Analysis of the degree of adherence to therapy in patients with urolithiasis at the stage of in-hospital treatment
https://doi.org/10.25016/2782-652X-2022-0-83-40-48
Abstract
Relevance. The problem of adherence to therapy in the clinic of urolithiasis remains insufficiently studied today. Despite the development of new methods of therapy and prevention, the incidence continues to increase not only in Russia, but also in other countries. The problem of re-stone formation is also an important aspect: about 10 % of patients have multiple recurrences, and 50 % of them experience re-stone formation at least once in their lifetime. However, the simplest preventive measures were shown to reduce the recurrence rate to 12 %, but according to studies, less than 50 % of patients follow these recommendations.
Intention of the study is to explore the socio-demographic and clinical factors that influence the formation of the degree of adherence to therapy in patients with urolithiasis.
Methodology. There were studied 72 patients at the stage of stationary treatment in the clinic of urology of the First St. Petersburg State Medical University n.a. I.P. Pavlov. The sample included 29 male and 43 female patients, aged 40 to 78 years, with average age of 50 years. To analyze the sociodemographic and clinical characteristics of patients, the degree of awareness of the disease, special questionnaires were developed; the questionnaire was also developed to obtain an expert assessment of the degree of adherence to therapy. The questionnaire “Level of compliance” by R.V. Kadyrov was also used.
Results and Discussion. The assessment of the degree of adherence to therapy showed that at the stationary stage of therapy, patients have a high and moderate degree of adherence to therapy. Comparison of self-reports of patients with the assessment of adherence to therapy by doctors showed that doctors often give higher ratings than patients themselves.
Conclusion. The obtained data should be used in the development of methods aimed at increasing the degree of adherence to therapy for patients with urolithiasis, as well as guidelines for physicians.
About the Authors
D. V. Zaitseva
Saint Petersburg State University
Russian Federation
Russian Federation
Daria Victorovna Zaitseva — Сlinical psychologist, PhD Student, Faculty of psychology, Department of Clinical Psychology and Psychophysiology
7–9, Universitetskaya Embankment, St. Petersburg, 199034
G. L. Isurina
Saint Petersburg State University
Russian Federation
Russian Federation
Galina Lvovna Isurina — PhD Psychol. Sci. Prof., Department of Clinical Psychology and Psychophysiology
7–9, Universitetskaya Embankment, St. Petersburg, 199034
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Review
For citations:
Zaitseva D.V., Isurina G.L. Analysis of the degree of adherence to therapy in patients with urolithiasis at the stage of in-hospital treatment. Bulletin of psychotherapy. 2022;1(83):40-48. (In Russ.) https://doi.org/10.25016/2782-652X-2022-0-83-40-48
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