Adesão farmacoterapêutica de pacientes portadores de doença renal crônica na região do Curimataú paraibano.

Abstract

Chronic kidney disease (CKD) is characterized by irreversible loss of renal function. It represents a serious health problem at the global level, with a high economic cost, both for the patient and for the health systems. Due to the therapeutic complexity associated with CKD and the high amount of related comorbidities, this disease presents high rates of nonadherence to treatment. In this context, the pharmacist plays an important role in promoting drug reconciliation and pharmacotherapeutic adherence. The objective of the study was to evaluate the adherence to pharmacotherapy of patients with CKD users of exceptional dispensation medicines attended by the 4th Regional Health Management in the city of Cuité-PB. It is a quantitative research with a descriptive and transversal character. The instrument of evaluation of pharmacotherapeutic adherence was the scale of adhesion of Morisky, in the most recent scale of eight items (MMAS-8). After the application of the questionnaires, the collected data were tabulated, later validated and transferred to the Statistical Package for Social Science (SPSS) for Windows version 13.0 for the statistical analysis of the data. According to the present study, the majority of the patients were male (57.14%), aged from 30 to 60 years, incomplete elementary school (42.86%) and monthly income up to 1 minimum wage (92.86% ). The most prevalent comorbidities were arterial hypertension (89.28%) and diabetes mellitus (46.43%). Through the application of Morisky's therapeutic adherence scale, a high level of non-adherence to medication treatment was observed (64.28%). The variables that had a statistically significant influence on adherence were the age and educational level of the patients. Already the main reason for the high rate of non-adherence was the act of forgetting to use at the prescribed time. There was then a need to establish effective pharmaceutical assistance to these patients along with the implementation of strategies to increase adherence to treatment.