Title Adherencija bolesnika nakon otpusta iz KB Dubrava
Title (english) Patient's adherence after being released from Dubrava CH
Author Matea Jandrečić
Mentor Vesna Bačić Vrca (mentor)
Committee member Vesna Bačić Vrca (predsjednik povjerenstva)
Committee member Maja Ortner Hadžiabdić (član povjerenstva)
Committee member Sanda Vladimir-Knežević (član povjerenstva)
Granter University of Zagreb Faculty of Pharmacy and Biochemistry (Centre for applied pharmacy) Zagreb
Defense date and country 2018-08-30, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Pharmacy Pharmacy
Abstract Adherencija je važan pokazatelj uspješnosti liječenja. Definira se kao stupanj podudarnosti pacijentovog
ponašanja s preporukama liječnika. Osim pridržavanja propisane doze i vremena uzimanje lijeka, obuhvaća
i druge obrasce pacijentovog ponašanja kao što su pravilna prehrana i fizička aktivnost, prestanak pušenja,
redovite kontrole te cijepljenje i na taj način pacijenta smatra aktivnim sudionikom u procesu liječenja.
Adherencija je određena s 5 faktora – socioekonomski faktori, faktori pacijenta, faktor zdravstvenog
sustava i faktori terapije. Studije adherencije pokazuju da više od polovice pacijenata nije adherentno.
Rezultati dobiveni u ispitivanju adherencije pacijenata u Kliničkoj bolnici Dubrava slični su rezultatima
ostalih studija. U ispitivanju je korištena hrvatska inačica Morisky upitnika adherencije koji se sastoji od 8
pitanja. Korišten je i bolnički informacijski sustav putem kojeg su prikupljeni podatci o pacijentima. U
ispitivanju je sudjelovalo 217 pacijenata u dobi od 21 do 87 godina. Prosječna dob pacijenata je 63 godine,
prosječan broj komorbiditeta je 6, a prosječan broj receptnih lijekova po pacijentu je 6,6. Ispitani pacijenti
imali su širok spektar osnovnih dijagnoza koje su klasificirane prema MKB-10 šiframa. 52,07% pacijenata
je pokazao neki oblik neadherencije. Kao najčešći razlog neadherencije pacijenti su naveli zaboravljivost,
potom namjerno nepridržavanje terapije, prestanak korištenja lijekova zbog nuspojava ili prestanak
korištenja lijekova zbog poboljšanja simptoma bolesti. Prema MKB-10 klasifikaciji, najvišu adherenciju,
preko 60%, pokazali su pacijenti iz skupine C - Neoplazme i D – Bolesti krvi i krvotvornih organa i
određeni imunološki poremećaji. Najmanje visokoadherentnih bolesnika je iz skupine E – Endokrine,
nutricijske i metaboličke bolesti. Najviša stopa niske adherencije uočena je kod pacijenata iz skupine M –
bolesti mišićno-koštanog sustava i vezivnog tkiva.
Farmaceuti imaju vrlo važnu ulogu u poboljšanju adherencije pacijenata kako unutar multidisciplinarnog
tima u bolnici tako i u javnim ljekarnama. Važna je edukacija pacijenata o njihovoj bolesti i terapiji, ali i
dugotrajno praćenje pacijenata, savjetovanje o obrascima zdravog načina života i aktivno poticanje
pacijentove adherencije.
Abstract (english) Adherence is an important sucess indicator of patient's treatment. It is defined as the degree of patient's
compliance with the doctor's recommendations. Apart from meeting the prescribed dose and the time of taking
the drug, it also includes other forms of patient's behavior such as proper nutrition and physical activity,
smoking cessation, regular control and vaccination, and thus considers the patient to be an active participant in
the treatment process. Adherence is determined by 5 factors - socioeconomic factors, patient factors, health
system factor and therapeutic factors. Adherence studies show that more than half of the patients are
nonadherent.
The results obtained in the adherence testing of patients at Dubrava Clinical Hospital are similar to the results
of other studies. The Croatian version of the Morisky Adherence Questionnaire consisting of 8 questions was
used in the study. Hospital's information system was used to collect patient data. The study included 217
patients age 21 to 87 years. The average age of patients is 63, the average number of comorbidities is 6, and the
average number of prescription medications per patient is 6,6. Examined patients had a wide range of basic
diagnoses classified according to ICD-10 codes. 52,07% of patients showed some form of neadherence. As the
most common cause of nonadherence patients mentioned forgetfulness. Other reasons for nonadherence are
intentional nonadherence, cessation of drug use due to side effects or improving the symptoms of the disease.
According to the ICD-10 classification, patients from the group C - Neoplasms and D - Diseases of the blood
and blood-forming organs and certain disorders, have shown the highest adherence, over 60%. The least highly
adherent patients are from the group E - Endocrine, nutritional and metabolic diseases. The highest low
adherence rate was observed in patients in the group of M - Diseases of the musculoskeletal system and
connective tissue.
Pharmacists play a very important role in improving patient adherence both within a multidisciplinary team at
hospital and in public pharmacies. It is important to educate patients about their illness and therapy, as well as
long-term patients follow-up, counseling on patterns of healthy lifestyle and actively promoting their
adherence.
Keywords
(ne)adherencija
Morisky upitnik
kronične bolesti
farmaceutska skrb
Keywords (english)
(non)adherence
Morisky scale
cronic deseases
pharmaceutical care
Language croatian
URN:NBN urn:nbn:hr:163:919209
Study programme Title: Pharmacy Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: magistar/magistra farmacije (magistar/magistra farmacije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2018-12-03 13:22:41