Adesão ao tratamento medicamentoso e não medicamentoso em idosos portadores de síndrome metabólica acompanhados na estratégia saúde da família

• Autor(a) principal: Jacondino, Camila Bittencourt
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Texto Completo: http://tede2.pucrs.br/tede2/handle/tede/2698
• topic: MEDICINA; GERONTOLOGIA; ENVELHECIMENTO; MEDICAMENTOS - ACEITAÇÃO PELO PACIENTE; IDOSOS; SÍNDROME METABÓLICA; CONDUTA NA ALIMENTAÇÃO; GERIATRIA; CNPQ::CIENCIAS DA SAUDE::MEDICINA

INTRODUCTION : Metabolic syndrome (MS) has a high prevalence among the elderly. In its management, are included drug and non-drug measures, such as diet and regular physical exercise. In this context, treatment compliance is essential for successful treatment. The present studi aims at describing the prevalence of adherence to medication and non-medication in elderly patients with metabolic syndrome, followed by the Primary Health Care (PHC) and association with demographic, socio-cultural-economic and clinics. METHODS : Cross-sectional and observational, conducted with 110 elderly individuals, diagnosed with Metabolic Syndrome by NCEP-ATP III criteria, from the "Clinical and Epidemiological Study of Elderly followed by the PHC in the city of Porto Alegre (EMISUS)". To evaluate adherence to medication was used the Measure Treatment Adherence (MTA). To evaluate adherence to diet and exercise, it was used a questionnaire developed by the authors of the study, based on the recommendations of the First Brazilian Guidelines for Metabolic Syndrome. RESULTS : The mean age of the sample was 68.3 ± 6.6 years (61-90 years). Most composed by elderly women (N = 74, 67.3%) and the most frequent age group was 60-69 years old (64.5%). From the 110 patients included, 100 were using daily medications, from which antihypertensives were the most prevalent (87%). The average score of the MAT was 5.5 ± 0.4 and the median 5.5 (used as a cutoff to determine compliance). Fifty six percent of the elderly (95% CI = 25 to 42.7%) were considered adherent to medication. From the statistically significance associations between adherence to therapy with gender and cardiovascular risk (CV), women were significantly more adherent than men, and elderly with low CV risk were more adherent than those at intermediate risk and high. It was not verified a statistically significant association between medication adherence and education, income and polypharmacy. Of the total sample, 82 (74.5%) patients received some nutritional guidance, from which 33.9% (95% CI = 25 to 42.7%) were adhered to the diet. Reducing salt food item was the diet with greater adherence (89.1%), and lower adherence item (59.7%) was related to whole kinds of foods. The most cited reason for non-adherence to diet was lack of persistence (38.9%). Only 23.6% (CI-15 0.7 to 31, 5%) of the elderly adhered to exercise. Physical problems such as arthritis and back pain, both with 26.9%, were the main reasons for non-adherence. There were no statistically significant differences between the non-drug treatment adherence with demographic, socio-cultural-economic and cardiovascular risk. CONCLUSION : We found that in elderly patients with metabolic syndrome followed by Primary Health Care, the prevalence of adherence to drug therapy was 56%, adherence to diet was 33,9% and adherence to exercise was 23.6%, which is statistically significant between medication adherence and cardiovascular risk.