{"id":"https://openalex.org/W7203701608","doi":"https://doi.org/10.51891/rease.v12i8.29658","title":"FACTORES LIMITANTES A LA ADHERENCIA TERAP\u00c9UTICA DE PACIENTES CON DIABETES MELLITUS TIPO II EN EL HOSPITAL NACIONAL 2024-2025","display_name":"FACTORES LIMITANTES A LA ADHERENCIA TERAP\u00c9UTICA DE PACIENTES CON DIABETES MELLITUS TIPO II EN EL HOSPITAL NACIONAL 2024-2025","publication_year":2026,"publication_date":"2026-08-17","ids":{"openalex":"https://openalex.org/W7203701608","doi":"https://doi.org/10.51891/rease.v12i8.29658"},"language":"es","primary_location":{"id":"doi:10.51891/rease.v12i8.29658","doi":"https://doi.org/10.51891/rease.v12i8.29658","is_oa":true,"landing_page_url":"https://doi.org/10.51891/rease.v12i8.29658","pdf_url":"https://periodicorease.pro.br/rease/article/download/29658/19030","source":{"id":"https://openalex.org/S4210238184","display_name":"Revista Ibero-Americana de Humanidades, Ci\u00eancias e Educa\u00e7\u00e3o","issn_l":"2675-3375","issn":["2675-3375"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4365394759","host_organization_name":"Arche Scientific and Editorial Consultancy","host_organization_lineage":["https://openalex.org/P4365394759"],"host_organization_lineage_names":["Arche Scientific and Editorial Consultancy"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista Ibero-Americana de Humanidades, Ci\u00eancias e Educa\u00e7\u00e3o","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://periodicorease.pro.br/rease/article/download/29658/19030","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5147393793","display_name":"Andrea Bel\u00e9n Fleitas Alonso","orcid":"https://orcid.org/0009-0009-9959-4091","observed_orcids":["https://orcid.org/0009-0009-9959-4091"]},"institutions":[{"id":"https://openalex.org/I338154190","display_name":"Universidad Nacional de Itap\u00faa","ror":"https://ror.org/0371t1780","country_code":"PY","type":"education","lineage":["https://openalex.org/I338154190"]}],"countries":["PY"],"is_corresponding":false,"raw_author_name":"Andrea Bel\u00e9n Fleitas Alonso","raw_affiliation_strings":["Universidad Nacional de Itap\u00faa"],"raw_orcid":"https://orcid.org/0009-0009-9959-4091","affiliations":[{"raw_affiliation_string":"Universidad Nacional de Itap\u00faa","institution_ids":["https://openalex.org/I338154190"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5087084219","display_name":"L\u00edgia Maria Oliveira de Souza","orcid":"https://orcid.org/0000-0002-0422-3012","observed_orcids":["https://orcid.org/0000-0002-0422-3012"]},"institutions":[{"id":"https://openalex.org/I4210092040","display_name":"Universidad Polit\u00e9cnica y Art\u00edstica del Paraguay","ror":"https://ror.org/00mkdrs62","country_code":"PY","type":"education","lineage":["https://openalex.org/I4210092040"]}],"countries":["PY"],"is_corresponding":false,"raw_author_name":"L\u00edgia Maria Oliveira de Souza","raw_affiliation_strings":["Universidad Polit\u00e9cnica y Art\u00edstica"],"raw_orcid":"https://orcid.org/0000-0002-0422-3012","affiliations":[{"raw_affiliation_string":"Universidad Polit\u00e9cnica y Art\u00edstica","institution_ids":["https://openalex.org/I4210092040"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"8","first_page":"1","last_page":"19"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10401","display_name":"Diabetes Treatment and Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9419999718666077},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.796999990940094},{"id":"https://openalex.org/keywords/barriers-to-adherence","display_name":"barriers to adherence","score":0.8399999737739563},{"id":"https://openalex.org/keywords/forgetfulness","display_name":"forgetfulness","score":0.6949999928474426},{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.9319999814033508},{"id":"https://openalex.org/keywords/drug-costs","display_name":"drug costs","score":0.7760000228881836},{"id":"https://openalex.org/keywords/educational-attainment","display_name":"educational attainment","score":0.7879999876022339},{"id":"https://openalex.org/keywords/hospitalized-patients","display_name":"hospitalized patients","score":0.7239999771118164},{"id":"https://openalex.org/keywords/diabetes-complications","display_name":"diabetes complications","score":0.5559999942779541},{"id":"https://openalex.org/keywords/diabetic-foot","display_name":"diabetic foot","score":0.6959999799728394},{"id":"https://openalex.org/keywords/comorbid-hypertension","display_name":"hypertension comorbidity","score":0.824999988079071},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.9300000071525574},{"id":"https://openalex.org/keywords/morisky-green-levine-test","display_name":"Morisky-Green-Levine test","score":0.8550000190734863},{"id":"https://openalex.org/keywords/socioeconomic-factors","display_name":"socioeconomic factors","score":0.6140000224113464},{"id":"https://openalex.org/keywords/emotional-factors","display_name":"emotional factors","score":0.8619999885559082},{"id":"https://openalex.org/keywords/economic-factors","display_name":"economic factors","score":0.7419999837875366},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.6930000185966492}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8694999814033508},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.4221000075340271},{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.3569999933242798},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.29440000653266907},{"id":"https://openalex.org/C2910068830","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 Diabetes Mellitus","level":3,"score":0.22110000252723694},{"id":"https://openalex.org/C3018906752","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary heart disease","level":2,"score":0.16920000314712524},{"id":"https://openalex.org/C2992019943","wikidata":"https://www.wikidata.org/wiki/Q16917","display_name":"General hospital","level":2,"score":0.163100004196167},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.155799999833107},{"id":"https://openalex.org/C2777538456","wikidata":"https://www.wikidata.org/wiki/Q311213","display_name":"Glycated hemoglobin","level":4,"score":0.14820000529289246},{"id":"https://openalex.org/C3017461755","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Myocardial ischemia","level":3,"score":0.14550000429153442}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.51891/rease.v12i8.29658","doi":"https://doi.org/10.51891/rease.v12i8.29658","is_oa":true,"landing_page_url":"https://doi.org/10.51891/rease.v12i8.29658","pdf_url":"https://periodicorease.pro.br/rease/article/download/29658/19030","source":{"id":"https://openalex.org/S4210238184","display_name":"Revista Ibero-Americana de Humanidades, Ci\u00eancias e Educa\u00e7\u00e3o","issn_l":"2675-3375","issn":["2675-3375"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4365394759","host_organization_name":"Arche Scientific and Editorial Consultancy","host_organization_lineage":["https://openalex.org/P4365394759"],"host_organization_lineage_names":["Arche Scientific and Editorial Consultancy"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista Ibero-Americana de Humanidades, Ci\u00eancias e Educa\u00e7\u00e3o","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.51891/rease.v12i8.29658","doi":"https://doi.org/10.51891/rease.v12i8.29658","is_oa":true,"landing_page_url":"https://doi.org/10.51891/rease.v12i8.29658","pdf_url":"https://periodicorease.pro.br/rease/article/download/29658/19030","source":{"id":"https://openalex.org/S4210238184","display_name":"Revista Ibero-Americana de Humanidades, Ci\u00eancias e Educa\u00e7\u00e3o","issn_l":"2675-3375","issn":["2675-3375"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4365394759","host_organization_name":"Arche Scientific and Editorial Consultancy","host_organization_lineage":["https://openalex.org/P4365394759"],"host_organization_lineage_names":["Arche Scientific and Editorial Consultancy"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista Ibero-Americana de Humanidades, Ci\u00eancias e Educa\u00e7\u00e3o","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203701608.pdf","grobid_xml":"https://content.openalex.org/works/W7203701608.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W2730384750","https://openalex.org/W3195436385","https://openalex.org/W4220655387","https://openalex.org/W4294376339","https://openalex.org/W4301401585","https://openalex.org/W4324333862"],"related_works":["https://openalex.org/W7037826184","https://openalex.org/W2920738218","https://openalex.org/W7037778378","https://openalex.org/W4390470783","https://openalex.org/W7213991224","https://openalex.org/W7204980321","https://openalex.org/W3031824437","https://openalex.org/W2792859543","https://openalex.org/W7202116965","https://openalex.org/W6910952282"],"abstract_inverted_index":{"Introducci\u00f3n:":[0],"La":[1,20,116,163,182,254],"adherencia":[2,63,117,251,257],"al":[3,64,104],"tratamiento":[4,65],"en":[5,66,74,94,259],"pacientes":[6,67,95],"con":[7,68,98,172,265,297],"diabetes":[8,69,99],"mellitus":[9,70,100],"tipo":[10,71,101],"2":[11,72,102],"constituye":[12],"un":[13,17,42,106,152,244],"desaf\u00edo":[14],"para":[15],"lograr":[16],"control":[18,303],"adecuado.":[19],"falta":[21,61,255],"de":[22,38,44,62,77,108,124,141,143,149,154,156,167,194,198,210,234,256,279,284,291,300],"cumplimiento":[23],"terap\u00e9utico":[24],"reduce":[25],"la":[26,36,60,139,186,207,277,285,289],"efectividad":[27],"del":[28,80,174],"tratamiento,":[29],"incrementa":[30],"las":[31,127,307],"complicaciones":[32,308],"y":[33,51,91,103,114,126,138,178,202,231,248,269,288,305],"afecta":[34],"negativamente":[35],"calidad":[37],"vida,":[39],"representando":[40],"adem\u00e1s":[41],"problema":[43],"salud":[45],"p\u00fablica":[46],"por":[47],"su":[48],"impacto":[49],"cl\u00ednico":[50],"econ\u00f3mico.":[52],"Objetivo:":[53],"Determinar":[54],"los":[55,227,235,295],"factores":[56,266],"que":[57,275],"contribuyen":[58],"a":[59,294],"hospitalizados":[73],"el":[75,84,122,130,146,203,224,232,282,298,302],"Departamento":[76],"Medicina":[78],"Interna":[79],"Hospital":[81],"Nacional":[82],"durante":[83],"periodo":[85],"2024-2025.":[86],"Metodolog\u00eda:":[87],"Estudio":[88],"observacional,":[89],"descriptivo":[90],"transversal,":[92],"realizado":[93],"\u226518":[96],"a\u00f1os":[97],"menos":[105],"a\u00f1o":[107],"evoluci\u00f3n.":[109],"Se":[110,134,159,238],"recolectaron":[111],"variables":[112],"sociodemogr\u00e1ficas":[113],"cl\u00ednicas.":[115],"farmacol\u00f3gica":[118],"se":[119,262],"evalu\u00f3":[120],"mediante":[121,129],"test":[123,147],"Morisky-Green-Levine":[125],"barreras":[128,222],"Adherence":[131],"Barriers":[132],"Questionnaire.":[133],"aplicaron":[135],"estad\u00edsticas":[136],"descriptivas":[137],"prueba":[140],"chi-cuadrado":[142],"Pearson":[144],"o":[145,217],"exacto":[148],"Fisher,":[150],"considerando":[151],"nivel":[153,246],"significancia":[155],"p<0,05.":[157],"Resultados:":[158],"incluyeron":[160],"119":[161],"pacientes.":[162],"edad":[164],"media":[165],"fue":[166,185,197],"58,3":[168],"\u00b1":[169,200],"10,5":[170],"a\u00f1os,":[171],"predominio":[173],"sexo":[175],"masculino":[176],"(58%)":[177],"procedencia":[179],"urbana":[180],"(80,6%).":[181],"hipertensi\u00f3n":[183],"arterial":[184],"comorbilidad":[187],"m\u00e1s":[188],"frecuente":[189],"(82,4%).":[190],"El":[191,213],"valor":[192],"promedio":[193],"hemoglobina":[195],"glicada":[196],"9,5":[199],"2,6%,":[201],"pie":[204],"diab\u00e9tico":[205],"constituy\u00f3":[206],"principal":[208],"causa":[209],"internaci\u00f3n":[211],"(90,8%).":[212],"73,9%":[214],"present\u00f3":[215],"baja":[216],"moderada":[218],"adherencia.":[219],"Las":[220],"principales":[221],"fueron":[223],"olvido":[225],"(96,6%),":[226],"s\u00edntomas":[228,280],"depresivos":[229],"(85,7%)":[230],"costo":[233],"medicamentos":[236],"(73,9%).":[237],"identific\u00f3":[239],"una":[240,249],"asociaci\u00f3n":[241],"significativa":[242],"entre":[243],"mayor":[245],"educativo":[247],"mejor":[250],"(p=0,002).":[252],"Conclusi\u00f3n:":[253],"terap\u00e9utica":[258],"esta":[260],"poblaci\u00f3n":[261],"relaciona":[263],"principalmente":[264],"emocionales,":[267],"econ\u00f3micos":[268],"conductuales.":[270],"Es":[271],"fundamental":[272],"implementar":[273],"intervenciones":[274],"incluyan":[276],"detecci\u00f3n":[278],"depresivos,":[281],"fortalecimiento":[283],"alfabetizaci\u00f3n":[286],"sanitaria":[287],"garant\u00eda":[290],"acceso":[292],"continuo":[293],"medicamentos,":[296],"fin":[299],"mejorar":[301],"metab\u00f3lico":[304],"disminuir":[306],"cr\u00f3nicas.":[309]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-19T00:00:00"}
