MEDICAL AND SOCIAL FEATURES OF ADHERENCETO TREATMENT OF PATIENTS WITH CHRONIC PANCREATITIS
DOI:
https://doi.org/10.34689/gmj5x219Keywords:
chronic pancreatitis, dherence to treatment, medical and social factorsAbstract
Introduction. Adherence to treatment of patients plays an important role in achieving effective treatment results in
chronic pancreatitis. Low adherence to treatment of patients significantly reduces the effectiveness of the therapy, which
leads to an increase in this pathology and mortality.
Purpose of the study. To study the characteristics of adherence to treatment of patients with chronic pancreatitis
depending on their medical and social characteristics.
Materials and methods: The design of the study is a one–step cross-sectional study. A sociological study of treatment
adherence in 159 patients with chronic pancreatitis was conducted in the period from 2022 to 2023. The study was
conducted on the basis of the University Hospital of the NAO "Semey Medical University". To determine the medical and
social characteristics, the developed questionnaire for patients with pancreatitis, the Beck depression scale [11], and the
Spielberg questionnaire test [6] were used. A standardized Compliance Level questionnaire was used to study patients'
adherence to treatment The statistical analysis was performed using the SPSS version 20.0 program, the results were
considered statistically significant at p<0.05.
Results. Patients with chronic pancreatitis showed the highest level of average general (40.9%), moderate social
(52.2%), unexpressed emotional (43.4%), moderate behavioral (52.2%) compliance. Low overall compliance was found in
32.7% of patients. Low adherence to treatment is more typical for men (51.9%), workers (43.2%) and the unemployed
(34.8%), smokers (50.0%), alcohol drinkers (70.2%), patients treated on an outpatient basis 3 or more times a year (50.0%),
who have not been seen by doctors (35.0%). Patients over 60 years of age (50.0%), pensioners (46.8%), and people with a
disease duration of 8-10 years (62.5%) showed high adherence to treatment.
Conclusions. Patients with chronic pancreatitis are characterized by an average level of general, moderate social,
unexpressed emotional, moderate behavioral compliance. One in three patients showed low adherence to treatment. Being
male, bad habits (smoking, alcohol consumption), working status, unemployment, frequent outpatient treatment (due to
frequent exacerbations of the disease), and lack of medical supervision contribute to low adherence to treatment.
References
Akhmetov A.Zh., Bulegenov T.A., Aimagambetov M.Zh., Omarov N.B., Baibussinova A.Zh., Tanysheva G.А., Masalov A.E., Abdrakhmanov S.T., Auenov M.A. Medical and social features of adherence to treatment of patients with chronic pancreatitis // Nauka i Zdravookhranenie [Science & Healthcare]. 2025. Vol.27 (2), pp. 21-30. doi 10.34689/SH.2024.27.2.003
Ахметов А.Ж., Булегенов Т.А., Аймагамбетов М.Ж., Омаров Н.Б., Байбусинова А.Ж., Tanysheva G.А., Масалов А.Е., Абдрахманов С.Т., Әуенов М.Ә. Медико – социальные особенности приверженности к лечению больных с хроническим панкреатитом // Наука и Здравоохранение. 2025. Vol.27 (2), С.21-30. doi 10.34689/SH.2024.27.2.003
Ахметов А.Ж., Булегенов Т.А., Аймагамбетов М.Ж., Омаров Н.Б., Байбусинова А.Ж., Танышева Г.А., Масалов А.Е., Абдрахманов С.Т., Әуенов М.Ә. Созылмалы панкреатитпен ауыратын науқастардың емдеуге бейімділігінің медициналық-әлеуметтік ерекшеліктері // Ғылым және Денсаулық сақтау. 2025. Vol.27 (2), Б. 21-30. doi 10.34689/SH.2024.27.2.003
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