / Minas Gerais. This was a descriptive cross-sectional study, by means of a quali-quantitative approach. Since the information was collected through a sample of 150 prescriptions of a public utility institution in the region in which the errors were recorded, from an analysis as to: Readability, erasures, amendments, abbreviations, drug name, concentration measured unit dosage form, dosing interval, dosage, quantity, route of administration, duration of treatment and administration of guidelines. We detected the predominance of some errors, such as illegibility, presence of erasures, only the presence of fancy name, absence of treatment time, lack of concentration and lack of measurement unit. In view of these problems reinforces the importance of following standard requirements in order to increase adherence to treatment and thus reduce incidents related to these errors, which can be enhanced by interdisciplinary dialogue.Keywords: Medication Errors. Illegibility. Interdisplinariedade.


2021 ◽  
Vol 15 (8) ◽  
pp. 1858-1860
Author(s):  
Junaid Mushtaq ◽  
Israr-Ul- Haq ◽  
Waqas Mahmood ◽  
Mujtaba H. Siddiqui ◽  
Atiq Ahmad ◽  
...  

Aim: To determine the factors that affect compliance and adherence to medications of hypertensive patients visiting OPD clinics. Study design: Descriptive-cross sectional study. Place and duration of study: Department of Medicine, Unit 1, Lahore General Hospital, Doctors Hospital & Medical Center and Farooq Hospital Lahore from 1st January 2019 to 31st December 2019. Methodology: One hundred and sixty five patients with hypertension were handed over questionnaire socio-demographic, compliance and adherence were recorded. Results: Patients who maintained BP charting were only 13(7.9%) and those without BP charting were 152(92.1%). Patients taking regular medications were only 20(12.1%). Forgetfulness in taking medications was found in 47.3% of patients. 20.6% of patients were unable to purchase medicines because of financial reasons. Thirty two patients (19.4%) thought that they should not take medicines as they were not having any symptoms. Conclusion: Major causes of non-adherence were expense of medications, lack of symptoms, lack of money, forgetfulness, lack of awareness due to poor educational status and nature of job. Keywords: Compliance, Adherence, Medications, Hypertension, Forgetfulness


2020 ◽  
pp. 59-61
Author(s):  
Imtiaz Ahmed S ◽  
PK Govindrajan ◽  
Felix Felix

Background and Objective Hypertension is a Leading cause of Morbidity and Mortality in developing nations. This study aims to Find the Association between Work related risk factors and Hypertension among transport Bus Drivers Method This study was a Cross Sectional Study carried out in Bus Depot and Bus Stand, Chidambaram, in Cuddalore district of Tamilnadu. The approximate prevalence of HTN among Adults in Tamilnadu was 31.5% (5). The estimated sample size for the study was 205. The Study tool included were Risk factor questionnaire and Physical measurement of Height, Weight and Blood pressure. Results Study showed significant Association between work-related factors or variables with Hypertension. Factors like Duration of Service in Present Job, Bus route travelling, Number of Hours at work, Family history of Hypertension are significantly associated with rise in Blood Pressure Conclusion Strong Association between work related factors like Service duration, travelling bus route, Duration of work hours, Shift duties and Hypertension was noted. Study recommends need for Periodic screening and follow up for Early diagnosis and treatment compliance. Lifestyle modifications and Periodic shift in duty patterns is also needed for the benefit of Bus drivers


2021 ◽  
pp. 107815522110391
Author(s):  
Sujana H Chowdhury ◽  
Bilkis Banu ◽  
Nasrin Akter ◽  
Sarder M Hossain

Background Breast cancer survivor goes through a period of needs in their post-treatment daily life. Relatively few studies have been conducted to understand the unmet needs among breast cancer survivors in Bangladesh. Recognize and measure patterns and predictors of unmet needs of breast cancer patients was the aim of the study. Objective To identify and measure patterns and predictors of unmet needs of breast cancer patients in Bangladesh. Method A cross-sectional study among 138 breast cancer patients; conveniently selected from two public and two private cancer institutes. Face-to-face interview for data collection and medical record review for checklist was done. Unmet needs have been determined by the supportive care needs survey short form 34 scale. Logistic regression analyses were performed to identify the predictors of unmet needs. Results The study indicated the top 10 moderate-to-high needs; among which the top five needs were from the information need domain. Surprisingly, private cancer treatment centers were identified as a significant predictor for unmet needs. Patients from private cancer institutes reported more explanation needs as well as needs with their physical and daily living and sexuality. Furthermore, the type of treatment like patient receiving combine treatment therapy reported more need for help compared to the patient receiving chemotherapy alone. Moreover, housewives reported the low need for patient care and support systems as a result of their reluctant behavior towards their health. Conclusion Individual’s unmet need assessment should be a part of every treatment protocol of breast cancer for a better treatment outcome.


2020 ◽  
Vol 33 (2) ◽  
pp. e100180
Author(s):  
Eram Ansari ◽  
Sudha Mishra ◽  
Adarsh Tripathi ◽  
Sujita Kumar Kar ◽  
Pronob Kumar Dalal

BackgroundPatients suffering from psychiatric disorders tend to stigmatise themselves which had been linked to poor adherence to treatment.AimsThe aim of the present study was to study internalised stigma and medication adherence and to assess the relationship between them in patients with obsessive compulsive disorder (OCD).MethodsA cross-sectional study was conducted on 112 patients diagnosed with OCD who were attending the Out-patient's department at Department of Psychiatry of a tertiary care hospital in North India. Internalised stigma and current medication adherence were assessed with Internalized Stigma of Mental Illness Scale (ISMI) and Medication Adherence Rating Scale, respectively. Yale-Brown Obsessive Compulsive Scale was used to assess the current severity of OCD symptoms. Sociodemographic and clinical details were also obtained from the patients by using a semistructured sociodemographic proforma.ResultsMost of the patients reported moderate level of internalised stigma with a mean ISMI score of 77.98 (10.82). Most of the patients were compliant while 41.96% reported poor medication adherence. Internalised stigma was negatively correlated with the current medication adherence. Current severity of OCD symptoms also showed a significant positive correlation with internalised stigma and a significant negative correlation with medication adherence.ConclusionHigh levels of internalised stigma were associated with lower adherence to treatment which suggests that internalised stigma may be a very important factor influencing medication adherence in patients with OCD.


2016 ◽  
Vol 33 (S1) ◽  
pp. s265-s265 ◽  
Author(s):  
K. Vrbova ◽  
D. Kamaradova ◽  
K. Latalova ◽  
M. Ociskova ◽  
J. Prasko ◽  
...  

IntroductionAdherence to treatment of mental disorders is one of the key factors influencing its success and, secondarily, the patients’ quality of life and social adaptation.AimsThe cross-sectional study of 90 outpatients diagnosed with psychotic disorders aimed at determining if there was a relationship between discontinuation of medication in the past, current adherence to treatment and self-stigma.MethodsThe assessment was made with the objective and subjective Clinical Global Impression – Severity scale, Drug Attitude Inventory, Internalized Stigma of Mental Illness (ISMI) scale and demographic data.ResultsThe questionnaires were filled out by 79 patients, of whom 5 handed in incomplete questionnaires. Complete sets of data were obtained from 74 patients. The data analysis showed that the levels of self-stigma as assessed by the total ISMI scores was not statistically significantly correlated with most of the demographic factors (age, age of illness onset, gender, education, marital status, employment, duration of the illness, number of hospitalizations and antipsychotic dosage). However, there was a significant negative correlation with current adherence to treatment.ConclusionsAdherence to treatment is one of the most important prerequisites for successful therapy. Adherence may be enhanced through better motivation and education of patients on the necessity of adhering to treatment recommendations and the consequences of non-adherent behavior. Important factors in adherence also seem to be patients’ stigmatization and self-stigma. Adherence may be increased by promising self-stigma-reducing strategies performed by systematic psychoeducation of patients or as a part of psychotherapeutic counseling.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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