Nursing actions promoting adherence to tuberculosis treatment: scoping review

Abstract

Objective: To analyze actions promoting adherence to tuberculosis treatment that are being carried out by nurses in different countries. Method: Scoping review with selection of articles on the subject in LILACS, MEDLINE, IBECS, BDENF, SciELO, CINAHL, Embase, Web of Science, and Scopus databases. Results: Forty studies, published between 2009 and 2020, allowed the identification of nursing actions in two thematic categories. In the category “Nursing care: TB patients’ specific needs to promote adherence to treatment”, actions involving clinical aspects, professionals’ knowledge and skills, educational and relational processes were identified. In the category “The role of nursing in coping with the social determinants of health to promote adherence to treatment”, interventions related to the strengthening of family and community support, the inclusion of socioeconomic issues in care plans, and respect for cultural differences were highlighted. Conclusion: Nursing work directed to the adherence to disease treatment requires the development of technical, ethical and, above all, political skills, aiming to increase the success of the actions carried out by these professionals.

Social Support, Quality of Care, and Patient Adherence to Tuberculosis Treatment in Peru: The Mediating Role of Nurse Health Education

“…This result is consistent with the findings of previous studies that found that increased health education such as monitoring, nurse-led educational intervention is helpful in increasing adherence to anti-TB drugs. 50 Similarly, other studies have reported that health education can lead to better adherence to TB treatment; 19 this may be due to the fact that it favors a better understanding of the side effects, the duration of treatment, and facilitates the procedures for receiving treatment. 20 Health education strengthens social support and enables improved TB treatment rates.…”

“…Several studies show that treatment education facilitates adherence to TB treatment, 19 this is because there is a greater understanding of the side effects and duration of treatment, and it facilitates the procedures for receiving treatment. 20 Education strengthens social support and enables improved TB cure rates and improves treatment sustainability.…”

“…By definition, adherence is the collaborative acceptance by the TB patient of the treatment given by the health professional. 19 Patients not adherent to treatment are at risk of experiencing the increased clinical complexity characterized by resistance to tuberculostatic drugs. 19 Likewise, it generates an epidemiological impact with the persistence of foci of disease transmission.…”

“… 19 Patients not adherent to treatment are at risk of experiencing the increased clinical complexity characterized by resistance to tuberculostatic drugs. 19 Likewise, it generates an epidemiological impact with the persistence of foci of disease transmission. Several aspects can lead to non-adherence to TB treatment, including economic factors such as poverty.…”