Intervención sobre la adherencia al tratamiento en pacientes con Diabetes Mellitus, atendidos en el Sub-Centro de salud de la parroquia San Andres Zona 3, provincia de Chimborazo.

Abstract

The purpose of the research was to intervene in adherence to drug treatment in patients with Diabetes Mellitus assissted as outpatient at Health Subcenter in the parish San Andrés, province of Chimborazo; pharmacotherapy monitoring was applied based on DADER method and Morisky-Green-Levine Test which identified adherence to drug treatment and influencing factors. The population with which the research was conducted consisted of 30 patients: 84% female and 16% male; the age range was 35 to 70 years as inclusion criteria, where 84 adverse reactions were detected, which were classified according to the Segundo Concenso of Granada: need 29, effectiveness 36, safety 19, of which 80,95% could be solved. Drug-plant interactions mainly with insuline (Justice chlorotachya) and drug-drug such as metformin-levothyroxine, metformin/glyburide-insuline cases were found. T-Student Test was used to demonstrate that the blood sugar levels in patients after the pharmaceutical intervention are less tan the initial, presenting an average concentration of 121,65 mg/dl with a significant difference of 42 mg/dl and 95% of confidence. Adherence to treatment was measured with the application of Morisky-Green-Levine Test, at the start of the program it was found that 88% of patients had no adherence, at the end of the investigation and pharmaceutical intervention test reflexed 92% of patients have adherence. By statictical analysis it was evidenced that patients improved adherence to drug therapy and had favorable development in their quality of life. It is recommended that the Health Subcenter integrates a pharmaceutical profesional for this type of research wil be conducted in other diseases due to the good results obtained through this service.