METHODOLOGICAL APPROACH TO RISK PREDICTIONNON-COMPLIANCE IN PATIENTS WITH MYOCARDIAL INFARCTION
Aim. To develop a methodological approach in order to predict the risk of non-compliance in patients with myocardial infarction. Methods. 416 patients were questioned in the single-centered, prospective, non-randomized study using the original author's method. The patients were treated in specialized cardiological departments of the city of Kemerovo with the diagnosed myocardial infarction. The methodological approach to predicting the risk of non-compliance in patients with myocardial infarction covered 29 factors in 6 main blocks: socio-demographic and socio-economic characteristics, health status, medical and pharmaceutical culture of the patient, awareness of medical and pharmaceutical services, patient adherence to medical recommendations. Results. Patients with myocardial infarction were characterized by insufficient adherence to the therapy, low awareness of the disease, which can negatively affect the long-term disease prognosis. The identification of a large number of subjective factors limiting adherence to the therapy is the reason for the widespread use of non-compliance risk measurement among patients with myocardial infarction, which will allow determining the range of the risk group for each individual patient. Conclusion. The adherence to the treatment of patients with myocardial infarction is revealed as 80% which is indicated as low and requires the prophylactic use of educational and psychological programs that increase medical and social awareness and readiness to comply with the doctor's recommendations, and also justifies the need for complex risk measurement of non-compliance patients for personalized identification and addressing risk factors for poor adherence to therapy.