Social Determinants Influencing Treatment Adherence In Patients With Type I Diabetes Mellitus. The importance of nursing education: A Systematic Review

Main Article Content

Denis Hanett Paternina González

Keywords

Social Determinants of Health, Diabetes Mellitus 1, Patients, Adherence, Treatment, Systematic Review.

Abstract

In this systematic review, the aim was to describe the social determinants that influence adherence to treatment in patients diagnosed with Diabetes Mellitus 1 (DM1).
A systematic bibliographic search was carried out in the databases: Mendeley, PubMed, Web of Science and Cuiden. Descriptive, observational, and intervention studies were selected that met the criteria of the PRISMA statement. Data on authors, objectives, results and conclusions of works that included variables such as: social determinants of health, adherence to treatment, patients with type 1 diabetes mellitus were collected. 341 articles were found, to which 32 additional references were added. through the free search, for a total of 373 elements. After filtering using the PRISMA flowchart, 32 articles met all the criteria and of these, 18 were finally selected according to the study variables. It was possible to conclude that: The knowledge acquired about the disease through the education given by endocrinologists and nurses, family support, being a woman, high socioeconomic level and having technological control and treatment devices, are the social determinants that most influence the adherence.

Abstract 198 | pdf Downloads 173

References

1.PAHO. Global Compact against Diabetes: Implementation in the Region of the Americas Geneva: Pan American Health Organization (PAHO). https://iris.paho.org/bitstream/handle/10665.2/54682/OPSNMHNV210017_spa.pdf?sequence=5&isAllowed=y; 2021.
2.WHO. The WHO Global Diabetes Compact: World Health Organization (WHO). https://www.who.int/initiatives/the-who-global-diabetes-compact; 2021.
3.Gomez B, Zambrana JL. Manual of cardiovascular risk Jaén: Agencia Pública Empresarial Sanitaria Hospital Alto Guadalquivir. Ministry of Health and Families. Junta de Andalucía. http://217.12.23.249/bitstream/10668/3422/4/ManualDeRiesgoCardiovascular_2021.pdf; 2021.
4.CDC. National Diabetes Statistics Report 2020: Estimates of diabetes and its burden in the United States United States: Centers for Disease Control and Prevention (CDC). https://www.cdc.gov/diabetes/pdfs/data/statistics/NDSR_2020_Spanish-508.pdf; 2021.
5.Álvarez M. Study of direct costs, quality of life and adherence to treatment in patients aged 2 to 16 years with type 1 diabetes mellitus in Andalusia (PhD thesis). Malaga: University of Malaga, Department of Pharmacology and Pediatrics, Faculty of Medicine. https://www.educacion.gob.es/teseo/imprimirFicheroTesis.do?idFichero=l8tMafV%2Boqs%3D; 2020.
6.Álvarez M, Alonso M, Leiva I, Jiménez JM, Santos MA, Macías F, et al. Study of quality of life and adherence to treatment in patients aged 2 to 16 years with type 1 diabetes mellitus in Andalusia. Annals of Pediatrics, 94(2). 2021;: p. 75-81. https://doi.org/10.1016/j.anpedi.2020.03.016.
7.Henríquez R, Cartes R. Psychosocial impact of type 1 diabetes mellitus in children, adolescents and their families. Literature review. Chilean Journal of Pediatrics, 89(3). 2018;: p. 391-398. http://dx.doi.org/10.4067/S0370-41062018005000507.
8.Pérez E, Calderón DE, Cardoso C, Dina VI, Gutiérrez M, Mendoza CE, et al. Nutritional strategies in the treatment of patients with diabetes mellitus. Rev Med Inst Mex Seguro Soc., 58(1). 2020;: p. 50-60.https://www.medigraphic.com/pdfs/imss/im-2020/im201h.pdf.
9.Inzucchi S, Lupsa B. Clinical presentation, diagnosis, and initial evaluation of diabetes mellitus in adults. UpToDate [online]. 2020. https://www.uptodate.com/contents/clinical-presentation-diagnosis-and-initial-evaluation-of-diabetes-mellitus-in-adults.
10.NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4.4 million participants. Lancet. 2016 Apr 9;387(10027):1513-1530. doi: 10.1016/S0140-6736(16)00618-8. Epub 2016 Apr 6. Erratum in: Lancet. 2017 Feb 4;389(10068):e2. PMID: 27061677; PMCID: PMC5081106.
11.International Diabetes Federation (IDF). Diabetes Atlas; Seventh edition. 2015.
12.Latin American Diabetes Association (ALAD). ALAD Guidelines on the Diagnosis, Control and Treatment of Type 2 Diabetes Mellitus with Evidence-Based Medicine Mexico: Editorial Committee of the ALAD Journal. https://www.revistaalad.com/guias/5600AX191_guias_alad_2019.pdf; 2019.
13.Heather T, Kamitsuru S, Takáo C. Nursing Diagnostics: Definitions and Classification 2021 - 2023 (12th ed.): Thieme Medical Publishers; 2021.
14.PAHO. Social determinants of health in the americas. 2017;: p. https://www.paho.org/salud-en-las-americas-2017/uh-determinants.html.
15.De la Guardia M, Ruvalcaba JC. Health and its determinants, health promotion and health education. Journal of Negative and No Positive Results, 5(1), 81-90. 2020. Epub June 29, 2020.https://dx.doi.org/10.19230/jonnpr.3215.
16.Camacho L, Lucero L, Agazzi B, Fernández A, Ferreira A. Treatment adherence in adolescents with type 1 diabetes: an approach from the perspective of the actors. Nursing (Montev.), 1(3). 2013;: p. 169-178. https://revistas.ucu.edu.uy/index.php/enfermeriacuidadoshumanizados/article/view/871/872.
17.Ortiz M, Ortiz E. Treatment adherence in Chilean type 1 diabetic adolescents: a psychological approach. Rev. Med. Chile, 133(3). 2005;: p. 307-313. http://dx.doi.org/10.4067/S0034-98872005000300006.
18.Novales A, Novales R, García A, Hernández JR, González R. Therapeutic adherence in adolescents with type 1 diabetes mellitus. Rev
Medical Sciences, 19(6). 2015;: p. 1102-1114. http://scielo.sld.cu/pdf/rpr/v19n6/rpr15615.pdf.
19.Patel MR, Heisler M, Piette JD, Resnicow K, Song PX, Choe HM, et al. Study protocol: CareAvenue program to improve unmet social risk factors and diabetes outcomes- A randomized controlled trial. Contemp Clin Trials, 89. 2020;: p. https://doi.org/10.1016/j.cct.2020.105933.
20.Brewster S, Bartholomew J, Holt RI, Price H. Non-attendance at diabetes outpatient appointments: a systematic review. Diabet Med, 37(9). 2020;: p. 1427-1442. doi: 10.1111/dme.14241.
21.Lacomba L, Casaña S, Pérez M, Montoya I. Stress, Anxiety and Depression in primary caregivers of pediatric patients with Type 1 Diabetes Mellitus. Quality of Life and Health, 10(1). 2017;: p. 10-22. https://roderic.uv.es/bitstream/handle/10550/65600/116109.pdf?sequence=1&isAllowed=y.
22.Ortiz MS. Psychological and Social Factors Associated with Treatment Adherence in Type 1 Diabetic Adolescents. Psykhe,13(1). 2004;: p. 21-31. http://dx.doi.org/10.4067/S0718-22282004000100002.
23.Matías C, Díaz G, Rojas I. Adolescents with type 1 diabetes: self-esteem, family dynamics and adherence to treatment. Casus Journal of Health Research and Cases, 4(1). 2019;: p. https://doi.org/10.35626/casus.1.2019.159.
24.Londoño K, Caicedo J, Naranjo E, Rivera P. Evaluation of adherence to pharmacological treatment in diabetic patients from Jamundi (Valle), Colombia. Revista Cubana de Farmacia, 53(2). 2020;: p. http://www.revfarmacia.sld.cu/index.php/far/article/view/403.
25.García R, Suárez R. Efficacy of long-term follow-up with interactive education in type 1 diabetics. Rev Cubana Endocrinol, 17(3). 2006;: p. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532006000300002.
26.Salas R. Treatment adherence and health-related quality of life in adults with type 1 diabetes mellitus (PhD thesis): University of Salamanca (Spain). https://gredos.usal.es/handle/10366/149564; 2022.
27.Matías CR, Rojas I. Relationship of self-esteem and family dynamics with adherence to thetreatment of type 1 diabetes, in adolescents of Lima (Thesis). Lima – Peru: Universidad Católica Sedes Sapientiae, Facultad de Ciencias de la Salud. https://repositorio.ucss.edu.pe/bitstream/handle/20.500.14095/667/Matias_Rojas_tesis_bachiller_2019.pdf?sequence=1; 2019.
28.Lizarzaburu JC, Vera JM, Chia SG. Adult patient with type 1 diabetes mellitus: multiple factors to achieve adequate control. Case report. Horiz. Med, 20(4). 2020;: p. http://dx.doi.org/10.24265/horizmed.2020.v20n4.14.
29.Calderón C, Carrete L, Vera J. Validation of a scale of health beliefs about type 1 diabetes for the Mexican context: HBM-T1DM. Public Health Mexico, 60(2). 2018;: p. https://doi.org/10.21149/8838.
30.Peña EJ. Attachment and apperception strategies in the context of type 1 Diabetes Mellitus (Doctoral work). Puerto Rico: Department of Psychology, University of Puerto Rico. https://hdl.handle.net/11721/2426; 2021.
31.Carvalhêdo LV, Dos Santos M, Barbosa E, Moura MF. Self-Care in People with Type 1 Diabetes Mellitus: Experiences of Adolescents. Research Journal: Care is Fundamental, 11(2). 2019;: pp. 289-96. http://ciberindex.com/c/ps/P112005.