Adesão de pacientes diabéticos a terapia medicamentosa e não medicamentosa: uma revisão integrativa da literatura.

Abstract

Diabetes Mellitus (DM) is a metabolic disease characterized by hyperglycemia resulting from the secretion and/or inadequate insulin action, with increasing estimates in Brazil and prevalence in the elderly population. It is emphasized that this pathology, indicates the need for health promotion actions in order to limit the appearance of complications, which makes fundamental the effective participation of the patient facing drug and prevalence non drug treatment as well as the collaboration of the family. From this context, this study aimed to investigate scientific evidence addressing the factors contributing to non adherence or drug therapy and non drug, and actions that promote adherence to drug therapy and not medication. Methodology: To form corpus of this research were sought articles from the portal of the Virtual Health Library (VHL) through descriptors: Diabetes Mellitus, Medication Adherence, Patient Compliance and Therapeutics. In this sense, the universe studied consisted of all articles available, and the sample was composed of 21 articles. To enable data collection was used the Ursi instrument adapted, and a roadmap for data consolidation. Selected articles were categorized from the content analysis proposed by Bardin, and after categorizing the findings were analyzed and discussed taking as a guideline the scientific evidence. Results: In VHL portal, 157 articles were found in LILACS database, which after being established the inclusion criteria resulted in a sample of 12 articles, while the BDENF bases proceeded 05, SciELO 03 and Medline 01 proceeded, 09 articles, totaling the sample. Regarding the contributing factors to adherence to drug therapy and non drug, were established thematic categories: effective communication, assistance, psychosocial, sociocultural status, drug information, sociodemographic condition and disease condition. Related to taxpayers for non adherence to therapy two types of factors, the thematic categories were: ineffective assistance, sickness, diseases, ineffective communication, therapeutic regimen, psychosocial condition and diet plan, finally, the thematic categories to promote health care and multiprofessionality were evidenced in the actions that facilitate adhesion of customers. Final considerations: It is perceptible the existence of factors that affect therapeutic adherence in patients with Diabetes Mellitus from various fields, which reinforces the need for professional training in order to be achieved strategies for providing information about the disease, the patient and their families, seeking change in lifestyle and disease management, to establish the quality of life.