Factors associated with adherence to treatment in diabetics treated at an elderly center at a Public University in the Northeast
Vol. 5 No. 3 (2023), Original article
Vol. 5 No. 3 (2023)

Factors associated with adherence to treatment in diabetics treated at an elderly center at a Public University in the Northeast

Original article
https://doi.org/10.36557/2674-8169.2023v5n3p256-275
Published 2023-06-08
Dominique Hellen Silva da Costa
UNIVERSIDADE FEDERAL DE PERNAMBUCO
https://orcid.org/0009-0002-6418-0728
Everton Glebson da Silva Morais
Universidade Federal de Pernambuco
https://orcid.org/0000-0001-8845-7547
Regiane Maio
Universidade Federal de Pernambuco
https://orcid.org/0000-0003-1182-8834
Leopoldina Augusta Souza Sequeira-de-Andrade
Universidade Federal de Pernambuco
https://orcid.org/0000-0003-0689-5522
Cinthia Katiane Martins Calado
Universidade Federal de Pernambuco
https://orcid.org/0000-0002-1057-6199
Maria Goretti Pessoa de Araújo Burgos
Universidade Federal de Pernambuco
https://orcid.org/0000-0003-4980-5822
PDF (Português (Brasil))

Keywords

nutritional assessment, dietary assessment, elderly, diabetes mellitus type 2

How to Cite

Silva da Costa, D. H., da Silva Morais, E. G., Maio, R., Souza Sequeira-de-Andrade, L. A., Martins Calado, C. K., & Pessoa de Araújo Burgos, M. G. (2023). Factors associated with adherence to treatment in diabetics treated at an elderly center at a Public University in the Northeast. Brazilian Journal of Implantology and Health Sciences, 5(3), 256–275. https://doi.org/10.36557/2674-8169.2023v5n3p256-275
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Abstract

Objective: to evaluate a adherence to drugs, physical and nutritional treatment in elderly people with type 2 diabetes mellitus and associated variables. Methods: this is a cross-sectional study, with a sample obtained by convenience, since they need to meet the inclusion and exclusion criteria of the research. The study was carried out at the Nutrition/Diabetes Outpatient Clinic of the Núcleo de Atenção ao Idoso (NAI/UFPE), with patients seen regularly in the period 2011-2019. The sample consisted of the 147 elderly people with type 2 diabetes. Results: there was significant adherence to drug treatment, low to the meal plan and moderate in physical activity, being influenced by factors related to socioeconomic, geographic and educational limitations. Conclusion: despite the high adherence to drug treatment, it is important to emphasize that the parameters that are more related to changes in lifestyle have insuficient evidence in the literature that point to significant long-term adherence, agreeing with the findings found in the present study.

https://doi.org/10.36557/2674-8169.2023v5n3p256-275
PDF (Português (Brasil))

References

ALCUBIERRE, Nuria; MARTINEZ-ALONSO, Montserrat; VALLS, Joan; et al. Relationship of the adherence to the Mediterranean diet with health-related quality of life and treatment satisfaction in patients with type 2 diabetes mellitus: a post-hoc analysis of a cross-sectional study. Health and Quality of Life Outcomes, v. 14, n. 1, 2016.

AMINDE, Leopold Ndemnge; TINDONG, Maxime; NGWASIRI, Calypse A.; et al. Adherence to antidiabetic medication and factors associated with non-adherence among patients with type-2 diabetes mellitus in two regional hospitals in Cameroon. BMC Endocrine Disorders, v. 19, n. 1, 2019.

Amorim, Thaís Carvalho de; BURGOS, Maria Goretti Pessoa de Araújo; CABRAL, Poliana Coelho. Perfil clínico e antropométrico de pacientes idosos com diabetes mellitus tipo 2 atendidos em ambulatório. Scientia Medica, v.27, n.3, 2017.

AYELE, Asnakew Achaw; TEGEGN, Henok Getachew; AYELE, Tadesse Awoke; et al. Medication regimen complexity and its impact on medication adherence and glycemic control among patients with type 2 diabetes mellitus in an Ethiopian general hospital. BMJ Open Diabetes Research & Care, v. 7, n. 1, 2019.

BAGHIKAR, Sara; BENITEZ, Amanda; FERNANDEZ PIÑEROS, Patricia; et al. Factors Impacting Adherence to Diabetes Medication Among Urban, Low Income Mexican-Americans with Diabetes. Journal of Immigrant and Minority Health, v. 21, n. 6, p. 1334–1341, 2019.

BARBER, Thomas M.; HANSON, Petra; KABISCH, Stefan; et al. The Low-Carbohydrate Diet: Short-Term Metabolic Efficacy Versus Longer-Term Limitations. Nutrients, v. 13, n. 4, p. 1187, 2021.

BONIKOWSKA, Iwona; SZWAMEL, Katarzyna; UCHMANOWICZ, Izabella. Analysis of the Impact of Disease Acceptance, Demographic, and Clinical Variables on Adherence to Treatment Recommendations in Elderly Type 2 Diabetes Mellitus Patients. International Journal of Environmental Research and Public Health, v. 18, n. 16, p. 8658, 2021.

BROUNS, Fred. Overweight and diabetes prevention: is a low-carbohydrate–high-fat diet recommendable? European Journal of Nutrition, v. 57, n. 4, p. 1301–1312, 2018.

SOUSA, Sueli; DAMASCENA, Rodrigo Santos; PORTELA, Fernanda Santos. Avaliação da Adesão ao Tratamento Farmacológico de Idosos Portadores de Diabetes Mellitus Tipo II acompanhados em uma rede de farmácias de Vitória da Conquista – Bahia. ID online Revista de psicologia, v.13, n.43, 2019.

FORECHI, Ludimila; MILL, José Geraldo; GRIEP, Rosane Härter; et al. Adherence to physical activity in adults with chronic diseases: ELSA-Brasil. Revista de Saúde Pública, v. 52, p. 31, 2018.

GÓMEZ-HUELGAS, R.; GÓMEZ PERALTA, F.; RODRÍGUEZ MAÑAS, L.; et al. Tratamiento de la diabetes mellitus tipo 2 en el paciente anciano. Revista Española de Geriatría y Gerontología, v. 53, n. 2, p. 89–99, 2018.

MEHDI HAZAVEHEI, Seyed Mohammad; KHOSHRAVESH, Sahar; TAHERI-KHARAMEH, Zahra. Increasing Medical Adherence in Elderly With Type 2 Diabetes Mellitus: A Systematic Review. International Quarterly of Community Health Education, v. 39, n. 2, p. 109–117, 2019.

HUANG, Zhilian; TAN, Eberta; LUM, Elaine; et al. A Smartphone App to Improve Medication Adherence in Patients With Type 2 Diabetes in Asia: Feasibility Randomized Controlled Trial. JMIR mHealth and uHealth, v. 7, n. 9, 2019.

JARVIE, Jennifer L.; PANDEY, Ambarish; AYERS, Colby R.; et al. Aerobic Fitness and Adherence to Guideline-Recommended Minimum Physical Activity Among Ambulatory Patients With Type 2 Diabetes Mellitus. Diabetes Care, v. 42, n. 7, p. 1333–1339, 2019.

LEROITH, Derek; BIESSELS, Geert Jan; BRAITHWAITE, Susan S; et al. Treatment of Diabetes in Older Adults: An Endocrine Society* Clinical Practice Guideline. The Journal of Clinical Endocrinology & Metabolism, v. 104, n. 5, p. 1520–1574, 2019.

MACHADO, Ana Paula Morais Corrêa; SANTOS, Ana Carine Gomes; CARVALHO, Karine Kerolly Almeida; et al. Avaliação da adesão ao tratamento de pacientes com diabetes mellitus e seus fatores associados. Revista Eletrônica Acervo Saúde, n. 19, 2019.

NISHIMURA, R. et al.Padrões de tratamento, persistência e taxas de adesão em pacientes com diabetes mellitus tipo 2 no Japão: um estudo de coorte baseado em reivindicações. BMJ Open, 2019.

OLIVEIRA, Rinaldo Eduardo Machado de; ICUMA, Tatiana Reis; UETA, Julieta; et al. Uso e acesso aos medicamentos para o diabetes mellitus tipo 2 em idosos: um estudo de base populacional. Ciência & Saúde Coletiva, v. 26, n. suppl 3, p. 5081–5088, 2021.

OSTMAN, C.; JEWISS, D.; KING, N.; et al. Clinical outcomes to exercise training in type 1 diabetes: A systematic review and meta-analysis. Diabetes Research and Clinical Practice, v. 139, p. 380–391, 2018.

PAN, Bei; GE, Long; XUN, Yang-qin; et al. Exercise training modalities in patients with type 2 diabetes mellitus: a systematic review and network meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, v. 15, n. 1, 2018.

PARRA, Dora Inés; ROMERO GUEVARA, Sandra Lucrecia ; ROJAS, Lyda Z. Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes. Investigación y Educación en Enfermería, v. 37, n. 3, 2019.

PATEL, Sapna; ABREU, Marconi; TUMYAN, Anna; et al. Effect of medication adherence on clinical outcomes in type 2 diabetes: analysis of the SIMPLE study. BMJ Open Diabetes Research & Care, v. 7, n. 1, 2019.

PERES, Heverton Alves; LEIRA PEREIRA, Leonardo Régis; MARTINEZ, Edson Zangiacomini; et al. Heart failure is associated with non-adherence to pharmacotherapy in elderly with type 2 diabetes mellitus in public health system Brazilians. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, v. 13, n. 2, p. 939–946, 2019.

RAHKOVSKY, Ilya; ANEKWE, Tobenna; GREGORY, Christian. Chronic Disease, Prescription Medications, and Food Purchases. American Journal of Health Promotion, v. 32, n. 4, p. 916–924, 2017.

ROCHA, M. R. et al. Letramento em saúde e adesão ao tratamento medicamentoso do diabetes mellitus tipo 2. Escola Anna Nery, 2019.

SANTOS, A. L. et al. Adesão ao tratamento de diabetes mellitus e relação com a assistência na atenção primária. REME – Revista Mineira de Enfermagem, 2020.

SILVEIRA, Erika Aparecida; VIEIRA, Liana Lima; SOUZA, Jacqueline Danesio de. Elevada prevalência de obesidade abdominal em idosos e associação com diabetes, hipertensão e doenças respiratórias. Ciência & Saúde Coletiva, v. 23, n. 3, p. 903–912, 2018.

Sociedade Brasileira de Cardiologia. Atualização da Diretriz de Prevenção Cardiovascular da Sociedade Brasileira de Cardiologia 2019. Arquivos Brasileiros de Cardiologia, p. 31-37, 2019.

Sociedade Brasileira de Cardiologia / Sociedade Brasileira de Hipertensão / Sociedade Brasileira de Nefrologia. Diretriz Brasileira de Hipertensão Arterial, 2020. Arquivos Brasileiros de Cardiologia, 116(3):562-567, 2021.

TAN, Jinhan Pamala; CHENG, Karis Kin Fong; SIAH, Rosalind Chiew Jiat. A systematic review and meta‐analysis on the effectiveness of education on medication adherence for patients with hypertension, hyperlipidaemia and diabetes. Journal of Advanced Nursing, v. 75, n. 11, p. 2478–2494, 2019.

TOMINAGA, Yoshiko; MORISKY, Donald E.; MOCHIZUKI, Mayumi. A cross-sectional study clarifying profiles of patients with diabetes who discontinued pharmacotherapy: reasons and consequences. BMC Endocrine Disorders, v. 21, n. 1, 2021.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2023 Dominique Costa, Everton Glebson da Silva Morais, Regiane Maio, Leopoldina Augusta Souza Sequeira-de-Andrade, Cinthia Katiane Martins Calado, Maria Goretti Pessoa de Araújo Burgos