Association of attitude to illness with adherence to treatment in patients with chronic gastritis
https://doi.org/10.23946/2500-0764-2023-8-1-54-62
Abstract
Aim. To study the associations between the attitude towards illness and the level of compliance in patients with chronic gastritis.
Materials and Methods. The study included 302 patients with chronic gastritis which have been stratified into 4 groups: 1) 96 patients with Helicobacter pylori (HP)-associated chronic gastritis and high treatment adherence; 2) 110 patients with HP-negative chronic gastritis and high treatment adherence; 3) 36 patients with HP-associated gastritis who refused treatment; 4) 60 patients with HP-associated gastritis and moderate treatment adherence. The level of adherence to treatment and personal response to the disease was assessed using Davydov and TOBOL questionnaires, respectively. Interrelations of the studied parameters were evaluated using correlation analysis.
Results. Eradication of HP was associated with a high treatment adherence. The majority of patients (56.0%) had adaptive behavioural response, whilst mixed (18.2%) and maladaptive types (12.5% for intrapsychic and 11.6% for interpsychic orientation) were less frequently observed. In patients who refused treatment, adaptive behavioural response was less common than anosognosic and maladaptive attitudes. Correlation analysis revealed that treatment adherence positively correlates with harmonious and ergopathic attitudes.
Conclusion. Attitude to illness affects adherence to treatment in patients with chronic gastritis.
About the Authors
S. A. Smakotina
Kemerovo State Medical University
Russian Federation
Russian Federation
Prof. Svetlana A. Smakotina, MD, DSc, Head of the Department of Clinical Therapy and Clinical Pharmacology
22a, Voroshilova Street, Kemerovo, 650056
T. O. Koroleva
Kemerovo State Medical University
Russian Federation
Russian Federation
Dr. Tatiana O. Koroleva, MD, PhD student
22a, Voroshilova Street, Kemerovo, 650056
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Review
For citations:
Smakotina S.A., Koroleva T.O. Association of attitude to illness with adherence to treatment in patients with chronic gastritis. Fundamental and Clinical Medicine. 2023;8(1):54-62. (In Russ.) https://doi.org/10.23946/2500-0764-2023-8-1-54-62
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