Fatores associados à adesão ao tratamento de pacientes com diabetes mellitus

Abstract

Objective: Investigating the association between adherence to treatment of type 2 diabetes mellitus and sociodemographic, clinical and metabolic control variables. Methods: Cross-sectional study with 423 patients with diabetes mellitus. The Fisher's exact test and logistic regression models were used to investigate the association between adherence to treatment and the studied variables.Results: There was no association between adherence to treatment of T2DM and socio-demographic and clinical variables. It was found that total cholesterol and HbA1c were significantly associated with adherence to diet (p = 0.036) and exercise (p = 0.006). Conclusion: The chance of a patient with cholesterol within the recommended level adhering to diet is almost five times the chance of the patient in poor lipid control. The chance of patients with poor glycemic control adhering to exercise is almost twice the chance of those who keep adequate glycemic control. ResumoObjetivo: Investigar associação entre adesão ao tratamento do diabetes mellitus tipo 2 e variáveis sociodemográficas, clínicas e controle metabólico. Métodos: Desenho cross seccional com 423 portadores de diabetes mellitus. Para verificar a associação entre adesão ao tratamento e as variáveis estudadas, utilizou-se teste exato de Fisher e modelos de regressão logística. Resultados: Não houve associação entre adesão ao tratamento do DM2 e variáveis sociodemográficas e clínicas. Verificou-se que o colesterol total e a HbA1c apresentaram associação estatisticamente significativa com a adesão ao plano alimentar (p = 0.036) e de exercício físico (p = 0.006). Conclusão: A chance do paciente com colesterol dentro do valor recomendado apresentar adesão ao plano alimentar é quase cinco vezes a chance do paciente em mau controle lipídico. A chance dos pacientes com mau controle glicêmico apresentarem adesão ao exercício físico é quase duas vezes a chance daquele sem controle adequado da glicemia.

Medication Adherence among Type 2 Diabetes Ambulatory Patients in Zewditu Memorial Hospital, Addis Ababa, Ethiopia

“…T2DM patients who are currently smoking are 6.9%. Comparing to a study done in Germany reported that prevalence of smoking in T2DM was 17.3% patients [37,40]. In this study the results found 6.9% was lower.…”

Adaptação psicológica e aceitação do diabetesmellitus tipo 2

“…The Cronbach alpha is considered a good measure of internal consistency; values must range from 0.70 to 0.95. (17) The value found in our study was 0.81, which suggested that Brazilian version of the Acceptance of the Disease Scale is reliable.…”

Qualidade de vida e características dos pacientes diabéticos

“…Probably, for having less time of adaptation with the disease and its treatment, the individuals with less time of diagnosis suffer with more immediate repercussions, such as difficulty in accepting the treatment with applications of insulin, self glycemic monitoring, alimentary restriction, possible episodes of hypoglycemia, among other conditions related to the illness and its treatment. According to Faria et al 23 , the longer time of diagnosis of DM type 2 result in higher knowledge on the disease, as well as better understanding and handling of the therapeutic scheme. Educative interventions destined to facilitate the development of specific skills to face diabetes may improve the quality of life of patients carrying this disease 24 .…”