ADESÃO AO TRATAMENTO E ESTRATÉGIA DE ENFRENTAMENTO DE PACIENTES COM DIABETES MELLITUS TIPO 2

Abstract

Adherence to the treatment of type 2 diabetes mellitus (DM2) is a phenomenon consisting of multiple objective and subjective factors that are not always valued by researchers in their publications. According to the MS (2013), the DM2 is considered a disorder metabolic heterogeneous etiology, characterized by hyperglycemia and disturbances in the metabolism of carbohydrates, proteins and fats, resulting from defects in secretion and/or action of insulin. It is a pathology that has a big impact, sometimes perceived by means of stressors that require the use of coping strategies psychological (coping) which, in turn, affect the degree of adherence to treatment (AT). Thus, the objective of this study is to identify, describe and understand the relationship between the AT and the use of coping in patients with DM2. This thesis is organized in hybrid form: Introduction and chapter of method followed by four products in the form of article (two based on the rules of the systematic literature review - RSL - and two reports of empirical research) and concludes with the final considerations, references and annexes. The first article of RSL addresses the issue of TA of DM2 and concluded that the existing literature is partial in the understanding of the phenomenon, highlighting in particular the linear response of patients to medical prescriptions. The second article of RSL addresses the relationship of coping and the TA and reveals that the literature reports indicate that the coping used by the patient with DM2 and its solubility is diverse, and should be understood within the process of development that each patient finds. Based on a design by research descriptive, exploratory and cross-sectional, developed with 95 patients with DM2, of both sexes, adults, aged over 30 years, treated in the outpatient clinic of a public teaching hospital in the metropolitan region of Goiânia/Brazil, using a sociodemographic and clinical, the inventory of coping of Folkman and Lazarus, a questionnaire of activity of care of diabetes and an interview guide, were drawn up the empirical articles 3 and 4. It is, in general, that treatment adherence is related to coping used by the patient and that there are insecure and limited knowledge of the same front of the theme. On the other hand, the training of human resources for caring for patients with DM2 is based on a literature with a focus on the problem leading to obtaining results of accession short of the needs of the sick and the public health system.