Introdução: Fatores que contribuem com a não adesão são ameaças à complexidade do tratamento, que é de longa duração. Estes, podem influenciar na vulnerabilidade bio-lógica dos pacientes e causar agravos. Objetivos: Avaliar os fatores de saúde mental relacionados à não adesão à terapia anti-retroviral (TARV). Métodos: Foi realizada uma revisão sistemática nas bases Web of Science e MEDLINE com os termos “HIV”, “Tera-pia antiretroviral” e “Não adesão”, no período temporal de 2012 a 2018. Resultados: Após a conclusão da pesquisa, foram encontrados 57 artigos que correlacionaram a TARV com os fatores de saúde mental que interferem na adesão ao tratamento. No ge-ral, podemos identificar quatro aspectos que influenciam significativamente a adesão: a) drogas (uso de álcool e drogas); b) Depressão; c) Ansiedade; d) estigma. Conclusão: a avaliação e o tratamento de fatores psicossociais devem ocorrer durante o acompa-nhamento da terapia de novos pacientes e também ser parte integrante da rotina e da continuidade do tratamento do HIV.
The aim of the study was to characterize the sociodemographic and clinical profile of patients with hemophilia followed at a Regional Blood Center. Epidemiological cross-sectional study with data collection by document analysis with 30 records from a Regional Blood Center in the Center-South region of Ceará. Statistical analysis was performed using Microsoft Office Excel® 2016 software. The work was approved by the Research Ethics Committee. There was a predominance of males (27), aged 20 to 59 years, single marital status, incomplete elementary education, residing in rural areas and income below 01 minimum wage. As for the clinical profile, hemophilia A in severe form, has a sedentary lifestyle, with a history of transfusion procedures. Most have two or more associated clinical manifestations. With the prevalence pointed out among the participants, the need for comprehensive and equitable assistance is evident, with an emphasis on nursing actions.
Low adherence to antihypertensive therapy is one of the main modifiable risk factors for several other secondary pathologies. Therefore, we aimed to evaluate the predictors that most interfere in the adherence process. This is a systematic review with meta-analysis that followed the Cochrane recommendations, the search for studies occurred between January and February 2020 using the MeSH: "Hypertensive", "Medication Adherence", "World Population" and "Risk Factors". After applying the filters and criteria 31 studies were selected. The review included studies with intended perspectives and the main predictors were: interventions, satisfaction, cost reduction, the factors were also found: diagnostic impact, medical inertia and execution of the prescribed regimes. The research exposed that more work is needed on health promotion by age group and hypertension (SAH) can be detected and controlled early, readjust high costs, ensure well-being and satisfaction in therapy so that the patient can feel comfortable. Personalized recommendations and constructive comments can drive this process, it is necessary to develop actions aimed at greater compliance by reducing the impact of these diseases and promoting greater control Compliance has always been complex by nature. However, relatively small interventions can substantially improve it.
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