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

Detalhes bibliográficos
Autor(a) principal: Gregolin, Valentina Lacerda de Oliveira
Data de Publicação: 2022
Outros Autores: Cance, Giovana da Silva, Bueno, Denise Rodrigues, Oliveira, Leonardo Medeiro, Mendonça, Ana Beatriz Silva, Frederico, Flávia Ferrari
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/35500
Resumo: 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.
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spelling Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy unitsAnálisis de factores asociados a la adherencia al tratamiento farmacológico de pacientes con Diabetes mellitus tipo 2 en unidades de estrategia de salud de la familiaAnálise de fatores associados à adesão ao tratamento medicamentoso de pacientes com Diabetes mellitus tipo 2 em unidades de estratégia de saúde da famíliaDiabetes MellitusMedication AdherenceEpidemiologyMedicine.Diabetes MellitusCumplimiento de la MedicaciónEpidemiologíaMedicina.Diabetes MellitusAdesão à MedicaçãoEpidemiologiaMedicina.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.La Diabetes Mellitus es una enfermedad crónica bastante prevalente en la población brasileña. La no adherencia al tratamiento implica graves complicaciones para el paciente, como amputaciones y ceguera. El objetivo del presente estudio fue identificar la prevalencia de adherencia al tratamiento farmacológico y los factores asociados a la no adherencia en pacientes diagnosticados con Diabetes Mellitus tipo 2 (DM2), usuarios de Estrategias de Salud de la Familia ubicados en el municipio de Junqueirópolis, São Paulo. La muestra estuvo compuesta por pacientes, de ambos sexos, registrados en el sistema de salud de Junqueirópolis, seleccionados al azar en cada región de la ciudad, haciendo un total de 489 participantes. El perfil sociodemográfico, las variables clínicas y subjetivas relacionadas con el tratamiento se abordaron a través de una entrevista estructurada mediante un cuestionario cerrado. La Medida de Adherencia al Tratamiento (MAT) fue utilizada para evaluar el comportamiento del individuo en relación al uso diario de medicamentos. Las variables categóricas se presentan por sus valores absolutos y relativos, las comparaciones con las variables independientes se realizaron mediante la prueba de Chi-cuadrado, ajustada por otras variables de confusión (género, edad). Los resultados obtenidos muestran una alta tasa de adherencia al tratamiento farmacológico en los pacientes con DM2 entrevistados. Hubo asociación estadísticamente significativa entre las variables subjetivas presentadas y la adherencia al tratamiento, incluyendo el conocimiento de la enfermedad y el seguimiento regular de la condición, hecho que demuestra la importancia del papel educativo de la atención primaria en el control de la patología.O Diabetes Mellitus é uma doença crônica bastante prevalente na população brasileira. A não adesão ao tratamento implica em complicações graves ao paciente, como amputações e cegueira. O objetivo do presente estudo foi identificar a prevalência da adesão ao tratamento medicamentoso e os fatores associados à não adesão em pacientes diagnosticados com Diabetes Mellitus tipo 2 (DM2), usuários de Estratégias de Saúde da Família situadas na cidade de Junqueirópolis, São Paulo. A amostra foi composta por pacientes, de ambos os sexos, cadastrados no sistema de saúde de Junqueirópolis, sorteados aleatoriamente em cada região da cidade, perfazendo o total de 489 participantes. O perfil sociodemográfico, variáveis clínicas e subjetivas relacionadas ao tratamento foram abordados por meio de entrevista estruturada utilizando-se um questionário fechado. A Medida de Adesão aos Tratamento (MAT) foi empregada para avaliar o comportamento do indivíduo em relação ao uso diário dos medicamentos. As variáveis categóricas são apresentadas pelos seus valores absolutos e relativos, as comparações com variáveis independentes foram realizadas utilizando-se o teste de Qui quadrado, ajustada por demais variáveis de confusão (sexo, idade). Os resultados obtidos mostram alta taxa de adesão ao tratamento medicamentoso nos pacientes com DM2 entrevistados. Houve associação estatisticamente significativa entre as variáveis subjetivas apresentadas e a adesão ao tratamento, incluindo ter conhecimento da doença e fazer acompanhamento regular do quadro, fato que demonstra a importância do papel educativo da atenção básica no controle da patologia.Research, Society and Development2022-10-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3550010.33448/rsd-v11i13.35500Research, Society and Development; Vol. 11 No. 13; e303111335500Research, Society and Development; Vol. 11 Núm. 13; e303111335500Research, Society and Development; v. 11 n. 13; e3031113355002525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/35500/29731Copyright (c) 2022 Valentina Lacerda de Oliveira Gregolin; Giovana da Silva Cance; Denise Rodrigues Bueno; Leonardo Medeiro Oliveira; Ana Beatriz Silva Mendonça; Flávia Ferrari Fredericohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGregolin, Valentina Lacerda de OliveiraCance, Giovana da SilvaBueno, Denise RodriguesOliveira, Leonardo MedeiroMendonça, Ana Beatriz SilvaFrederico, Flávia Ferrari2022-10-17T13:43:46Zoai:ojs.pkp.sfu.ca:article/35500Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:50:24.255354Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy units
Análisis de factores asociados a la adherencia al tratamiento farmacológico de pacientes con Diabetes mellitus tipo 2 en unidades de estrategia de salud de la familia
Análise de fatores associados à adesão ao tratamento medicamentoso de pacientes com Diabetes mellitus tipo 2 em unidades de estratégia de saúde da família
title Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy units
spellingShingle Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy units
Gregolin, Valentina Lacerda de Oliveira
Diabetes Mellitus
Medication Adherence
Epidemiology
Medicine.
Diabetes Mellitus
Cumplimiento de la Medicación
Epidemiología
Medicina.
Diabetes Mellitus
Adesão à Medicação
Epidemiologia
Medicina.
title_short Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy units
title_full Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy units
title_fullStr Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy units
title_full_unstemmed Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy units
title_sort Analysis of factors associated with adherence to drug treatment of patients with type 2 Diabetes mellitus in family health strategy units
author Gregolin, Valentina Lacerda de Oliveira
author_facet Gregolin, Valentina Lacerda de Oliveira
Cance, Giovana da Silva
Bueno, Denise Rodrigues
Oliveira, Leonardo Medeiro
Mendonça, Ana Beatriz Silva
Frederico, Flávia Ferrari
author_role author
author2 Cance, Giovana da Silva
Bueno, Denise Rodrigues
Oliveira, Leonardo Medeiro
Mendonça, Ana Beatriz Silva
Frederico, Flávia Ferrari
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Gregolin, Valentina Lacerda de Oliveira
Cance, Giovana da Silva
Bueno, Denise Rodrigues
Oliveira, Leonardo Medeiro
Mendonça, Ana Beatriz Silva
Frederico, Flávia Ferrari
dc.subject.por.fl_str_mv Diabetes Mellitus
Medication Adherence
Epidemiology
Medicine.
Diabetes Mellitus
Cumplimiento de la Medicación
Epidemiología
Medicina.
Diabetes Mellitus
Adesão à Medicação
Epidemiologia
Medicina.
topic Diabetes Mellitus
Medication Adherence
Epidemiology
Medicine.
Diabetes Mellitus
Cumplimiento de la Medicación
Epidemiología
Medicina.
Diabetes Mellitus
Adesão à Medicação
Epidemiologia
Medicina.
description 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.
publishDate 2022
dc.date.none.fl_str_mv 2022-10-08
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/35500
10.33448/rsd-v11i13.35500
url https://rsdjournal.org/index.php/rsd/article/view/35500
identifier_str_mv 10.33448/rsd-v11i13.35500
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/35500/29731
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 13; e303111335500
Research, Society and Development; Vol. 11 Núm. 13; e303111335500
Research, Society and Development; v. 11 n. 13; e303111335500
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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