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Objetivou-se analisar a percepção de pacientes, familiares e profissionais sobre a doença renal crônica e a adesão ao seu tratamento. Realizou-se uma pesquisa qualitativa com 47 participantes que responderam a um roteiro de entrevista cujos dados foram analisados no IRaMuTeQ. Os resultados mostraram que os pacientes tinham pouca compreensão acerca da doença e do tratamento e sentimentos negativos associados a eles. Entre os fatores facilitadores da adesão, destacam-se o apoio familiar/profissional; entre os limitadores, a restrição hídrica, a dieta e as limitações na rotina do paciente e cuidador. Os profissionais apresentaram distinções entre a hemodiálise e a diálise peritoneal, comparando limitações e benefícios. Concluiu-se a importância da atenção aos fatores que dificultam a adesão ao tratamento para potencializar seu sucesso.

Objetivo: identificar os fatores que podem interferir na adesão de pacientes diabéticos tipo 2 ao tratamento nutricional. Materiais e Métodos: trata- se de um estudo de revisão integrativa baseada em pesquisa bibliográfica. A pesquisa foi realizada no período de fevereiro a maio de 2022 e incluiu artigos originais de estudos realizados com indivíduos adultos e/ou idosos com DM2 de ambos os sexos, indexados nas bases de dados Biblioteca Virtual em Saúde (BVS) e Science Direct, utilizando os descritores: adesão ao tratamento; terapia nutricional; diabetes mellitus tipo 2 e diabetes do tipo 2. Resultados: após o processo de análise, foram selecionados 4 artigos. Não ter recebido orientações sobre a alimentação adequada ou dificuldade de compreensão ou de seguir as orientações recebidas foram os principais fatores associados à não adesão ao tratamento dietético, referidos em três dos estudos analisados. Além destes, alguns dos fatores limitantes para aderir adequadamente à dieta incluem questões emocionais e problemas econômicos. Conclusão: é necessário que os profissionais de saúde tenham conhecimento do perfil dos seus pacientes, levando em consideração suas características e particularidades, e que passem orientações utilizando uma linguagem clara e acessível ao público-alvo, afim de que se haja uma melhor condução e adesão ao tratamento.

Objective: to identify the factors that may interfere with the adherence of type 2 diabetic patients to nutritional treatment. Materials and Methods: this is an integrative review study based on bibliographical research. The research was carried out from February to May 2022 and included original articles from studies carried out with adults and/or elderly individuals with DM2 of both genders, indexed in the Virtual Health Library (VHL) and Science Direct databases, using descriptors: adherence to treatment; nutritional therapy; type 2 diabetes mellitus and type 2 diabetes. Results: after the analysis process, 4 articles were selected. Not having received guidance on proper nutrition or difficulty understanding or following the guidance received were the main factors associated with non-adherence to dietary treatment, referred to in three of the analyzed studies. In addition to these, some of the limiting factors for properly adhering to the diet include emotional issues and economic problems. Conclusion: it is necessary that health professionals are aware of the profile of their patients, taking into account their characteristics and particularities, and that they provide guidelines using clear and accessible language for the target audience, so that there is a better conduction and adherence to the treatment. [ABSTRACT FROM AUTHOR]

Objective: To identify barriers to adherence to home oral maintenance chemotherapy in children with leukemia treated at a specialized cancer center. Methods: We used the Brief Medication Questionnaire (BMQ) as a tool for screening barriers to adherence. The level of adherence was calculated considering at least one positive response in each BMQ domain, defined as Regimen Screen, Belief Screen, and Recall Screen. A positive screening for belief barriers (PSB) indicates that the caregiver reports not understanding the medication’s mechanism of action and adverse effects. Results: Three important barriers to adherence were identified: beliefs, number of children of the caregiver, and age of the caregiver. The primary caregivers included 32 mothers (80%), four fathers (10%), three grandmothers (7.5%), and one unrelated caregiver (2.5 %). Most caregivers with a PSB were mothers. A PSB indicates that the caregiver reports not understanding the medication’s mechanism of action and adverse effects. Caregivers with two or more children (median, three) had more barriers to adherence. Caregivers with potential non-adherence tended to be older than those with potential adherence, although without statistical significance (p=0.079, Mann-Whitney U test). Conclusions: The main barriers to adherence to home oral maintenance chemotherapy in children with leukemia identified through interviews with their caregivers, most often mothers, were lack of understanding of the treatment regimen, a greater number of children, and older age. [ABSTRACT FROM AUTHOR]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introdução: Estima-se que entre 5% a 10% das infectada pessoas infectadas com a bactéria Mycobacterium tuberculosis desenvolverão doença ativa da Tuberculose (TB) ao longo de suas vidas, geralmente nos primeiros cinco anos após a infecção inicial e serão capazes de transmitir a bactéria [1-3]. O tratamento da Infecção Latente da Tuberculose (ILTB) é uma estratégia que promove a diminuição do número de casos que evoluem para TB e consequentemente redução da transmissão da bactéria, sendo o tratamento preventivo uma das maneiras para atingir o objetivo da Organização Mundial de Saúde para a Estratégia Mundial pelo fim da TB [4-8]. Objetivos: Conhecer a prevalência e adesão do uso da isoniazida (INH) em duas apresentações farmacêuticas em estudos científicos. Material e Método: Um protocolo de revisão foi registrado no PROSPERO (número CRD42020176694). As bases de dados eletrônicas Cochrane; PubMed; Embase; LILACS, Scopus e Web of Science foram pesquisadas para estudos sobre o uso de INH para ILTB. Os resultados e métodos foram apresentados de acordo com as diretrizes PRISMA, e a qualidade metodológica das revisões incluídas foi avaliada usando a Quality Assessment Tool for Observational Cohort and CrossSectional Studies. Resultados: Foram recuperados 6.051 estudos potencialmente relevantes, ao final, 73 estudos foram incluídos nesta revisão sistemática. A amostra dos estudos variou de cinco a mais de 12 mil pessoas. Em 68 estudos que possibilitaram avaliar a prevalência do uso de INH, sendo de 0,3 a 98,6% dos participantes dos estudos utilizando INH para ILTB. Discussão e Conclusões: Compreender a conduta de tratamento da ILTB é importante na perspectiva de identificar caminhos que possam auxiliar gestores, serviços de saúde e a população a melhorar o tratamento profilático com INH e consequentemente promover a redução das taxas de transmissão da tuberculose. Os estudos demonstraram que a prevalência de uso e adesão ao tratamento variou consideravelmente. É importante que estudos futuros utilizem instrumentos validados para identificar desfechos e definições amplamente utilizadas. Nossos achados indicam que a INH está sendo amplamente utilizada no mundo como tratamento profilático para tuberculose, as taxas de adesão à INH foram em sua maioria superiores a 50%.

Justificativas e Objetivos: a utilização da saúde digital, junto às pessoas diagnosticadas com a tuberculose, pode ser uma estratégia eficaz, aliada dos serviços de saúde, para aumentar a adesão ao tratamento e impactar os dados epidemiológicos da doença no país. Como esse tema tem sido amplamente discutido e aprimorado nos últimos anos, é necessário investigar mais a fundo as pesquisas disponíveis nas bases científicas. O objetivo deste estudo foi descrever o uso de tecnologias em saúde digital para auxiliar na adesão ao tratamento da tuberculose. Método: trata-se de revisão sistemática da literatura com abordagem de revisão rápida, seguindo as diretrizes do PRISMA e o guia da Cochrane. A qualidade das evidências foi realizada utilizando a ferramenta Mixed Methods Appraisal Tool. Os estudos foram identificados nas bases de dados PubMed, BVS, CINAHL, Cochrane Trial, SciELO, Scopus e Embase. Foram incluídos estudos experimentais, quase-experimentais e ensaios clínicos, sem restrição de idioma, publicados entre 2020 e 2022. Conteúdo: foram selecionados nove estudos, que demonstraram que a implementação de tecnologias digitais melhorou as taxas de adesão ao tratamento medicamentoso e as taxas de cura. Os aplicativos utilizam estratégias como vídeo síncrono e assíncrono, chamadas de voz e mensagens de texto. Entre os estudos, apenas dois nomes de tecnologia/aplicativo foram mencionados. Conclusão: as tecnologias digitais têm impactado de forma positiva no tratamento das pessoas com diagnóstico de tuberculose.

To describe difficulties and barriers for adherence to telephysiotherapu durint the COVID-19 pandemic. Experience report, conducted with relatives and individuals with cystic fibrosis (CF) on internet, smarthphone or computer, to receive asynchronous telephysiotherapy care in the form of folders and videos. All participantes were required to complete an initial assessment, a quality of live questionnaire, and at end provide feedback about remote assistance and exercise frequency. Nine individuals participated in this study, and few completed all the stages. Five participantes provided feedback regarding the offered assistance, and the majority of responses indicated difficulties in performing home-based physiotherapy. relatives and individuals with CF became overwhelmed with online demands, as routine activies were being conducted "on screen" during that period, which negatively impacted adherence to tepehysiotherapy. These finding alerts healthcare professionals to reflect on adherence aspects when offering this modality. [ABSTRACT FROM AUTHOR]

Cystic fibrosis (CF) is a systemic disease that causes obstruction of the ducts of the exocrine glands due to thick mucous secretions, causing complications. This is an observational, retrospective, descriptive cohort study, with 78 patients aged 0 to 12 years treated at a Reference Center in Minas Gerais. The objective is to evaluate the family structure, adherence to treatment and the impact on hospitalizations in children aged 0 to 12 years with CF, treated at a reference center in Belo Horizonte-MG, associating clinical variables with the medication profile used by patients. In the study, 58.4% of children are male, with mothers as the main caregivers (87.1%). 73% accepted the diagnosis; The care routine affected 60.3% of families, but the majority feel safe. Regarding treatment, 56.4% adhere, 43.6% fail. The main mutation class was Class 2, with 7 patients in this class requiring hospitalization in 2021. Two patients in Class 1 and 4 as well. They carried out association tests between variables in relation to adherence or non-adherence to medication treatment. The only significant variable was the need for hospitalization. Despite this, care still presents special weaknesses, making it necessary to invest in treatment and support for caregivers. [ABSTRACT FROM AUTHOR]

Objective: to establish the relationship between sociodemographic and clinical factors with the consumption of psychoactive substances (PAS) in a group of patients diagnosed with schizophrenia, treated at a mental health institution in the city of Medellín, Colombia. Methodology: observational, retrospective study with analytical intent, of a group of 268 patients treated at a mental health institution in Medellín, in the last six months of 2021. Sociodemographic, SPA consumption, and clinical factors such as the type of medication, hospital readmissions and adherence to drug treatment were identified. Odds Ratio values with confidence interval (95% CI) were considered and factors associated with consumption were identified by means of a logistic regression model. Results: it was shown that 34.7% of the sample reports PAS consumption, associated clinical variables, type of medication, number of hospital admissions, and adherence to treatment. Significant differences in age were found between the group of users and non-users, with a lower median age for the group of users. It was determined that being a man, having a median age of 27 years and being unemployed represent a greater risk for the consumption of PAS. Finally, it is established that age, sex, occupation, and adherence to treatment could predict consumption by 34%. Conclusions: young patients, mostly men, with a diagnosis of schizophrenia, have a higher risk of PAS consumption, which implies a higher risk of relapse and lower adherence to drug treatment. [ABSTRACT FROM AUTHOR]

Objetivo: identificar por meio da literatura científica quais elementos a serem inseridos em uma tecnologia educacional para auxiliar na adesão terapêutica de pacientes com Insuficiência Cardíaca (IC) na alta hospitalar. Método: revisão integrativa da literatura realizada durante o mês de janeiro de 2021. Foram utilizados para a busca uma associação de 4 descritores de assunto do Medical Subject Headings (MeSH) da National Library of Medicine (NLM) e National Institutes of Health (NIH), sendo dois controlados (“Heart Failure” e “Patient Discharge") e dois não controlados (“Treatment Adherence and Compliance” e “Educational Technology”). Realizou-se como estratégia de busca o cruzamento aos pares e um trio com o operador booleano “AND” para associação dos descritores. Resultados: houve prevalência de estudos desenvolvidos por enfermeiros, evidenciando aspectos que contribuem para a maior adesão de pacientes com IC. Para tanto, os elementos essenciais para a adesão terapêutica extraído dos artigos foram categorizados em: tratamento farmacológico, tratamento não-farmacológico, orientações clínicas sobre a IC, comunicação com os pacientes e familiares, autonomia do paciente para o cuidado. Considerações Finais: foi possível identificar que a construção de uma tecnologia educacional para pacientes com IC que estão de alta hospitalar deve ser fundamentada em diferentes dimensões do cuidado.

Objective: Attention Deficit Hyperactivity Disorder (ADHD) has been described as the most common neurodevelopmental disorder in childhood. This condition is associated with significant deterioration in the quality of life, multiple comorbidities and, in the long term, lower academic and work achievements. Despite the fact that it has been shown that patients of Latin descent present a possible underdiagnosis, that in Colombia higher prevalence has been estimated than those described worldwide, and that the effects of the Covid-19 pandemic have been able to exacerbate this problem, the volume of studies with reproducible estimates on the characteristics, treatments received, and symptom control of these patients still needs to be expanded. This study seeks to establish the sociodemographic, clinical and treatment factors associated with the control of the core symptoms of this disorder, which consist of persistent and generalized patterns of inattention, impulsivity and hyperactivity. Methodology: Descriptive study with analytical intent in a retrospective cohort of pediatric patients with attention deficit hyperactivity disorder followed up for 6 months in a specialized center in Medellín, Colombia, between 2018 and 2019. Results: An incidence of symptom control of 46.7% was identified, which was significantly associated with adherence to treatment and with a family history of ADHD. Conclusions: It can be affirmed that, in pediatric patients with ADHD, these factors could increase the probability of achieving control of nuclear symptoms. [ABSTRACT FROM AUTHOR]

Studies show that there is a low adherence to cardiovascular rehabilitation (CVR) implying limitations as to expected benefits. It is important to investigate whether the diversification of interventions already applied in CVR, such as the adoption of exergaming, can provide greater adherence to this treatment. Objective: To review studies that investigated the intragroup adherence to CVR of patients using exergaming and comparing, intergroup, with patients undergoing conventional CVR. Methods: This was a systematic review that included original intervention studies indexed in databases and published up to April 2021, without language restrictions. The search was performed in PubMed/Medline, Web of Science, Scopus, Cochrane, and PEDro, in April 2021. Results: A total of 8 studies were included. In 3 of them, the average adherence to CVR sessions with exergaming was 77%. In another study, about 60% of the participants were more than 80% adherent to the recommended playing time. In the fifth study, the average time of exergaming use was 28 ± 13 minutes/day, which is higher than the recommended 20 minutes/day. In the sixth study, the median of individual attendance was 96%. In the seventh, there was 100% adherence to the CVR sessions. And in the eighth study, there was a significant increase in adherence at 12 weeks of CVR with exergaming (72.87% vs. 82.80%) and a reduction when exergaming was discontinued (82.80% to 65.48%, p < 0.05). Conclusion: The best available evidence demonstrates a positive effect of exergaming on CVR patient adherence. [ABSTRACT FROM AUTHOR]

A motivação do doente tem conhecidas implicações no seu processo de adesão ao projeto terapêutico. Na prática clínica, a parca motivação do utente dificulta a sua proatividade. Consequentemente, interfere negativamente com o cumprimento da medicação ou a adoção de estilos de vida saudáveis, prejudicando a abordagem de diversas patologias, sobretudo das crónicas. De um modo geral, os estudos revelam que a motivação do utente é um conceito largamente utilizado pelos profissionais de saúde, embora com uma definição imprecisa. Maioritariamente é encarada como um traço caracterial, que se traduz na dicotomia entre doente motivado/doente desmotivado, com um enviesamento para a segunda categorização. Esta perspetiva deposita apenas do lado do doente a capacidade da mudança, com consequências negativas para ambos os intervenientes da relação médico-doente. Porém, desde a publicação do Modelo da Entrevista Motivacional (EM), na década de 1980, têm sido documentadas técnicas específicas para aceder ao estado motivacional dos doentes, com vista à sua modificação. Tradicionalmente aplicados às perturbações de uso de substâncias, estes modelos têm mostrado benefício em diversos programas reabilitativos de doenças crónicas. O entendimento do estado motivacional do utente enquanto percurso dinâmico, permeável à modificação externa e passível de modelação por parte do profissional de saúde, aliado ao treino de competências nesta área, poderá melhorar prognósticos, aumentar a satisfação do utente e do profissional e reduzir gastos financeiros nos sistemas de saúde.

Copyright of Cogitare Enfermagem is the property of Cogitare Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Physiotherapy Research / Revista Pesquisa em Fisioterapia is the property of Journal of Physiotherapy Research / Revista Pesquisa em Fisioterapia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Arterial hypertension (hypertension) is highly prevalent worldwide, constituting a serious health problem worldwide. Medidcation adherence is a major factor in the adequate control of blood pressure, in the prevention of associated complications and in the improvement of the quality of life of people with hypertension. The health professionals play a differentiating role in the context of this issue. This study aims to understand the factors that facilitate and hinder medicacion adherence, in people with hypertension. An integrative literature review was carried out, carried out on the databases: Complementary Index; Academic Search Complete and ScienceDirect, with articles indexed from January 1, 2018 to May 15, 2019, with MeSH descriptors. A free secondary search was also carried out, including documents of high scientific suitability. The results obtained include: 614 articles in the initial search of the databases and 21 articles in the complementary search, considering the inclusion criteria previously defined. Medication adherence is essential in the treatment of hypertension. There are several factors that can influence adherence. The nurse's intervention ispreponderant in the identification of conditioning factors or facilitate of adherence, in education, training of clients and or family members. [ABSTRACT FROM AUTHOR]

Introduction: aging is a concern that occupies public policies in all countries of the world. Objective: to analyze the adherence, use of medications and health status in the elderly of the municipality of Acacías (Colombia). Methodology: descriptive study, non-probabilistic discretionary sampling, n= 96 older adults. Results: 64.6% of older adults consume medications; 62.9% are not adherent to pharmacological treatment, there is a significant correlation through the MCC (Mini Cognitive Examination), 46.2% of them suffer some type of cognitive deterioration. Conclusions: there is a correlation between non-adherence with cognitive status and family support. [ABSTRACT FROM AUTHOR]

A obesidade tem sido descrita como problema de saúde pública, que atinge a população mundial. Diversos distúrbios fisiopatológicos estão associados a ela, tornando complexo o regime terapêutico desses pacientes, dificultando a adesão ao tratamento. A obesidade traz consigo a necessidade e dificuldade na perda de peso, desencadeando uma baixa autoestima, resultando em prejuízo no estado de saúde percebido desses indivíduos. Objetivou-se analisar a associação da obesidade com a adesão ao tratamento farmacológico e percepção da qualidade de vida relacionada à saúde em pacientes acompanhados por um serviço de obesidade e cirurgia bariátrica. Realizou-se um estudo transversal analítico e prospectivo de caráter descritivo com pacientes de um Ambulatório de Obesidade e Cirurgia Bariátrica utilizou-se o instrumento de adesão ao tratamento Brief Medication Questionnaire e o instrumento de avaliação da qualidade de vida Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Participaram do estudo 45 indivíduos, com IMC médio de 46,5 kg/m², em relação à adesão ao tratamento 66,6% obtiveram um resultado compatível com a provável não adesão ao tratamento, ao analisar a qualidade de vida do grupo encontrou-se um comprometimento dos componentes de saúde física. Nosso estudo constatou uma alta porcentagem de provável não adesão ao tratamento farmacológico, bem como uma baixa percepção de qualidade de vida do grupo estudado, principalmente nos componentes de saúde física desses pacientes. ABSTRACT Obesity: a study on the adherence to the medicinal treatment and the perception of quality of life related to health Obesity has been described as a public health problem that affects the world's population. Several pathophysiological disorders are associated with it, making the therapeutic regimen of these patients complex, making treatment adherence difficult. Obesity brings with it the need and difficulty in weight loss, triggering a low self-esteem, resulting in impairment in the perceived health status of these individuals. The objective was to analyze the association of obesity with adherence to pharmacological treatment and perception of health-related quality of life in patients followed by an obesity and bariatric surgery service. A descriptive and prospective cross-sectional study was carried out with patients from an Obesity and Bariatric Surgery Outpatient Clinic using the instrument of adherence to the Brief Medication Questionnaire and the instrument of quality of life evaluation Medical Outcomes Study 36-Item Short -Form Health Survey (SF-36). Participating in the study were 45 individuals with a mean BMI of 46.5 kg / m² in relation to adherence to treatment 66.6% obtained a result compatible with the probable non-adherence to treatment, when analyzing the quality of life of the group found physical health components. Our study found a high percentage of probable non adherence to pharmacological treatment, as well as a low perception of quality of life of the studied group, mainly in the components of physical health of these patients.

Resumo O objetivo do estudo foi compreender quais são os principais desafios para adesão ao tratamento antirretroviral em Moçambique na perspectiva dos profissionais de saúde que lidam com a temática do HIV/aids no país. O estudo é qualitativo, observacional e exploratório. Entrevistas semiestruturadas foram realizadas com 11 profissionais de saúde que prestam assistência em HIV/aids em sete das onze províncias do país. Os dados foram analisados por meio da técnica de análise do Discurso do Sujeito Coletivo. Os resultados foram categorizados em nove ideias centrais. Dentre os problemas mencionados pelos profissionais estão aspectos relacionados à cultura local, ao receio da revelação forçada do diagnóstico de HIV positivo a terceiros, à ausência de uma adequada compreensão sobre os benefícios do tratamento, à forma de organização dos serviços de saúde, a questões de gênero, a aspectos sociais como fome, dificuldades financeiras e problemas com transporte, dentre outros.

Introduction: Preventing the intra-hospital infections is one of the major concerns in the last year. To that end, different strategies have been set such as hospital isolation. However, there is a grate default in order to comply with the isolation measures Objective: To determine the sociodemographic and healthcare factors related to how to comply with the contact warnings by the visitors coming into a high complexity hospital in Medellín. Methods: It is a cross-sectional descriptive study including in total 126 visitors who were isolated aÆer a contact. Factors associated with the isolation compliance were identiAed based on a survey. Information was analyzed with SPSS soÆware by doing a logistic regression and statistical signiAcance was assumed as P<0.05. Results: Total adherence to isolation was 40.5%, which is mainly associated with two factors: availability of protective garments and to agree with their use. Conclusions: Ǽe factors deemed as best associated with the isolation compliance required that the institutions provided enough protective garments to the visitors and that both the visitors and the hospital staff can receive a better awareness-rising communication on this topic. [ABSTRACT FROM AUTHOR]

Tuberculosis in Brazil is considered a serious public health problem, considered a chronic disease with long treatment, which entails the difficulty of its adherence because it involves behavioral, psychological and social aspects, causing a considerable percentage of abandonment. This research aimed to identify the difficulties associated with non-adherence and abandonment of tuberculosis treatment. Literature review study with search in the LILACS, MEDLINE, SCIELO database and studies and data from secure internet sources. Observation of articles that tend to clarify the main reasons for non-adherence and the abandonment of tuberculosis treatment, increasing resistance to the bacillus. In view of the data found, there are several causes for non-adherence to tuberculosis treatment, aspects that are often subject to nurse intervention. [ABSTRACT FROM AUTHOR]

Enquadramento: O consumo de substâncias psicoativas associado à tuberculose estabelece uma urgente questão de saúde pública. Objetivo: Caracterizar o perfil e o consumo das substâncias psicoativas dos pacientes em tratamento da tuberculose e analisar a relação entre as variáveis de saúde, o consumo e a adesão ao tratamento, na perspetiva da Intervenção Breve (IB). Metodologia: Estudo descritivo correlacional, com 114 pacientes, utilizando o Self-Reporting Questionnaire e o Alcohol Smoking and Substance Involvement Screening Test, no período de 2016 a 2017. Resultados: Os fumadores que consumiam álcool (p = 0,058) e aqueles que relataram não ter doenças crónicas (p = 0,024) apresentaram necessidade de receber IB. O consumo de cannabis destacou-se entre os fumadores (p = 0,009). Relativamente à frequência da adesão ao tratamento, 40% faziam uso de tabaco, 21,1% uso de álcool, 10,5% uso de cannabis e 13,7% de cocaína. Conclusão: Verificou-se a vulnerabilidade desta população em relação ao consumo de substâncias psicoativas quanto à adesão ao tratamento.

Objetivo: identificar os determinantes sociais de saúde dos pacientes com transtorno afetivo bipolar (TAB), sua distribuição espacial e a adesão ao tratamento. Métodos: estudo descritivo e transversal, com amostragem não probabilística, realizado no Centro de Atenção Psicossocial de Divinópolis/Minas Gerais, no período de fevereiro/2017 a fevereiro/2018 com 35 pacientes diagnosticados com TAB, submetidos a um questionário, escala clínica e telefonemas. Análise estatística realizada através de técnicas univariadas e multivariadas. Estudo aprovado por Comitê de Ética em Pesquisa. Resultados: a maioria da população estudada apresentou predição positiva à adesão ao tratamento, que se associou ao sexo, idade, estilo de vida saudável, apoio de redes sociais e comunitárias, saneamento básico, acesso a serviços sociais de saúde e benefício do governo. Conclusão: a adesão ao tratamento é um produto da interação entre as dimensões relacionadas ao paciente, ao serviço de saúde, aos fatores socioeconômicos e à terapêutica proposta. ABSTRACT Objective: to identify the health social determinants of patients with bipolar affective disorder (BAD), their spatial distribution and treatment adherence. Methods: a descriptive and cross-sectional study with non-probabilistic sampling, carried out at the Psychosocial Care Center of Divinópolis/Minas Gerais, from February/2017 to February/2018 with 35 patients diagnosed with BAD, submitted to a questionnaire, clinical scale and phone calls. Analysis performed through univariate and multivariate techniques. Study approved by the Research Ethics Committee. Results: most of the population studied had a positive prediction for treatment adherence, which was associated with gender, age, healthy lifestyle, support from social and community networks, basic sanitation, access to social health services and government benefit. Conclusion: adherence to treatment is a product of the interaction between the dimensions related to the patient, the health service, the socioeconomic factors and the proposed therapy. RESUMEN Objetivo: identificar los determinantes sociales de la salud de pacientes con trastorno afectivo bipolar (TAB), su distribución espacial y la adherencia al tratamiento. Métodos: estudio descriptivo y transversal con muestreo no probabilístico, realizado en el Centro de Atención Psicosocial de Divinópolis/Minas Gerais, de febrero/2017 a febrero/2018 con 35 pacientes diagnosticados de TAB, sometidos a un cuestionario, escala clínica y llamadas telefónicas. Análisis realizado a través de técnicas univariadas y multivariadas. Estudio aprobado por Comité de Ética en Investigación. Resultados: La mayoría de la población estudiada tenía una predicción positiva para la adherencia al tratamiento, que se asoció con el género, la edad, el estilo de vida saludable, el apoyo de las redes sociales y comunitarias, el saneamiento básico, el acceso a los servicios de salud social y los beneficios del gobierno. Conclusión: la adherencia al tratamiento es producto de la interacción entre las dimensiones relacionadas con el paciente, el servicio de salud, los factores socioeconómicos y la terapia propuesta.

Purpose: Study aimed to determine compliance of patients with strabismic amblyopia undergoing occlusion treatment, followed from January 1 st, 2011 to January 1 st, 2017 at an Ophthalmology Reference Center, and identify risk factors for poor compliance. Methods: Retrospective, consecutive cohort study. Compliance reported at each visit was related to visual acuity, family history, changes in occlusion schedules and in patients' care team during treatment. The patients were divided into two groups according to the compliance: poor compliance group and compliance group (subdivided in full compliance subgroup and partial compliance subgroup). Results: Age at treatment beginning vary from 3.7 to 13.7 years, esotropia was the most frequent deviation and the occlusion was realized from 5 to 7 hours a day. Of220 patients, compliance was achieved by 193 (87.7%), 114 (51.8%) in full compliance subgroup and 79 (35.9%) in partial compliance subgroup, and 27 do not achieved compliance (12.3%). Poor compliance was significantly related to a history of epilepsy, higher rate of suspension of treatment due to inefficacy, higher evasion rate, lower recurrence, and lower rate of maintenance of prophylactic occlusion after treatment. Good compliance was related to family history of strabismus, higher recurrence rate, and higher maintenance of prophylactic occlusion after treatment. No relations were found between poor compliance and changes in occlusion schedules or in patients' care team during treatment. Conclusion: Compliance with occlusion treatment of strabismic ambliopia was similar to other studies that included refractive and strabismic amblyopia and not related to changes in occlusion schedules or in patients' care team during treatment. Family history of strabismus was a protective factor. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the adherence to clinical glaucoma treatment in patients that benefit from the Brazilian National Glaucoma Program and receive antiglaucomatous eye drops free of charge. Methods: This cross-sectional study included 255 patients that benefit from the Brazilian National Glaucoma Program (BNGP) and were assisted at the Altino Ventura Foundation (FAV), Pernambuco state, Brazil. The Morisky's Adhesion Scale (MAS) was used to evaluate adhesion profile to treatment. Patients with a Morisky's Adhesion score = 6 was considered adherent to treatment. The analyzed variables included sex, educational level, distance from home to the treatment center, number of eye drops used, time since the glaucoma diagnosis, patients' subjective classification of their quality of vision, and prevalence of other comorbidities. Results: A total of 255 patients [167 (65.4%) females] were included in this study with a mean age was 65.9 ± 13.8 years (range, 11-99 years). Adherence to clinical glaucoma treatment was seen in 155 patients (60.8%). Worse adherence to treatment was observed in female patients (p=0.034), with low education level (p=0.046), who presented other comorbidities (p=0.048), living in remote areas (p=0.038), judged their vision as satisfactory (p=0.046), and who were recently diagnosed with glaucoma (p=0.001). Conclusion: 40% of patients who benefited from the Brazilian National Glaucoma Program were not compliant to treatment. Low adhesion rate was mostly seen in female patients, socially vulnerable, living in remote areas, recently diagnosed with glaucoma, using fewer eyedrops, presenting other comorbidities, and in those that considering themselves of having a satisfactory vision. [ABSTRACT FROM AUTHOR]

The present study sought to evaluate the self-care pattern adopted among users with type 1 and 2 Diabetes Mellitus assisted by a BHU in the city of Caxias, Maranhão. This is a descriptive study, with a quantitative approach. Patients who, although selected, were not present at the time of the visit, were excluded. We performed data collection using the Summary of Diabetes Self-Care Activities Questionnaire - SDSCA (Questionnaire on self-care activities in diabetes - PAF) that addresses topics such as: food, physical activity, blood glucose monitoring, foot care, medication and smoking history. There were a total of 87 participants. The data referring to food brought an important sociocultural issue related to the concept of "healthy diet", most of them reported not doing weekly physical exercises, remaining sedentary. There were positive findings regarding adherence to drug treatment, foot care and smoking cessation, however, worrying data was raised regarding the lack of glycemic monitoring. Therefore, it is essential that there is frequent incentive from health services referring mainly to the flaws in this self-care so that the user has the autonomy and responsibility to make decisions aiming at full adherence to treatment, benefiting their health and quality of life. [ABSTRACT FROM AUTHOR]

Background: Psychoactive substance use associated with tuberculosis is an urgent public health issue in the contemporary world. Objective: To characterize the profile and psychoactive substance use ofpatients undergoing tuberculosis treatment and to analyze the association between health-related variables, consumption, and treatment adherence, from the perspective of Brief Interventions (BI). Methodology: Descriptive correlational epidemiological study, with 114 patients, from 2016 to 2017. The Self-Reporting Questionnaire and the Alcohol, Smoking and Substance Involvement Screening Test were used. Results: Smokers who drank alcohol (p = 0.058) and those who reported not having chronic diseases (p = 0.024) had a need to receive BI. Cannabis use was more frequent among smokers (p = 0.009). As for the frequency of treatment adherence, 40% of participants smoked, 21.1% drank alcohol, 10.5% used cannabis, and 13.7% used cocaine. Conclusion: These results demonstrated the vulnerability of this population to psychoactive substance use based on treatment adherence. [ABSTRACT FROM AUTHOR]

Background: Psychoactive substance use associated with tuberculosis is an urgent public health issue in the contemporary world. Objective: To characterize the profile and psychoactive substance use ofpatients undergoing tuberculosis treatment and to analyze the association between health-related variables, consumption, and treatment adherence, from the perspective of Brief Interventions (BI). Methodology: Descriptive correlational epidemiological study, with 114 patients, from 2016 to 2017. The Self-Reporting Questionnaire and the Alcohol, Smoking and Substance Involvement Screening Test were used. Results: Smokers who drank alcohol (p = 0.058) and those who reported not having chronic diseases (p = 0.024) had a need to receive BI. Cannabis use was more frequent among smokers (p = 0.009). As for the frequency of treatment adherence, 40% of participants smoked, 21.1% drank alcohol, 10.5% used cannabis, and 13.7% used cocaine. Conclusion: These results demonstrated the vulnerability of this population to psychoactive substance use based on treatment adherence. [ABSTRACT FROM AUTHOR]

The aim of this article is to describe and analyze the theoretical approaches to nursing that have been used for research on adherence to treatment in people with cardiovascular diseases. For this, a descriptive integrative review is carried out between the years 2005 - 2018 in which 27 original articles are included, review, master's thesis and doctorate in nursing taking into account the descriptors adherence to treatment, nursing theories and cardiovascular health. As a result, 4 nursing theories that have been worked on in relation to adherence to treatment were identified: Deliberative Nursing Process Theory, Theory of Self-efficacy, Theory of Self-Care and Theory of Self-Care in Cardiac Failure; evidencing in literature the predominance of descriptive, methodological and intervention studies using these theoretical approaches. It can be concluded that the theoretical frameworks of nursing have allowed the investigative advance in the adherence of this population, however, with the evolution of knowledge it is required to explore other situational theoretical approaches or derived from the practice. [ABSTRACT FROM AUTHOR]

The objective was to analyze the socioeconomic profile, oral antineoplastic pharmacotherapy and treatment adherence by women with breast cancer. It's about descriptive, cross-sectional research with a quantitative approach. Participated 15 women diagnosed with breast cancer on hormone therapy with tamoxifen, who were being treated by the Unified Health System, at the Santo Ângelo Municipal Health Pharmacy, RS, Brazil. Data collected for the patient's profile; health problems / pathologies / complaints; antineoplastic pharmacotherapy by mouth/adverse reactions; adherence to treatment. The average age of the participants (n = 15) was 58.7 years, 40% had completed high school, 40% were overweight, 87% lived with family members, 60% discovered advanced breast cancer, 53.3% through mammography 40% through breast self-examination and 73.3% have more than five years of diagnosis. As for the current clinical status and quality of life, the majority reported having a better quality of life and better health status imaginable. As for drug therapy, 86.7% used tamoxifen. Regarding adherence, the majority showed adherence. As part of the responsibility for oral treatment lies with the patient, most of the women in this study showed that they comply with the guidelines of health professionals, resulting in adherence to chemotherapy treatment. [ABSTRACT FROM AUTHOR]

Enquadramento: o glaucoma é uma das principais causas de cegueira irreversível. O tratamento adequado requer elevados níveis de adesão ao regime terapêutico. A maioria dos doentes com glaucoma não cumpre a terapêutica antiglaucomatosa o que está correlacionado com a progressão da doença. Objetivo: avaliar a adesão da pessoa à terapêutica antiglaucomatosa. Metodologia: foi desenvolvido um estudo observacional, transversal e descritivo. Foram incluídos e selecionados para este estudo doentes com glaucoma em tratamento ambulatório que, antes da consulta médica, foram avaliados durante a aplicação de drogas antiglaucomatosas, utilizando uma grelha de observação. Após o tratamento, foram entrevistados para perceber as suas habilidades e dificuldades na realização do tratamento. Resultados: da amostra obtida de 51 doentes, 39% desconheciam o nome do medicamento utilizado; 59% não realizaram a lavagem das mãos antes do procedimento; 73% inclinou o frasco colocando-o em contato com o olho; 25% não aplicavam a medicação no saco conjuntival; em 63% dos sujeitos verificou-se que utilizaram mais de uma gota; a maioria dos doentes, 57%, não esperou o tempo adequado entre as aplicações quando dois ou mais medicamentos foram prescritos. Conclusão: os resultados sugerem a necessidade de implementar estratégias individuais ou de grupo que possibilitem à pessoa com glaucoma realizar corretamente o tratamento.

Objective: To determine the reliability and validity of the Spanish version of the scale to measure the caregiver's contribution to self-care of patients with heart failure (CC-SCHFI). Methodology: Methodological study, with quantitative approach; which included psychometric tests, applied to family caregivers of people with heart failure. The methodological recommendations of the International Test Commission were followed for the cultural adaptation of the translation-backtranslation test, semantic adequacy, facial and content validity, reliability through internal consistency and construct validity). Results: An agreement was reached between experts according to the Fleiss Kappa of 0.44 in the relevance dimension, 0.41 in the relevant dimension and a content validity by standardized CVI method of 0.68. The internal consistency of the instrument was optimal with a Cronbach's Alpha coefficient = 0.950. The exploration of the construct yielded a structure of 6 components. Conclusions: A Spanish scale was available to address the phenomenon of the caregiver's contribution to the self-care of patients with heart failure, with a factorial analysis that showed that the items of the instrument tend to be grouped into two domains (maintenance and management of self-care) and not three, as proposed by the original instrument. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Atencao Primaria a Saude is the property of Revista de Atencao Primaria a Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

O objetivo deste artigo é interrogar as implicações do uso da medicação no processo de subjetivação das pessoas vivendo com HIV/Aids (PVHA) e a adesão ao tratamento. Problematizou-se o lugar central da medicação no discurso da saúde sobre o tratamento dessas pessoas. Trata-se de uma pesquisa qualitativa. Utilizou-se de entrevistas semiestruturadas, com a pergunta disparadora: “como é, para você, viver com o HIV/Aids?”. Foram entrevistados 6 sujeitos, sendo 2 mulheres e 4 homens, todos eles usuários de um SAE (Serviço de Atendimento Especializado em DST/Aids) no Recife-PE. Utilizou-se uma amostragem acidental e intencional. A referência tomada para construir uma teorização a partir dos achados foi inspirada no pensamento de Michel Foucault, especialmente na genealogia do sujeito. Aponta-se como Foucault não possui instrumentos prontos para conduzir suas pesquisas. O que faz são inquirições empíricas precisas sobre áreas e campos muito específicos, sem pretensões globais ou gerais sobre seus campos de estudo. Realizou-se uma analítica do sujeito, e não uma análise do discurso no formato tradicional, que deve ser compreendida como a problematização de processos de subjetivação que se dão pela articulação entre regimes de verdade e formas éticas de relação consigo e com o outro, uma genealogia do sujeito. Destacam-se os referenciais ao biopoder e à biopolítica nesses processos de subjetivação de PVHA. A Aids parece ter circulado como um discurso e serviu como experiências que participaram na formatação de sujeitos, produzindo corpos dóceis e operacionalizando uma governabilidade sobre o corpo individual e da população. Essa gerência da vida fica bem evidente na adesão ao tratamento, observando-se o discurso médico-científico coordenando as formas de subjetivação das PVHA e suas maneiras de conduzir seus tratamentos, o uso da medicação e a adesão, mostrando como o discurso sobre a Aids foi articulado por vários dispositivos e passou a governar a vida.

O Diabetes Mellitus (DM) tipo 2 pode ser prevenido e controlado desde que a pessoa faça algumas adaptações em seu estilo de vida. O conhecimento do paciente frente a doença pode contribuir com a baixa adesão ao tratamento, ou seja, não seguir as recomendações passadas pela equipe de saúde. O objetivo deste estudo foi relacionar o conhecimento do participante sobre o DM tipo 2 e comportamento de adesão ao tratamento. Foi realizada uma pesquisa qualitativa com cinco diabéticos que responderam a uma entrevista semiestruturada. Após realizada uma análise de conteúdo observou-se que a comunicação do diagnóstico não foi considerada fator de não adesão. Os participantes conseguiram promover mudanças em costumes cristalizados há algum tempo sem alto custo de resposta e apresentaram comportamento de adesão para autocuidado, por exemplo: exercícios físicos e uso de medicação. Em contrapartida, observou-se baixa adesão para seguir dieta alimentar prescrita por profissional de saúde.

Há alguns anos, os avanços tecnológicos permitiram o crescimento do uso dos smartphones em nosso cotidiano. Ele já otimiza muitas atividades e pode auxiliar no cumprimento de tarefas e rotinas relacionadas a tratamentos de saúde. Na sua maioria, os tratamentos requerem uma rotina de administração de medicamentos, prática de fisioterapia, controle alimentar, etc. Essas atividades são fundamentais para o sucesso do tratamento. O objetivo deste trabalho é apresentar o S-trat, um sistema web que fornece suporte ao gerenciamento das diferentes atividades de um tratamento de saúde. O profissional de saúde conta com uma página web, onde indica o passo-a-passo do tratamento. Já o paciente – ou alguém autorizado – conta com um aplicativo móvel onde recebe notificações na hora de realizar cada procedimento, e também pode adicionar seus próprios lembretes e registros. Os dois elementos se interligam por um web service que realiza o processamento dos dados. Com uma interface simples e direta, o sistema se propõe a aumentar a adesão a tratamentos de saúde e, assim, ajudar a garantir a sua efetividade.

O controle do diabetes mellitus e a prevenção de complicações envolvem o conhecimento e a execução de tarefas de autocuidado por parte do paciente. Este trabalho teve como objetivo verificar a adesão ao tratamento e o conhecimento sobre o DM tipo 2, bem como identificar associações entre estas variáveis e outras de cunho sociodemográfico e clínico. Trata-se de estudo transversal realizado com 35 pacientes frequentadores do ambulatório de nutrição de um centro hospitalar. Para coleta das informações, foram utilizados dados dos prontuários e realizadas entrevistas com o auxílio de questionários. As análises estatísticas foram efetuadas através do programa SPSS 17.0. Verificou-se alto índice de sobrepeso, conhecimento parcial sobre a doença e diferença entre as médias de adesão aos diversos tipos de atividades de cuidado. Fatores como idade e sexo mostraram exercer influência sobre o comportamento de autocuidado. As características predominantemente encontradas no grupo analisado são descritas na literatura como fatores associados a dificuldades no desenvolvimento de ações adequadas de cuidado e maior predisposição a complicações. A conscientização sobre a importância do seguimento de uma dieta equilibrada e da prática das demais atividades de autocuidado no DM pode atuar como instrumento na prevenção do surgimento de complicações e na promoção de qualidade de vida. DOI: 10.12957/demetra.2015.13990

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Obesity has been described as a public health problem that affects the world's population. Several pathophysiological disorders are associated with it, making the therapeutic regimen of these patients complex, making treatment adherence difficult. Obesity brings with it the need and difficulty in weight loss, triggering a low self-esteem, resulting in impairment in the perceived health status of these individuals. The objective was to analyze the association of obesity with adherence to pharmacological treatment and perception of health-related quality of life in patients followed by an obesity and bariatric surgery service. A descriptive and prospective cross-sectional study was carried out with patients from an Obesity and Bariatric Surgery Outpatient Clinic using the instrument of adherence to the Brief Medication Questionnaire and the instrument of quality of life evaluation Medical Outcomes Study 36-Item Short -Form Health Survey (SF- 36). Participating in the study were 45 individuals with a mean BMI of 46.5 kg / m² in relation to adherence to treatment 66.6% obtained a result compatible with the probable non-adherence to treatment, when analyzing the quality of life of the group found physical health components. Our study found a high percentage of probable non adherence to pharmacological treatment, as well as a low perception of quality of life of the studied group, mainly in the components of physical health of these patients. [ABSTRACT FROM AUTHOR]

This article discusses the feasibility of a collaborative family-professional intervention via telehealth for children with developmental disabilities. The study used a collaborative family-professional intervention via telehealth for eight weeks and analyzed qualitative and quantitative data. The results showed that the adherence rate to the sessions ranged from 66.7% to 100%. Parents perceived the therapist's relational behavior, family participation, information sharing, and shared reorganization of routine as facilitators for the telehealth intervention. The main barriers were related to beliefs, time, and infrastructure, while the main benefits were family empowerment, participation in different environments, and access to intervention. It is concluded that family-professional physiotherapeutic intervention via telehealth is feasible for children with developmental disabilities. [Extracted from the article]

This work aimed to identify methods, objectives and type of studies that assessed adherence to the treatment of type 1 Diabetes Mellitus, published from 2000 to 2013. We analyzed 111 articles, collected in the survey by the Web of Science database. The results indicated that 95 studies are descriptive, with prevalence of adolescents (74 studies) and children (34 studies). It was also found that those studies that have prevailed: Used an informer (67 studies), the carrier of the disease who reported more data (72 studies), evaluated one (35 studies) or five (25 studies) treatment medical, by means of an instrument (68 studies), being standardized instruments the most used procedures in this assessment (40 studies). Data leaded to the conclusion that the methods used to assess adherence, in the studies analyzed, do not comply with the suggestions made in Literature to make the results in adherence more reliable. Discussions about this subject need to be further developed.