Action and coping plans related to the behavior of adherence to oral anti-diabetic medication
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2021.172558Palavras-chave:
Diabetes Mellitus tipo 2, Adesão à Medicação, Hipoglicemiantes, Técnicas de Planejamento, EnfermagemResumo
Desenho do estudo: Estudo de método misto. Objetivo: Descrever planos de ação relacionados ao comportamento de adesão aos antidiabéticos orais elaborados por pessoas com diabetes mellitus tipo 2 e identificar as barreiras percebidas e respectivas estratégias de enfrentamento para efetivação desse comportamento. Métodos: O estudo envolveu 44 pessoas com diabetes mellitus tipo 2 que utilizavam antidiabéticos orais na região sudeste do Brasil. Adultos foram convidados a construir os planos de ação e de enfrentamento de obstáculos baseados sobre a Teoria da Ativação da Intenção. Os planos foram analisados quantitativa e qualitativamente. Resultados: Os planos de ação incluíram três temas principais: (1) Associar a tomada dos antidiabéticos orais aos marcadores de tempo ou ao ciclo de sono / vigília; (2) em ambientes específicos; (3) associados às atividades de vida diária. Os planos de enfrentamento das barreiras percebidas centraram-se em colocar os comprimidos em locais visíveis, pedir ajuda aos familiares para evitar esquecimento, estabelecer rotina e alimentar-se adequadamente. Conclusões: A forma mais eficaz de manejar a tomada de antidiabéticos orais de modo satisfatório parece ser o reconhecimento das barreiras percebidas pela própria pessoa. A implementação de ações específicas e individualizadas bem como de planos de enfrentamento para superar as barreiras percebidas foi o diferencial neste estudo.
Downloads
Referências
Fernandez-Lazaro CI, García-González JM, Adams DP, Fernandez-Lazaro D, Mielgo-Ayuso J, Caballero-Garcia A, et al. Adherence to treatment and related factors among patients with chronic conditions in primary care: A cross-sectional study. BMC Family Practice. 2019;20:132.
Sabaté E. Adherence to long-term therapies. World Health Organization. 2003.
Zomahoun HTV, Moisan J, Lauzier S, Guillaumie L, Grégoire J-P, Guénette L. Predicting Noninsulin Antidiabetic Drug Adherence Using a Theoretical Framework Based on the Theory of Planned Behavior in Adults With Type 2 Diabetes: A Prospective Study. Medicine. 2016;95(15):e2954.
Bruce SP, Acheampong F, Kretchy I. Adherence to oral anti-diabetic drugs among patients attending a Ghanaian teaching hospital. Pharmacy Practice. 2015;13(1):533.
Chew B-H, Hassan N-H, Sherina M-S. Determinants of medication adherence among adults with type 2 diabetes mellitus in three Malaysian public health clinics: a cross-sectional study. Patient preference and adherence. 2015;9:639–48.
Guénette L, Breton MC, Guillaumie L, Lauzier S, Grégoire JP, Moisan J. Psychosocial factors associated with adherence to non-insulin antidiabetes treatments. Journal of Diabetes and its Complications. 2016;30(2):335–42.
Jannuzzi FF, Cornélio ME, São-João TM, Gallani MC, Godin G, Rodrigues RCM. Psychosocial determinants of adherence to oral antidiabetic medication among people with type 2 diabetes. Journal of Clinical Nursing. 2020;29(5–6):909–21.
Jaam M, Ibrahim MIM, Kheir N, Awaisu A. Factors associated with medication adherence among patients with diabetes in the Middle East and North Africa region: A systematic mixed studies review. Diabetes Research and Clinical Practice. 2017;129:1–15.
Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991;50(2):179–211.
Trevisan DD, São-João TM, Cornélio ME, Jannuzzi FF, Rodrigues RCM, Lima MHM. A randomized controlled trial on the effect of behavioral strategies for adherence to oral antidiabetic drugs: study protocol. Contemporary Nurse. 2017;53(6):658–68.
Wieber F, Thürmer JL, Gollwitzer PM. Promoting the translation of intentions into action by implementation intentions: behavioral effects and physiological correlates. Frontiers in Human Neuroscience. 2015;9:395.
Hagger MS, Luszczynska A, de Wit J, Benyamini Y, Burkert S, Chamberland PE, et al. Implementation intention and planning interventions in Health Psychology: Recommendations from the Synergy Expert Group for research and practice. Psychology and Health. 2016;31(7):814–39.
Marquardt MK, Oettingen G, Gollwitzer PM, Sheeran P, Liepert J. Mental contrasting with implementation intentions (MCII) improves physical activity and weight loss among stroke survivors over one year. Rehabilitation Psychology. 2017;62(4):580–90.
Sniehotta FF, Scholz U, Schwarzer R. Action plans and coping plans for physical exercise: a longitudinal intervention study in cardiac rehabilitation. British Journal of Health Psychology. 2006;11:23–37.
Gollwitzer PM. Implementation intentions: Strong effects of simple plans. American Psychologist. 1999;54(7):493–503.
Trevisan DD, São-João T, Cornélio M, Jannuzzi F, de Sousa MR, Rodrigues R, et al. Effect of an ‘implementation intention’ intervention on adherence to oral anti-diabetic medication in Brazilians with type 2 diabetes. Patient Education and Counseling. 2020;103(3):582–8.
Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society. 1975;23(10):433–41.
Godin G, Kok G. The theory of planned behavior: a review of its applications to health-related behaviors. American Journal of Health Promotion. 1996;11(2):87–98.
Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomized trials. Annals of Internal Medicine. 2010;152(11):726–32.
American Diabetes Association. 1. Improving care and promoting health in populations: Standards of medical care in diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S7–12.
McSharry J, McGowan L, Farmer AJ, French DP. Perceptions and experiences of taking oral medications for the treatment of Type 2 diabetes mellitus: a systematic review and meta-synthesis of qualitative studies. Diabetic Medicine. 2016;33(10):1330–8.
Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, et al. Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2015;38(1):140–9.
Islam SMS, Biswas T, Bhuiyan FA, Mustafa K, Islam A. Patients’ perspective of disease and medication adherence for type 2 diabetes in an urban area in Bangladesh: a qualitative study. BMC Research Notes. 2017;10(1):131.
Al-Ramahi R. Adherence to medications and associated factors: A cross-sectional study among Palestinian hypertensive patients. Journal of Epidemiology and Global Health. 2015;5(2):125–32.
Martin LR, Feig C, Maksoudian CR, Wysong K, Faasse K. A perspective on nonadherence to drug therapy: Psychological barriers and strategies to overcome nonadherence. Patient Preference and Adherence. 2018;12:1527–35.
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2021 Danilo Donizetti Trevisan, Thaís Moreira São-João, Marília Estevam Cornélio, Maria Rui Miranda Grilo Correia de Sousa, Roberta Cunha Matheus Rodrigues, Maria Helena de Melo Lima
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
