Keywords
Elderly
Treatment
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To identify which factors may contribute to the adherence of elderly patients to T2DM treatment. Methods: A bibliographic survey was carried out from 2018 to 2023, in the MEDLINE, LILACS and SciELO databases, in Portuguese, Spanish and English using the following descriptors “Diabetes Mellitus Type 2”; "Elderly"; “Adherence to treatment”. Systematic reviews were included in the study. To circumvent the bias of including adults and young people in the study, articles that did not differentiate between elderly people in this group were excluded from the review. Results: In the 3 searched databases, 29 articles were found, and of that amount, 16 articles were used for the elaboration of the discussion. The studies come from 12 countries, allowing a broad analysis of the problem. Final considerations: Measures that increase adherence to drug treatment and changes in lifestyle include educational measures, dialogue between doctor and patient and family support.
References
ASMAT K, et al. The effectiveness of patient-centered care vs. usual care in type 2 diabetes self-management: A systematic review and meta-analysis. Front Public Health. 2022; 10: 994766. doi: 10.3389/fpubh.2022.99476.
BAEZA LFSM e CARO JAL. Relación entre salud cognitiva y adherencia farmacológica en adultos mayores con diabetes mellitus tipo 2. Gerokomos. 2020; 31(1): 15-19.
BRASIL Abordagem do paciente idoso com diabetes mellitus. Diretriz oficial da Sociedade Brasileira de Diabetes. 2024. Disponível em: https ://diretriz.diabetes.org.br/abordagem-do-paciente-idoso-com-diabetes-mellitus/. Acessado em: 06 de abril de 2024.
BRASIL. Organização do Processo de trabalho. Diretrizes para o cuidado das pessoas com doenças crônicas nas redes de atenção à saúde e nas linhas de cuidado prioritárias. 2013. Disponível em: https ://bvsms.saude.gov.br/bvs/publicacoes/diretrizes%20_cuidado_pessoas%20_doencas_cronicas.pdf. Acessado em: 06 de abril de 2024.
BURIOL D, et al. Atendimento ambulatorial de pacientes com diabetes mellitus tipo 2. Rev. Eletrônica Acervo Saúde. 2021; 13(5): 1-10.
CAETANO SM. Impact of written information on control and adherence in type 2 diabetes. Rev. Assoc. Med. Bras. 2018; 64(2): 140-147.
CAO H, et al. Bidirectional causal associations between type 2 diabetes and COVID-19. Journal of Medical of Virology. 2023; 95(1): 101093.
CHEN YT, et al. Patient-Reported Outcome Measures in Registry-Based Studies of Type 2 Diabetes Mellitus: a Systematic Review. Curr Diab Rep. 2019; 19(11): 135.
CHOI Y-J, et al. Effects of Community-Based Interventions on Medication Adherence and Hospitalization for Elderly Patients with Type 2 Diabetes at Primary Care Clinics in South Korea. Int J Environ Res Public Health. 2021; 18(7): 3396.
COSTA SCC, et al. Caracterização dos pacientes com diabetes mellitus tipo 2 em uma área de abrangência do programa saúde da família. Rev. Eletrônica Acervo Enfermagem. 2021; 9(5166): 1-7.
DOBBINS JM, et al. Primary Care Provider Encounter Cadence and HbA1c Control in Older Patients With Diabetes. Am J Prev Med. 2019; 57(4): 95-101.
GRON AO, et al. Improving diabetes care among patients with severe mental illness: A systematic review of the effect of interventions. Prim Care Diabetes. 2018; 12(4): 289-304.
HUNTRISS CB. The interpretation and effect of a low-carbohydrate diet in the management of type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials. Eur J Clin Nutr. 2018; 72(3): 311–325.
LANGENDOEN-GORT M. A personalized intervention programme aimed at improving adherence to oral antidiabetic and/or antihypertensive medication in people with type 2 diabetes mellitus, the INTENSE study: study protocol for a randomized controlled trial. Trials Journal. 2022; 23(731): 2-15.
LARA-MORALES, A et al. Psychosocial factors in adherence to pharmacological treatment and diabetes mellitus control in patients over 65. J. Atención Primaria. 2022; 54(5): 102302.
MAGHSOUDI Z, et al. Barriers to treatment adherence among older adults with type 2 diabetes: A qualitative study. J. Gerontol. Enfermeiras 2023; 49(1): 42-49.
MOGHETTI P, et al. Walking for subjects with type 2 diabetes: a systematic review and joint AMD/SID/SISMES evidence-based practical guideline. Nutr Metab Cardiovasc Dis. 2020; 30(11): 1882-1898.
MOGUEO A, et al. Effectiveness of interventions based on patient empowerment in the control of type 2 diabetes in sub-Saharan Africa: A review of randomized controlled trials. Endocrinol Diab Metab. 2020; 4(1): 00174.
PONTELLI BPB, et al. Perfil do tratamento de idosos com diabetes mellitus tipo 2 de município do interior paulista. Rev Espaço para a Saúde. 2018; 19(2): 75-83.
PURWANTO CR, et al. Increasing self-care patients with type-2 diabetes through implementation of nursing agency based on the health promotion model. J Pak Med Assoc. 2023; 73(2): 130-134.
QUIÑONES AN, et al. Variables psicológicas asociadas a adherencia, cronicidad y complicaciones en pacientes con diabetes mellitus tipo 2. Rev Med Chile. 2018; 146(10): 1151-1158.
SILVEIRA AA, et al. Diabetes mellitus tipo 2 no desencadeamento da Doença de Alzheimer. Rev. Eletrônica Acervo Saúde. 2020; 13(2): 1-9.
SOUZA AS, et al. Uso de medicamentos e estilo de vida no gerenciamento do diabetes em idosos. Rev. Salud Pública. 2019; 21(3): 333-339.
TREVISAN DD, et al. Effect of an ‘implementation intention’ intervention on adherence to oral anti-diabetic medication in Brazilians with type 2 diabetes, Patient Educ Couns. 2019; 103(3): 582-588.