ADHERENCE TO TREATMENT AND QUALITY OF LIFE OF PATIENTS WITH CARDIOVASCULAR DISEASES AT THE OUTPATIENT TREATMENT STAGE OF MEDICAL CARE

• Published in: Evrazijskij kardiologičeskij žurnal (Online) no. 2; pp. 34 - 40
• Main Authors: Kuzheleva, E. A., Fedyunina, V. A., Garganeeva, A. A.
• Format: Journal Article
• Language: English; Russian
• Published: InterMedservice 30.06.2020
• Subjects: eq-5d5l; качество жизни; приверженность лечению; сердечно-сосудистые заболевания
• ISSN: 2225-1685; 2305-0748
• DOI: 10.38109/2225-1685-2020-2-34-40

Aim : to analyze an adherence to treatment, factors affecting it, and the quality of life of patients with cardiovascular diseases at the outpatient stage of medical care. Material and methods . The population of the study was 225 people. The Moriski-green compliance scale was used to analyze patients’ adherence to treatment, and the EuroQol EQ-5D-5L international questionnaire was used to assess the quality of life of patients. Statistical data processing was performed using the program STATISTICA 10.0. Results . The percentage of committed to treating patients who sought outpatient care was 59%. The main reason for poor adherence was forgetfulness – 25,27 %. It is patient’s opinion, in 73.8% of cases, communication with a doctor plays an important role in improving their compliance. The total index of quality of life (QOL) of patients with cardiovascular diseases (CVD) was 0.712 ± 0.165. In estimating the relationship between quality of life and adherence to treatment, a positive correlation was found: the more compliant the patient, the higher their quality of life, and vice versa (r=0.2, p=0.013). The relationship between high adherence to treatment and quality of life was confirmed in the group of men (p=0.01), while the statistical significance of differences was not achieved in women (p=0.2). In examining the aspect of a disease of chronic heart failure (CHF), the worsening of NYHA functional class (from I to II) was accompanied by a sharp decrease in self-esteem of health for both sexes (p=0.01). Conclusion . Almost every second patient is against of the rules of the medication regimen. Better adherence to treatment can be facilitated by more careful attention from the attending physician with a detailed explanation of the causes and the aspect of the disease, treatment methods, as well as ways to self-control the symptoms of the disease. The degree of treatment adherence is correlated with the level of quality of life on the EQ-5D-5L scale, mainly in the male population.