Estratégias para adesão de pessoas com doenças inflamatórias intestinais ao atendimento por telemedicina: revisão integrativa

Abstract

Crohn’s Disease and Ulcerative Colitis, caused by chronic inflammation of the intestinal tract, represent inflammatory Bowel Diseases (IBD). As they are debilitating diseases, they significantly affect the quality of life of patients and require a long drug treatment. Due to the severity of the disease, prolonged treatment and associated other factors, patients with IBD end up not adhering to the treatment and entering into a state of disease activity. Telemedicine is a tool used for remote patient care in order to monitor and follow up on the patient's treatment and facilitate the early diagnosis of disease activation. The aim of this study is to identify, in the literature, strategies for optmizing the adherence of patients with inflammatory bowel diseases to the telemedicine service. The methodology adopted was the integrative review. The search was performed on the BVS portal, in the Latin American and Caribbean Literature in Health Sciences (LILACS), Online Medical Literature Analysis and Retrieval System (MEDLINE), Cochrane Library, and Scientific Electronic Library Online (SCIELO) databases, using the platform of the Regional Library of Medicine (BIREME) and SCOPUS. Strategies such as direct communication between the health professional and the patient, accessible language of the telemedicine device, targeted and short questionnaires, reliability in providing data, are common in most of the articles studied. According to the study, there is a need for more research aimed at patient adherence to the telemedicine service.