Adherence to the medication regimen before and after a therapeutic awareness-raising intervention

Abstract

Background: Non-adherence to the medication regimen is currently a relevant problem that affects many of the people who need to take prescribed medication. Objective: To describe the adherence to the oral medication regimen in a rural parish in the municipality of Chaves. Method: Observational, descriptive, correlational, and longitudinal study using a nonprobability convenience sample of 228 individuals. Data were collected using a sociodemographic characterization form and a measure of therapeutic adherence. Results: The level of adherence to the medication regimen increased in the second moment, after the intervention: the mean was 5.14 ± 0.74 in the first moment and 5.69 ± 0.36 in the second moment. Only 16.9% of the individuals adhered completely to the medication regimen. Conclusion:The health care team, namely the nurse, together with the patient and the family, can outline strategies to promote the adherence to the medication regimen at the educational, behavioral, and motivational levels.

Adesão ao regime terapêutico medicamentoso da pessoa com doença renal crónica em programa de hemodiálise

“…O enfermeiro em função da natureza dos seus cuidados, tem um acesso privilegiado para capacitar a pessoa, dotando-a de conhecimentos e habilidades, para poder auto-gerir a sua condição clínica" (p. 26). Como indica Martins et al (2017), podem ser adotadas várias estratégias pelos enfermeiros, dirigidas ao doente e/ou família, de índole educacional, comportamental e motivacional, que visem a melhoria da adesão, quer ao nível do regime medicamentoso, quer ao nível do regime terapêutico no seu global, devendo integrar "o esclarecimento sobre a sua patologia e a importância da adoção de hábitos de vida saudáveis, reforçando a sua motivação" (p. 15). De salientar que o esquecimento e o descuido em relação às horas de tomar a medicação foram duas das questões da escala MAT que apresentaram menor pontuação média.…”

Adesão terapêutica: contributos para a compreensão e intervenção

“…All these models clearly show that successful interventions largely rely on making individuals co-responsible for their health. Together with health professionals, they become active participants in promoting preventive or therapeutic care (Martins et al, 2017). Nevertheless, these interventions should aim at improving the motivation for treatment, which may include, as much as possible, the elimination of barriers to adherence (Horne et al, 2019;Kini & Ho, 2018;Matsuzawa et al, 2019;Panenar, 2012).…”

“…Since the 1970s, the literature on TA and non-adherence rates has shown great variability, demonstrating difficulties in collecting accurate information. Non-adherence rates range from 4% to 94% (Martins et al, 2017;Meichenbaum & Turk, 2012), with the consensus ranging from 30% to 50% or 60% in long-term, chronic disease-related prescriptions (Coelho et al, 2017;Haynes et al, 1979;Martins et al, 2017;WHO, 2003). In therapeutic regimens, these rates vary between 30% and 40%.…”