Gusmai Luana de Fátima, Novato Tatiana de Sá, Nogueira Lilia de Souza
Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Universidade Paulista, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2015 Oct;49(5):839-46. doi: 10.1590/S0080-623420150000500019.
To verify the influence of quality of life in treatment adherence of patients with diabetes mellitus.
Systematic review of the literature using the databases MEDLINE, CINAHL, Scopus, LILACS, SciELO and Web of Science with studies published between 2003 and 2014 in English, Portuguese or Spanish.
Six studies were included in the review, three were identified as having better quality of life scores, being related to better adherence to diabetes treatment measured by glycated hemoglobin or characteristics related to diet, exercise, use of medication and foot care. No association was found between quality of life and adherence in two investigations and a study found a negative association between these variables.
There is causal relationship between quality of life and adherence with diabetes treatment. It is suggested that psychosocial aspects of patients should be considered by health professionals in the search for better clinical outcomes in diabetes care.
验证生活质量对糖尿病患者治疗依从性的影响。
通过检索MEDLINE、CINAHL、Scopus、LILACS、SciELO和Web of Science数据库，对2003年至2014年间以英文、葡萄牙文或西班牙文发表的研究进行文献系统综述。
该综述纳入了六项研究，其中三项研究的生活质量得分较高，这与通过糖化血红蛋白衡量的更好的糖尿病治疗依从性或与饮食、运动、药物使用和足部护理相关的特征有关。在两项调查中未发现生活质量与依从性之间存在关联，且一项研究发现这些变量之间存在负相关。
生活质量与糖尿病治疗依从性之间存在因果关系。建议健康专业人员在寻求改善糖尿病护理临床结果时应考虑患者的心理社会因素。
