Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy units

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35500

Keywords:

Diabetes Mellitus; Medication Adherence; Epidemiology; Medicine.

Abstract

Diabetes Mellitus is a chronic disease quite prevalent in the Brazilian population. Non-adherence to treatment implies serious complications for the patient, such as amputations and blindness. The objective of the present study was to identify the prevalence of adherence to drug treatment and the factors associated with non-adherence in patients diagnosed with type 2 Diabetes Mellitus (DM2), users of Family Health Strategies located in the city of Junqueirópolis, São Paulo. The sample consisted of patients, of both sexes, registered in the health system of Junqueirópolis, randomly drawn in each region of the city, making a total of 489 participants. The sociodemographic profile, clinical and subjective variables related to the treatment were addressed through a structured interview using a closed questionnaire. The Treatment Adherence Measure (MAT) was used to assess the individual's behavior in relation to the daily use of medication. Categorical variables are presented by their absolute and relative values, comparisons with independent variables were performed using the Chi-square test, adjusted for other confounding variables (gender, age). The results obtained show a high rate of adherence to drug treatment in the interviewed patients with DM2. There was a statistically significant association between the subjective variables presented and adherence to treatment, including having knowledge of the disease and regular monitoring of the condition, a fact that demonstrates the importance of the educational role of primary care in controlling the pathology.

References

Borba, A. K., Marques, A. P., Ramos, V. P., Leal, M. C., Arruda, I. K. & Ramos, R. S. (2018). Fatores associados à adesão terapêutica em idosos diabéticos assistidos na atenção primária de saúde. Ciência & Saúde Coletiva. 23(3), 953-61.

Botrel, F. Z., Faria, K. J., Silva, B. A. B., Nascimento, G. F., Diniz, M. M, Morais, A. A. & Cortez, D. N. (2021). Adesão à terapêutica medicamentosa e fatores associados em Diabetes Mellitus tipo 2. Medicina (Ribeirão Preto) 2021;54(4):e-178248.

Brasil. (2020). Banco de dados do Sistema Único de Saúde-DATASUS. http://www.datasus.gov.br.

Carvalho, A. R., Dantas, R. A., Pelegrino, F. M. & Corbi, I. S. (2010). Adaptação e validação de uma medida de adesão à terapia de anticoagulação oral. Rev. Latino-Am. Enfermagem. 18(3):[08 telas].

Faria, H. T., Rodrigues, F. F., Zanetti, M. L., Araujo, M. F. & Damasceno, M. M. (2013). Fatores associados à adesão ao tratamento de pacientes com diabetes mellitus [Artigo Original]. Acta Paul Enferm, 26(3), 231–238.

Faria, H. T., Santos, M. A., Arrelias, C. C., Rodrigues, F. F., Gonela, J. T., Teixeira, C. R. & Zanetti, M. L. (2013). Adesão ao tratamento em diabetes mellitus em unidades da Estratégia Saúde da Família [Artigo Original]. Rev Esc Enferm USP, 48(2):257-63.

Goldman, L. & Schafer, A. I. (2018). Diabetes Melito. Goldman-Cecil Medicina; 25ª Edição, Volume 2, 229, pp. 1557-1578.

Golfi, D. P., Simões, P. W. & Fagundes, A. L. (2011). Adesão ao tratamento dos pacientes diabéticos tipo II usuários da estratégia saúde da família situada no bairro Metropol de Criciúma, SC [Artigo Original]. ACM Arq. Catarin. Med. 40(3).

Instituto Brasileiro de Geografia e Estatística (2010). Junqueirópolis, São Paulo. https://www.ibge.gov.br/cidades-e-estados/sp/junqueiropolis.html.

Lamounier, R. N., Geloneze, B., Leite, S. O., Montenegro, R., Zajdenverg, L., Fernandes, M., de Oliveira Griciunas, F., Ermetice, M. N., & Chacra, A. R. (2018). Hypoglycemia incidence and awareness among insulin-treated patients with diabetes: the HAT study in Brazil. Diabetology & Metabolic Syndrome, 10(1).

Marinho, F. S., Moram, C. B. M., Rodrigues, P. C., Leite, N. C., Salles, G. F., & Cardoso, C. R. L. (2018, November 27). Treatment Adherence and Its Associated Factors in Patients with Type 2 Diabetes: Results from the Rio de Janeiro Type 2 Diabetes Cohort Study. Journal of Diabetes Research.

Milech, A. (2014). Rotinas de Diagnóstico e Tratamento do Diabetes Mellitus. https://integrada.minhabiblioteca.com.br/#/books/978-85-8114-270-8/

Pereira, M. G. (1995). Epidemiologia: teoria e prática. Guanabara Koogan.

Salci, M. A., Meirelles, B. H. & Silva, D. M. (2017). Atenção primária às pessoas com diabetes mellitus na perspectiva do modelo de atenção às condições crônicas [Artigo Original]. Rev. Latino-Am. Enfermagem, 2017; 25: e2882

Silva, R. L., Albuquerque, L., Cavalcanti, S. & Tambascia, M. (2022). Tratamento farmacológico da hiperglicemia no DM2. Diretriz Oficial da Sociedade Brasileira de Diabetes 2022. DOI: 10.29327/557753.2022-10

Świątoniowska-Lonc, N., Tański, W., Polański, J., Jankowska-Polańska, B., & Mazur, G. (2021). Psychosocial Determinants of Treatment Adherence in Patients with Type 2 Diabetes - A Review. Diabetes, metabolic syndrome and obesity: targets and therapy, 14, 2701–2715. https://doi.org/10.2147/DMSO.S308322

Sociedade Brasileira de Diabetes (2019). Diretrizes Sociedade Brasileira de Diabetes 2019-2020. Clannad Editora Científica.

Vilar, L. (2020). Endocrinologia Clínica. [Minha Biblioteca]. Retirado de https://integrada.minhabiblioteca.com.br/#/books/9788527737180/

Wang, Q., Zhang, X., Fang, L., Guan, Q., Guan, L., & Li, Q. (2018). Prevalence, awareness, treatment and control of diabetes mellitus among middle-aged and elderly people in a rural Chinese population: A cross-sectional study. PLOS ONE, 13(6), e0198343. https://doi.org/10.1371/journal.pone.0198343

World Health Organization (2003). Adherence to long-term therapies: evidence for action WHO; Geneva

Published

08/10/2022

How to Cite

GREGOLIN, V. L. de O.; CANCE, G. da S.; BUENO, D. R.; OLIVEIRA, L. M.; MENDONÇA, A. B. S.; FREDERICO, F. F. Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy units. Research, Society and Development, [S. l.], v. 11, n. 13, p. e303111335500, 2022. DOI: 10.33448/rsd-v11i13.35500. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/35500. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences