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      Relación entre salud cognitiva y adherencia farmacológica en adultos mayores con diabetes mellitus tipo 2 Translated title: Relation between Cognitive Health and Pharmacological Adherence in Older Adults with Type 2 Diabetes Mellitus

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          Abstract

          RESUMEN Objetivo: Evaluar la relación entre la salud cognitiva y la adherencia al tratamiento farmacológico en adultos mayores con diabetes mellitus tipo 2 de un centro comunitario de salud familiar de la provincia de Ñuble, Chile. Método: Estudio analítico de corte transversal. La muestra estuvo constituida por 62 adultos mayores con diagnóstico de diabetes mellitus tipo 2. La recolección de datos se realizó mediante visitas domiciliarias utilizando los instrumentos Minimental State Examination (MMSE), Test de Morisky Green Levine y un cuestionario de datos generales. Los datos fueron procesados en el programa SPSS, utilizando estadística descriptiva y analítica. El estudio contó con la aprobación de Comité de Bioética. Resultados: La adherencia al tratamiento farmacológico fue del 51,6% (n = 32) y el 83,9% (n = 52) se halló sin deterioro cognitivo. De los adultos mayores no adherentes al tratamiento farmacológico, el 46,7% (n = 14) presentó un nivel de hemoglobina glicosilada (HbA1c) del 7% o más. Se encontró relación entre la salud cognitiva y la adherencia al tratamiento farmacológico (p = 0,004). Conclusiones: Se halló relación entre la salud cognitiva y la adherencia al tratamiento farmacológico y una baja adherencia al tratamiento farmacológico en los adultos mayores con diabetes mellitus tipo 2. Cerca de la mitad de los adultos mayores no adherentes presentaron cifras de HbA1c superiores al 7%.

          Translated abstract

          ABSTRACT Objective: To evaluate the relationship between cognitive health and adherence to pharmacological treatment in older adults with Type 2 Diabetes Mellitus from a Community Health Center of the Province of Ñuble, Chile. Method: Cross-sectional analytical study, the sample consisted of 62 older adults with diagnosis of Type 2 Diabetes Mellitus. Data collection was performed through home visits using the Minimental State Examination (MMSE) instruments, Morisky Green Levine Test and a record of general data. The data were processed in the SPSS program, using descriptive and analytical statistics. The study was approved by the Bioethics committee. Results: Adherence to pharmacological treatment was 51.6% (n=32), and 83.9% (n=52) was found without cognitive impairment. Of the non-adherent older adults to the pharmacological treatment, 46.7% (n=14) had a level of glycosylated hemoglobin (HbA1c) of 7% or more. A relationship was found between cognitive health and adherence to pharmacological treatment (p=0.004). Conclusions: There was a relationship between cognitive health and adherence to pharmacological treatment and a low adherence to pharmacological treatment in older adults with Type 2 Diabetes Mellitus. Nearly half of non-adherent older adults had levels of glycosylated hemoglobin (HbA1c) above the normal range.

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          Medication adherence in patients with type 2 diabetes mellitus treated at primary health clinics in Malaysia

          Purpose Diabetes mellitus is a growing global health problem that affects patients of all ages. Even though diabetes mellitus is recognized as a major chronic illness, adherence to antidiabetic medicines has often been found to be unsatisfactory. This study was conducted to assess adherence to medications and to identify factors that are associated with nonadherence in type 2 diabetes mellitus (T2DM) patients at Primary Health Clinics of the Ministry of Health in Malaysia. Materials and methods The cross-sectional survey was carried out among T2DM patients to assess adherence to medication in primary health clinics. Adherence was measured by using the Medication Compliance Questionnaire that consists of a total of seven questions. Other data, such as patient demographics, treatment, outcome, and comorbidities were also collected from patient medical records. Results A total of 557 patients were recruited in the study. Approximately 53% of patients in the study population were nonadherent. Logistic regression analysis was performed to predict the factors associated with nonadherence. Variables associated with nonadherence were age, odds ratio 0.967 (95% confidence interval [CI]: 0.948–0.986); medication knowledge, odds ratio 0.965 (95% CI: 0.946–0.984); and comorbidities, odds ratio 1.781 (95% CI: 1.064–2.981). Conclusion Adherence to medication in T2DM patients in the primary health clinics was found to be poor. This is a cause of concern, because nonadherence could lead to a worsening of disease. Improving medication knowledge by paying particular attention to different age groups and patients with comorbidities could help improve adherence.
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            Polypharmacy and Medication Management in Older Adults

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              Validación de un test de tamizaje para el diagnóstico de demencia asociada a edad, en Chile

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                Author and article information

                Journal
                geroko
                Gerokomos
                Gerokomos
                Sociedad Española de Enfermería Geriátrica y gerontológica (Barcelona, Barcelona, Spain )
                1134-928X
                2020
                : 31
                : 1
                : 15-19
                Affiliations
                [2] orgnameUniversidad del Bío-Bío orgdiv1Facultad Ciencias de la Salud y de los Alimentos orgdiv2Grupo de Investigación en Envejecimiento. Departamento de Enfermería Chile
                [1] orgnameDepartamento de Salud Municipal Chile
                Article
                S1134-928X2020000100004 S1134-928X(20)03100100004
                36bec4c0-258b-45c5-98a9-b14767606835

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 05 December 2018
                : 20 August 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 34, Pages: 5
                Product

                SciELO Spain

                Categories
                Originales

                aged,diabetes mellitus,medication adherence,cognitive dysfunction,Cognitive aging,adulto mayor,Envejecimiento cognitivo,disfunción cognitiva,adhesión a la medicación

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