Adesão medicamentosa em pacientes idosos diabéticos

• Autor(a) principal: Trentin, Cristiani Silveira Netto
• Data de Publicação: 2009
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional PUCRS
• Texto Completo: http://hdl.handle.net/10923/3622
• topic: MEDICINA; GERIATRIA; GERONTOLOGIA; IDOSOS; ENVELHECIMENTO; DIABETES MELLITUS; SAÚDE DO IDOSO; PRESCRIÇÃO MÉDICA - ACEITAÇÃO PELO PACIENTE

The world and Brazilian population is becoming older, making it important to consider the various aspects that accompany aging, including the physiological changes and diseases usually found in elderly patients. Diabetes mellitus type II, which is very common in this age group, often causes, over the time, an increment in blood glucose, leading to the need of using medicines and contributing to a situation of polypharmacy. Therefore the importance of a proper conduct of the patient with medication for the advancement of the disease to be delayed. One of the problems is the lack of adherence to treatment. The aim of this work is to verify the several variables that may interfere with control of diabetes mellitus in the elderly. For this, there were used two population samples, one from a multidimensional study of the elderly in Porto Alegre (EMIPOA), held at the Institute of Geriatrics and Gerontology (IGG) of the Pontifical Catholic University of Rio Grande do Sul (PUCRS). With this sample there were analyzed socio-demographic and clinical variables and also variables related to diet, compared with the data obtained through the self-reported questionnaire previously answered. The second sample was composed of a group of elderly patients who participated of a clinical trial to verify the effectiveness of the Project "Using of Knowlodge Construction in a Plan of Pharmaceutical Intervention to Promote adhesion to Prescription of hypoglycemic drugs in the elderly." It was also a cross-sectional study where only the data collected before the intervention were used. This project examined the adherence through the questionnaire of self-report and counting the forgotten pill. There were examined socio-demographic, pharmacological, clinical and cognitive variables and memory strategies used by older people to take the medication. The results show that there is influence of age on the compliance, however, on the contrary to what it is imagined, it improves with age. As the number of drugs, which increases with frequency rasing of older members. Another interesting question is the relationship of the strategies of memory with the scores in the questionnaire for membership, and we can also see a decrease in consumption of carbohydrates by members, also suggesting an adherence to the diet. With these results we can develop strategies to improve adherence to medication in this population.