Management of Drug Treatment for Diabetic Patients

• Autor(a) principal: Moura, Rafaela Barbosa Rafacho
• Data de Publicação: 2024
• Outros Autores: Valente, Francilisi Brito Guimarães, Nascimento, Simone Souza
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista JRG de Estudos Acadêmicos
• Texto Completo: http://revistajrg.com/index.php/jrg/article/view/928
• topic: Diabetes Mellitus; Tratamento Farmacológico; Hipoglicemiantes; Insulina; Adesão à Medicação; Diabetes Mellitus; Drug Therapy; Hypoglycemic Agents; Insulin; Medication Adherence

Objective: To describe the management of drug treatment for diabetic patients. Method: This is a descriptive study, with a quantitative approach and cross-sectional design. The study sample was made up of users monitored at a Basic Health Unit in the Federal District, with type I or II DM, using oral hypoglycemic agents and/or insulin. The selection was made by random, conventional and simple sampling. The data collection instrument used listed sociodemographic variables, clinical recommendations and protocols for patient safety and management of patients with DM. The data found were analyzed using descriptive statistics. Results: The sample consisted of 41 participants, predominantly female and with low education, with an average of 66.8 years of age. Regarding the clinical profile, all users had type II DM, with a predominance of multimorbidity, high cardiovascular risk and achievement of glycemic control goals. It was observed that 68.5% were on polypharmacy, with 31.5% using sulfonylureas and 36.6% using insulin. The biggest barriers to medication adherence were forgetfulness and difficulty in keeping schedules, with 61% and 53.7%, respectively. Regarding insulin therapy, the main inconsistencies found were: 86.7% regarding lack of knowledge about the validity of insulin after opening the bottle; 93.3% lack of record of the date the bottle was opened; 73.3% inadequate insulin transport; 93.3% of inappropriate disposal of needles/syringes; 80% of inadequate rotation of application sites; and 85.7% do not remove air from the pen with each application. Conclusion: The diabetic patients in this study have encountered several difficulties in managing drug treatment, which can increase human error. In this way, the need for strategies to identify and manage these difficulties and equitable monitoring of this population, in order to promote autonomy, therapeutic adherence and patient safety.