ASSESSMENT OF MOTIVATIONAL AND COGNITIVE STATUS OF PRIMARY CARE CLINICIANS WHO TREAT METABOLIC SYNDROME PATIENTS

Recently, the clinicians’ attention has been driven to metabolic syndrome (MS), due to increasing prevalence and adverse prognosis of MS. The goal of the treatment of any chronic disease is the achievement of adequate therapeutic compliance which, in turn, is determined by motivational status of both clinicians and patients. The associations between clinicians’ motivation for long-term treatment, their knowledge levels, and the readiness to apply this knowledge in practice, on one hand, and the achievement of chronic disease compensation in patients, on the other hand, deserve further investigation.

Aim. To analyse the readiness of primary care clinicians for the treatment of MS patients. The specific objective was to assess the district therapeutists’ knowledge, skills, and readiness to implement them in clinical practice while treating MS patients.

Material and methods. The study included district therapeutists working at Moscow City polyclinics. In 2011-2013, the participants took continuous medical education courses at the Therapy Department No. 2, Post-diploma Medical Education Faculty, Moscow State Medico-Stomatological University. The doctors’ knowledge and skills were assessed in a questionnaire survey.

Conclusion. The results obtained demonstrate inadequate readiness of district therapeutists for the treatment of MS patients.

1. Bubnova M. G. Obesity: Causes and mechanisms of increase in body weight, approaches to corrections. Consilium medicum 2005; 07 (5): 11–9. Russian (Бубнова М. Г. Ожирение: причины и механизмы нарастания массы тела, подходы к коррекции. Consilium medicum 2005; 07 (5): 11–9).

2. Report of the American Heart Association/National Heart, Lung, and Blood Institute/American Diabetes Association Conference on Scientific Issues Related to Management. Circulation 2004; 109: 551–6.

3. Controlling the global obesity epidemic. World Health Organization. 2002; International Obesity Task Force. http://www.who.int/nut/obs.htm.

4. Bozhedomova SV. Formation of readiness of students to the use of health-technology professional text.: Dis. Can. ped. Science. Toliatti 2011; 265 р. Russian (Божедомова С. В. Формирование готов- ности студентов к использованию здоровьесберегающих технологий в профессиональной деятельности. Дисс кан педаг наук. Тольяти 2011. 265 с).

5. Conrady AO, Soboleva AV, Maksimova TA. Education hypertensive patients- a waste of time or a real tool to improve the monitoring of the disease? Hypertension 2003; 8: 217–20. Russian (Конради А. О., Соболева А. В., Максимова Т. А. Обучение больных гипертонической болезнью бессмысленная трата времени или реальный инструмент повышения качества контроля заболевания? Артериальная гипертензия 2003; 8: 217–20).

6. Shutemova EA. Ways to improve the treatment of elderly patients with hypertension in outpatient conditions text.: Dis. dok.med. Science. Ivanovo 2004; 237 p. Russian (Шутемова Е. А. Пути совершенствования лечения пожилых больных артериальной гипертонией в амбулаторно- поликлинических условиях. Дисс докт мед наук. Иваново 2004; 237 с).