Estratégias adotadas para melhorar a adesão ao tratamento da tuberculose
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2025.214684Palavras-chave:
Tuberculose, Tuberculose pulmonar, Cooperação e adesão ao tratamento, Adesão à medicaçãoResumo
Objetivo: Identificar na literatura científica as estratégias adotadas para melhorar a adesão ao tratamento da tuberculose (TB) pulmonar sensível ao esquema medicamentoso básico. Métodos: Revisão sistemática de literatura conduzida conforme as recomendações PRISMA e protocolo inscrito na plataforma PRÓSPERO sob registro CRD42022299152. A extração dos artigos ocorreu nas bases de dados LILACS, MEDLINE, SciELO e Web of Science utilizando-se a seguinte combinação de palavras-chave: Tuberculosis AND ("Medication Adherence" OR "Treatment Adherence and Compliance"). A seleção dos artigos se sucedeu em conformidade com os critérios de inclusão e exclusão por meio do Software StArt 3.0.3 beta. Ademais, realizou-se a avaliação da qualidade e risco de vieses dos estudos através das ferramentas de avaliações críticas do Joanna Briggs Institute. Resultados: 16 artigos foram incluídos nesta revisão, constatando-se que 7 apresentam uma alta, 7 uma moderada e 2 uma baixa qualidade. As intervenções foram agrupadas em quatro categorias: fomento, lembretes, psicológicas e implementadas através de dispositivos ou sistemas. Conclusão: Os estudos apresentaram uma heterogeneidade nos resultados encontrados em relação a efetividade dessas estratégias na melhora da adesão ao tratamento da TB, o que possivelmente se associa alta eficácia do tratamento diretamente observado (TDO), utilizado como controle das intervenções, divergências e falhas metodológicas nos estudos incluídos. Como limitações desta revisão sistemática evidencia-se a utilização da mesma estratégia de busca em todas as bases de dados, exclusão de outras bases de dados relevantes, restrição do idioma e exclusão de participantes diagnosticados com TB droga resistente ou extrapulmonar.
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Direitos autorais (c) 2026 Hugo Barcelos de Matos, Catherine Marques Barros, Erica Toledo de Mendonça, Deise Moura de Oliveira, Tiago Ricardo Moreira
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
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Fundação de Amparo à Pesquisa do Estado de Minas Gerais
Números do Financiamento 9 bolsas de iniciação científica no valor de R$400 mensais.
