COMPARATIVE ANALYSIS OF APPLICATION OF THE MORISKY-GREEN SCALE AND THE QUESTIONNAIRE "COMPLIANCE LEVEL" IN THE STUDY OF ADHERENCE TO TREATMENT IN PATIENTS WITH PULMONARY TUBERCULOSIS
1Scientific Research Institute of Public Health and Health Organization, Tashkent, Republic of Uzbekistan
2Department of Phthisiology, Tashkent Pediatric Medical Institute, Tashkent, Republic of Uzbekistan
Objective: To study the level of compliance in patients with pulmonary tuberculosis and selection of the most optimal questionnaire for routine screening of adherence to treatment, both at the hospital and primary health care level.
Methods: The study conducted for 70 patients with an established diagnosis of pulmonary tuberculosis (sensitive form). Two questionnaires were chosen as the methods for the study of compliance: the Morisky-Green scale and the "Compliance level" questionnaire. These patients were interviewed on the above questionnaires, the results of which were compared among themselves.
Results: Based on the results of the study, we obtained discordant results: on the Morisky-Green scale, the number of adherents was 18.6%, and according to the questionnaire "Compliance level», 78.6% of patients showed a high level of compliance. Discordant results can be explained by distrust to each other, both from the patient and from the attending physician. So, as in a personal conversation with each patient are directed on the clarification of reasons for the discrepancy of results the overwhelming majority of the respondents have answered that they wanted to wish and make a positive impression on the attending physician.
Conclusion: In patients with pulmonary tuberculosis, there is a fear of stigmatization in relation to them from the society that negatively affects the relationship of the attending physician and the patient. Because the selected questionnaires refer to an indirect method of diagnosing compliance and depend on the conscientiousness of the examinee, it is necessary to exert all efforts establish a cooperation between the attending physician and the patient.
Keywords: Compliance, patients with pulmonary tuberculosis, treatment, questionnaires, therapeutic cooperation.
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Khomova Natalia Aleksandrovna, Junior Researcher, Department of Health Economics and Finance, Scientific Research Institute of Public Health and Health Organization
Tashpulatova Fatima Kudratovna, Doctor of Medical Sciences, Associate Professor, Head of the Department of Phthisiology, Tashkent Pediatric Medical Institute
Conflicts of interest: No conflict
Address for correspondence:
Khomova Natalia Aleksandrovna
Junior Researcher, Department of Health Economics and Finance, Scientific Research Institute of Public Health and Health Organization
100140, Republic of Uzbekistan, Tashkent, Boghishamol str., 223
Tel.: (+998) 946 189413
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