Factores relacionados con el incumplimiento de la Terapia Farmacológica POST-ALTA en pacientes con Diabetes e Hipertensión Arterial (HTA) del servicio de Geriatría del Hospital del IESS Riobamba

Abstract

We performed a Pharmacotherapeutic monitoring, to geriatric patients with diabetes , and hypertension after having been discharged , from HOSPITAL OF ECUADORIAN SOCIAL SECURITY INSTITUTE (IESS ) of Riobamba , to identify factors associated with failure of pharmacologic therapy post convalescent. The study was conducted in patients over 65 yea rs of age , who were chosen by the acceptance criteria and under the agreement signed by each patient ; for the development of research, DADER Pharmacotherapeutic monitoring method was applied , in which the health of patients and their problems related to dr ugs were determined , patient information was obtained through interviews and review of their pharmacotherapeutic stories, also clinical parameter controls were performed as measurements of glycemias and taking blood pressure determined better control by each patient after the pharmaceutical intervention. The investigation identified 37 Problems , Drug - Related ; which were responsible for the presence of Negative Outcomes associated with Medication ( MRI), in which 54 % was obtained for health problems, ins ufficiently treated , 10% as a result of antagonism , 5% by a non - quantitative lack of safety and 14% for a quantitative uncertainty. Also, we had certain factors such as the patient's age , education level , or living alone, as factors that relate directly to a failure of pharmacologic therapy . It is concluded that the Pharmaceutical Intervention in Geriatrics diabetic and hypertensive patients post - discharge promotes a safe and efficient pharmacotherapy for the patient. So it is recommended to apply The Dader Method in the IESS in different types of diseases with professional supervision of a pharmacist , to help patients get the most benefit with medications ensuring their health.