Boas Lilian Cristiane Gomes-Villas, Foss-Freitas Maria Cristina, Pace Ana Emilia
Programa de Pós-Graduação de Enfermagem Fundamental, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Rev Bras Enferm. 2014 Mar-Apr;67(2):268-73. doi: 10.5935/0034-7167.20140036.
This cross-sectional and quantitative study aimed to evaluate the adherence to drug treatment of the people with diabetes mellitus and its relation to clinical, treatment and metabolic control variables. Sample consisted of 162 people with type 2 diabetes mellitus on follow-up outpatient care. The Measure of Treatment Adherence and consultation to the participants' medical records were used for data collection. A high adherence to drug treatment was obtained. For a p<0.05, it was obtained an inverse correlation with diastolic blood pressure and a direct correlation with the frequency of daily administration of insulin and oral antidiabetic agents. There were no statistically significant correlations between adherence and metabolic control variables. Results diverge from the literature regarding the adherence to drug treatment in chronic diseases, as well as in the correlation between adherence and complexity of drug regimen, which points to the need for more studies on this theme.
这项横断面定量研究旨在评估糖尿病患者的药物治疗依从性及其与临床、治疗和代谢控制变量的关系。样本包括162名接受门诊随访护理的2型糖尿病患者。采用治疗依从性测量方法并查阅参与者的病历进行数据收集。结果显示药物治疗依从性较高。当p<0.05时,发现其与舒张压呈负相关,与胰岛素和口服降糖药的每日给药频率呈正相关。依从性与代谢控制变量之间无统计学显著相关性。本研究结果与关于慢性病药物治疗依从性以及依从性与药物治疗方案复杂性之间相关性的文献有所不同,这表明需要对该主题进行更多研究。