Abstract

IMPACT ON TREATMENT ADHERENCE USING PHARMACOTHERAPY CONSULTATION IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND HYPERTENSION IN RURAL AND URBAN POPULATION OF HIDALGO, MEXICO

*Lourdes Cristina Carrillo-Alarcón, Lizbeth Norato Canales, María Leticia Chagoya Solís, Moisés Ocampo Torres, Juan Pablo Vargas-Carrillo and Juan de Dios Álvarez López

Abstract

Objective: To evaluate the impact of a pharmacotherapy consultation identifying problems related to medication and areas of opportunity to improve treatment adherence in patients with type 2 diabetes mellitus and hypertension in health centers in “Jesús de Rosal” in Pachuca and Epazoyucan, Hidalgo. Material and methods: This was an experimental comparative study of rural and urban population performed from January to December 2017 in the health centers of Pachuca and Epazoyucan, Hidalgo. Results: A total of 60 (30 urban and 30 rural) patients were included; 67% were women with a mean age of 64 years; 36% had a disease evolution between 11 and 20 years. Only 45% had a secondary education. The level of knowledge of disease before the intervention in both populations was sufficient in 17%; after intervention, it increased to 90%. This was in contrast with the control group which had sufficient knowledge in 13% at the beginning and in 14% at the end. In therapeutic adherence, initially 54% had adequate adherence, which increased to 78% at the end. The control group started at 33% and decreased to 30%. Mean HbA1c before the intervention in both populations was 7.40% and at the end 7%. The control group was 6.45% at the beginning and at the end it increased to 8.54%. Rural population had a more significant reduction in HbA1c (p=0.0377). Conclusions: The main problems related with medication where need (60%), followed by quantitative security (36.3%) and to a lesser extent qualitative security (23.3%).

Keywords: Therapeutic adherence; pharmacotherapy consultation; type 2 diabetes mellitus; hypertension.