Borba Anna Karla de Oliveira Tito, Marques Ana Paula de Oliveira, Ramos Vânia Pinheiro, Leal Márcia Carrera Campos, Arruda Ilma Kruze Grande de, Ramos Roberta Souza Pereira da Silva
Programa de Pós-Graduação em Enfermagem, Centro de Ciências da Saúde, Universidade Federal de Pernambuco. Campus Universitário, Cidade Universitária. 50670-901 Recife PE Brasil.
Cien Saude Colet. 2018 Mar;23(3):953-961. doi: 10.1590/1413-81232018233.03722016.
This study aimed to investigate factors associated with the treatment adherence of 150 elderly diabetics assisted in gerontogeriatric outpatient service in northeastern Brazil. Full adherence to therapy was self-reported by 27.3% of the elderly. In the bivariate analysis, adherence was associated with self-perceived health, beliefs in the use of medication, understanding explanations about diabetes and professional responsible for treatment guidance. After analysis adjustment, only beliefs in medicine were significant when comparing non-adherence with full adherence (OR = 9.65; CI95% 1.6; 56.6) and non-adherence with partial adherence (OR = 18.15; CI95% 3.5;95.4). It can be concluded that full adherence to diabetes treatment is low and is associated with beliefs in medications for disease control. It is necessary to develop additional studies to better define the role of health beliefs and practices of care among elderly assisted in primary health care.
本研究旨在调查与巴西东北部老年病门诊服务中150名老年糖尿病患者治疗依从性相关的因素。27.3%的老年人自我报告完全坚持治疗。在双变量分析中，依从性与自我感知健康、用药信念、对糖尿病解释的理解以及负责治疗指导的专业人员有关。经过分析调整后，在比较不依从与完全依从时，只有用药信念具有显著性（OR = 9.65；95%CI 1.6；56.6），在比较不依从与部分依从时，用药信念也具有显著性（OR = 18.15；95%CI 3.5；95.4）。可以得出结论，老年糖尿病患者的完全治疗依从性较低，且与疾病控制用药信念有关。有必要开展更多研究，以更好地确定在初级卫生保健中接受治疗的老年人的健康信念和护理实践的作用。
