Submitted by Adriana Alves Rodrigues (aalves@espm.br) on 2017-11-23T11:48:45Z No. of bitstreams: 1 SERGIO RICARDO DUARTE PALHAS.pdf: 1157673 bytes, checksum: 6ce1a915037e2df7be24cc147d8ff155 (MD5) / Approved for entry into archive by Adriana Alves Rodrigues (aalves@espm.br) on 2017-11-23T11:49:02Z (GMT) No. of bitstreams: 1 SERGIO RICARDO DUARTE PALHAS.pdf: 1157673 bytes, checksum: 6ce1a915037e2df7be24cc147d8ff155 (MD5) / Approved for entry into archive by Adriana Alves Rodrigues (aalves@espm.br) on 2017-11-23T12:28:05Z (GMT) No. of bitstreams: 1 SERGIO RICARDO DUARTE PALHAS.pdf: 1157673 bytes, checksum: 6ce1a915037e2df7be24cc147d8ff155 (MD5) / Made available in DSpace on 2017-12-01T11:21:08Z (GMT). No. of bitstreams: 1 SERGIO RICARDO DUARTE PALHAS.pdf: 1157673 bytes, checksum: 6ce1a915037e2df7be24cc147d8ff155 (MD5) Previous issue date: 2017-03-27 / This study aimed to know the beliefs that guide the attitudes regarding adherence and maintenance of treatment in people with type II diabetes, being used as methodological method the qualitative approach. Fourteen people with type II diabetes participated in the study, being used the in-depth interview as instrument of data collection and the technique of content analysis, thematic modality, for their drug treatment. Through the analysis, three themes of significance were found - The influence of the knowledge of type II diabetes and its consequences; Beliefs, treatments and the relationship between doctors and patients, and the role of the family, and society in relation to the person with type II diabetes. It was found that people with type II diabetes have a theoretical knowledge of the importance of taking medications correctly and according to prescriptions and medical guidelines, it was also verified that the family and the doctor are motivating factors for adherence to treatment. / Este estudo objetivou conhecer as crenças que norteiam as atitudes quanto à adesão e preservação do tratamento em pessoas com diabetes tipo II, sendo utilizada como forma metodológica a abordagem qualitativa. Participaram da pesquisa, quatorze pessoas com diabetes tipo II, sendo utilizada a entrevista em profundidade, como instrumento de coleta de dados e a técnica de análise de conteúdo, modalidade temática, para seu tratamento medicamentoso. Através da análise, foram encontrados três temas de significação – A influência do conhecimento sobre o diabetes tipo II e suas consequências; as concepções, sobre os tratamentos e a relação entre médicos e pacientes, bem como, o papel da família, e da sociedade em relação à pessoa com diabetes tipo II. Constatou-se, que as pessoas com diabetes tipo II, possuem conhecimento teórico da importância em tomar os medicamentos de forma correta, e em conformidade com as prescrições e orientações médicas, ainda verificou-se que a família e o médico, são fatores determinantes na adesão e manutenção do tratamento.

Although it is known that the prevalence of type 2 diabetes is on the rise in Canada, more information is needed on how well type 2 diabetes patients living in Cambridge, Ontario self-manage their diabetes and what factors influence their adherence to diabetes medication regimens. The objective of this cross-sectional study based on the theory of planned behavior was to determine if there are predictors of adherence to diabetes medications among patients living with type 2 diabetes in Cambridge. The World Health Organization STEPwise Approach to Surveillance was used to collect demographic data. Adherence and diabetes knowledge were assessed with the 8-item Morisky Medication Adherence Scale and the Michigan Diabetes Knowledge Test, respectively. Research subjects were 56 adults recruited through convenience sampling. Predictor variables that were tested included age, gender, level of education, and diabetes education, and the response variable was adherence to diabetes medication. Level of education (p = .001) was the only strong predictor of adherence to diabetes medication in the bivariate logistic regression analysis. In addition, in the multivariate logistic regression analysis, the following combined variables were significantly associated with adherence to type 2 diabetes medication: age and level of education; age and diabetes knowledge; gender and level of education; gender and diabetes knowledge; and level of education and diabetes knowledge. Application of the findings of this study may help to minimize the risk of diabetes-associated complications and improve quality of life for those with type 2 diabetes, thereby reducing type 2 diabetes healthcare costs for patients, insurance payers, and other stakeholders.