Skala adherence w chorobach przewlekłych — nowe narzędzie do badania realizacji planu terapeutycznego

Introduction . The aim of this study was to assess adherence to treatment with use of the new scale in a population of patients with coronary artery disease (CAD) after myocardial infarction (MI) with respect to some socio-demographic and clinical factors. Material and methods . The study was conducted in a population of 100 consecutive patients (40 women, 60 men) aged from 30 to 88 years (mean 63.4), six months after hospitalization for MI. Results . The results of the assessment with the Adherence in Chronic Diseases Scale (ACDS) comprise between 6 and 28 points; median 24 points (21–28). Twenty-four patients had high score (> 26 pts.), 53 patients had intermediate score (between 21–26 pts.) and 23 — low score (< 21 pts.). For optimal model of multiple regression, the correlation coefficient R was 0.539; and the adjusted coefficient of determination R2 = 0.26, p = 0.000002. Independent factors affecting adherence according to the ACDS scale were: subjective assessment of health status (b = 0.48 ± ± 0.23, p = 0.036), age of the respondents (b = –0.11 ± 0.04, p = 0.004), more than one hospitalization due to CAD (b = –1.78 ± 0.87, p = 0.044), and diabetes mellitus (b = –2.02 ± 0.91, p = 0.029). Conclusions . Subjective assessment of health status, age of patients, the number of hospitalizations due to CAD and diabetes affect the adherence in the course of long-term treatment after myocardial infarction.