Saratov JOURNAL of Medical and Scientific Research

The role of doctors in the formation of preventive compliance in patients of cardiological profile

Year: 2019, volume 15 Issue: №3 Pages: 669-674
Heading: Health Service Organization Article type: Original article
Authors: Gruzdeva А.А., Ilyin M.V.
Organization: Kostroma District № 1 Hospital, Yaroslavl State Medical University

The purpose of the study is to analyze the compliance of cardiological patients to participate in the prevention of coronary risk and the role of doctors in the compliance formation. Material and Methods. The base of the study was the outpatient medical organizations of the Kostroma region. The study design included a systematic coronary risk assessment using the SCORE European scale; randomization of patients into groups according to the risk degree; assessment of prophylactic patient compliance; analysis of patient compliance; assessment of patient potential; assessment of the relationship between the level of prophylactic compliance of patients with the level of coronary risk; assessment of the quality of compliance prevention by primary care physicians. Scope of the study: 400 patients with cardiac profile, 200 cases of dynamic observation of patients with high and very high levels of coronary risk. Results. We found that 32.4% of patients had a high level of compliance; 64.5% of patients had an average level of prophylactic compliance and 3.1 % of patients had a low level (p<0,05). We discovered the main parameters of reducing of prophylactic compliance of patients, determining factors, as well as the parameters for reducing the quality of compliant prophylaxis in the primary health care system. Conclusion. The obtained data became the theoretical basis for the development of the technology for coronary risk compliance prevention including 7 stages and 3 levels.

1 Vorontsov TN, Matveeva ES. Motivation as an element of management of medical care for socially significant diseases. Ural Medical Journal 2015; 5: 125-8.
2 Gorbunova EV, Sedykh DYu. The effectiveness of the training program for patients with myocardial infarction in the analysis of medical and social factors of adherence to treatment. Siberian Medical Journal 2017; 32 (3): 56-9.
3 Pogosova NV. Medical awareness of the risk factors for cardiovascular diseases of therapeutic patients in the hospital. Cardiovascular therapy and prevention 2017; 16 (5): 49-52.
4 Pomeshkina SA, Bezzubova VA. Adherence to complex therapy after coronary bypass surgery: a problem for the patient or the doctor? Medicine of Kuzbass 2018; 17 (4): 46-50.
5 Sedykh DYu, Petrov GP, Kashtapap VV. Differences in adherence to therapy in patients with primary and repeated myocardial infarction. Complex problems of cardiovascular diseases 2018; 7 (4): 15-25.
6 Aly Z, Abbas К, Kazim SF, et al. Awareness of stroke risk factors, signs and treatment in a Pakistani population. J Pak Med Assoc 2009; 59 (7): 495-9.
7 Bligh J. Tomorrow's doctors: extending the role of public health medicine in medical education. Medical Education 2002; 206: 206-7.
8 Kimando MW, Otieno FC, Ogola EN, Mutai K. Adequacy of control of cardiovascular risk factors in ambulatory patients with type 2 diabetes attending diabetes out-patients clinic at a county hospital, Kenya. ВМС Endocr Disord 2017; 17 (1):73.
9 Trubacheva IA, Perminova OA, Karpov RS. Awareness of cardiovascular diseases and attitudes towards their prevention of the population and doctors. Healthcare of the Russian Federation 2009; 1: 28-31.
10 Fomicheva ML, Bortsov VA, Khikhlich OS. Awareness of patients of medical organizations of the Novosibirsk region in matters of primary medical prevention. Medical education in Siberia 2016; 4: 16-20.
11 Mushnikov DL. Methodological aspects of assessing the potential of patients of different profiles and their preventive compliance. In: Technologies of preservation and strengthening of health in the 21st century: an innovative profile. Ivanovo: Ivanovskiy izdatelskiy dom, 2017; p. 29-32.
12 Mushnikov DL. Quality of compliant prophylaxis: assessment method and condition. In: Technologies to preserve and promote health in the 21st century: an innovative profile. Ivanovo: Ivanovskiy izdatel'skiy dom, 2017; p. 33-6.

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