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Adherence to pharmacological treatment in patients with inflammatory intestinal diseases: an integrative literature review
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Keywords

Crohn's disease
Ulcerative colitis
Treatment adherence

How to Cite

Adherence to pharmacological treatment in patients with inflammatory intestinal diseases: an integrative literature review. (2021). Electronic Journal Collection Health, 13(2), e4601. https://doi.org/10.25248/reas.e4601.2021

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Abstract

Objective: Discussing, through a bibliographic survey, about pharmacological treatment adherence in patients with Inflammatory Bowel Disease (IBD). Methods: The selection of studies was carried out using the LILACS, MEDLINE and PubMED databases, using the descriptors: “inflammatory bowel disease”, “crohn's disease”, “ulcerative colitis” and “Adhesion” in Portuguese, English or Spanish. Results: The articles available in full, with free access and appropriated to the proposed theme were included. Twenty-eight articles were pre-selected and of these, eight were excluded according to the established criteria. The most used method to analyze adherence to pharmacological treatment in IBDs was the indirect method. Among the predictors of non-adherence, emotional factors stand out such as the patient's negative perception of the disease, younger age at diagnosis, forgetting medications, drug unavailability, feeling better, adverse effects, treatment cost, high socioeconomic status, alcoholism and smoking, among others. Final considerations: Regardless of the methods of adherence used in the studies analyzed, the occurrence of inadequate adherence was observed in a considerable proportion of patients with IBD.

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