Saratov JOURNAL of Medical and Scientific Research

Semenova O.N.

Saratov State Medical University n.a. VI. Razumovsky, Department of Faculty Therapy of Medical Faculty, Post-graduate

A prospective 6-month study of adherence to treatment of patients with cardiovascular diseases of regional hospital of the Saratov region

Year: 2015, volume 11 Issue: №2 Pages: 129-135
Heading: Internal Diseases Article type: Original article
Authors: Bulaeva Y.V., Naumova Е.А., Semenova O.N.
Organization: Saratov State Medical University
Summary:

The aim of the study was to examine the degree of influence of the complex of factors on adherence to long —term drug therapy. Material and Methods. The survey of hospitalized patients with diseases of cardiovascular system has been performed in the therapeutic department of the district hospital of the Saratov region. The questionnaire included socio-demographic indicators, the presence of comorbidity. After 6 months follow-up calls to patients were performed. The relationship between the characteristics were analyzed using one-factor analysis. Results. 100 patients (54% of those invited to the study) completed the survey. After 6 months 86 (80%) patients has managed to be in contact, 44 (51 %) — continue taking drugs after discharge. Continued drug therapy patients, who considered theoretically correct constant mode of therapy (p

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Physician personal characteristics influencing long-term treatment of patients with cardiovascular diseases

Year: 2013, volume 9 Issue: №2 Pages: 263-269
Heading: Internal Diseases Article type: Original article
Authors: Strokova E.V., Naumova Е.A., Schwartz Y.G., Semenova O.N.
Organization: Saratov State Medical University
Summary:

The main purpose of the article is to identify the peculiarities of a doctor personality, affecting long-term therapy in patients with cardiovascular diseases. Materials and methods: To determine the type of temperament, the presence and intensity of the syndrome of emotional burnout and capacity for empathy therapists and cardiologists were asked to fill in a number of questionnaires. Each doctor had a group of patients contacting by telephone for a year after the discharge from the hospital. During the telephone contact, the patients were asked about the continuation of their therapy recommended in the hospital, the regularity of therapy, the frequency of absence, and the assessment of a physician by the patients. Results: 35 questionnaires were suitable for interpretation. Through one year after the discharge from the hospital it was able to contact with 147 patients, 18.4% (27) of patients completely stopped the treatment by recommended drugs. Positive assessment of physicians was associated with the continuation of the therapy by recommended drugs and regularity of drug taking (p=0,03). Patients assessed physicians positively more often in cases of low level of emotional state, high level of depersonalization (cynicism) and the reduction of personal accomplishment (feeling of professional inefficiency) in a doctor. Conclusion: Assessment of physicians by patients is reliably and significantly influenced by continuation of long-term therapy and regularity of drug taking.

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