On the issue of a role of the social environment in increase of treatment compliance of elderly outpatients
Temnikova E. A.
Keywords: treatment compliance, social rehabilitation, old age, CHD
Relevance. Compliance of patients with prescribed therapy is an important treatment efficiency-influencing factor, which is why improvement of patient compliance is an urgent problem. Objective. Evaluation of influence on patients’ treatment compliance of the therapeutic training of social workers who take domiciliary care of elderly outpatients with CHD. Materials and methods. Comparative, randomized, open-label, parallel-group, prospective clinical study was carried out with elements of retrospective analysis of 130 elderly patients (average age 80.7±3.76 years) with diagnosis of CHD in the district clinics of Omsk. The following dynamic parameters were evaluated: medication compliance by Morisky-Green test, presence and intensity of CHD symptoms, FC, health related quality of life (QoL) of patients. Compared groups did not differ initially by intensity of symptoms and severity of disease, frequency of comorbidities and volume of medicamentous therapy. Results. In both groups low compliance to spent therapy is revealed. At comparison in a year are noted authentic reduction of expressiveness of symptoms and CHD FC, improvement QoL indices in the group supervised by the trained social workers, and absence of positive results in the control group. Besides, the intervention group had statistically less number of hospitalizations due to CHD decompensation. The main factor which defined such differences was considerable improvement of treatment compliance of patients supervised by the trained social workers. Conclusion. Therapeutic training of the social environment of elderly patients results in increase of patients’ treatment compliance and improves treatment results within a year of supervision.
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Temnikova E. A. On the issue of a role of the social environment in increase of treatment compliance of elderly outpatients. Russian Heart Journal. 2012;11(2):72-77