<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1029-3043</journal-id>
<journal-title><![CDATA[Medicentro Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Medicentro Electrónica]]></abbrev-journal-title>
<issn>1029-3043</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Villa Clara]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30432022000200412</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados a la no adherencia terapéutica en pacientes con diabetes mellitus tipo 2]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated with medication non-adherence in patients with type 2 diabetes mellitus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Ortiz]]></surname>
<given-names><![CDATA[Yaritza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casanova Expósito]]></surname>
<given-names><![CDATA[Dayana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Raymond Álamo]]></surname>
<given-names><![CDATA[Gilda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico Universitario «José Luis Miranda»  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Atención al Diabético  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>26</volume>
<numero>2</numero>
<fpage>412</fpage>
<lpage>435</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30432022000200412&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30432022000200412&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30432022000200412&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los pacientes con diabetes mellitus tipo 2 suelen ser poco adherentes en sus tratamientos por diversas razones y factores.  Objetivos:  Exponer las cifras de prevalencia de la no adherencia terapéutica en pacientes con diabetes mellitus tipo 2, los factores asociados y los instrumentos que han sido utilizados, con mayor frecuencia, en la evaluación de este constructo.  Métodos:  Se realizó una revisión sistemática, cuyo criterio de búsqueda fue la adherencia terapéutica en pacientes con diabetes mellitus tipo 2. Se consultaron las bases de datos electrónicas: EBSCO, PubMed, SciELO, Dialnet, ScienceDirect y el Google Académico. Se estableció como criterios de inclusión: Artículos publicados en revistas científicas revisadas por pares, desde el 2016 en lo adelante y en los idiomas español, inglés y portugués y, como criterios de exclusión, los estudios de intervención y aquellos que evaluaban, conjuntamente, la adherencia terapéutica en pacientes con diabetes mellitus y otras enfermedades crónicas.  Conclusiones:  En pacientes con diabetes mellitus tipo 2, la adherencia al tratamiento farmacológico resulta más adecuada que al tratamiento no farmacólogico. Su evaluación se realiza, fundamentalmente, a través de pruebas validadas, donde la más empleada fue la prueba de Morisky-Green. En los estudios citados la no adherencia terapéutica se asocia a factores sociodemográficos, socioeconómicos, relacionados con las complejidades del tratamiento, con la enfermedad, con dificultades en la relación médico-paciente y con la presencia de estados emocionales negativos. Los factores subjetivos y comportamentales como: La autoeficacia, el autocontrol y la autorregulación, han sido poco estudiados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  patients with type 2 diabetes mellitus tend to be poorly adherent to their treatments due to various reasons and factors.  Objectives:  to present prevalence figures of medication non-adherence in patients with type 2 diabetes mellitus, its associated factors and the most frequently used instruments in the evaluation of this construct.  Methods:  a systematic review, whose search criterion was medication adherence in patients with type 2 diabetes mellitus, was carried out. Electronic databases such as EBSCO, PubMed, SciELO, Dialnet, ScienceDirect and Google Scholar were consulted. Articles published in peer-reviewed scientific journals, in Spanish, English and Portuguese languages from 2016 onwards were the established inclusion criteria, as well as intervention studies and those that evaluated the medication adherence in patients with diabetes mellitus together with other chronic diseases were the exclusion criteria.  Conclusions:  adherence to pharmacological treatment in patients with type 2 diabetes mellitus is more adequate than non-pharmacological ones. Its evaluation is carried out, fundamentally, through validated tests, where Morisky-Green was the most used test. In the cited studies, medication non-adherence is associated with sociodemographic and socioeconomic factors, related to the complexities of the treatment, with the disease, with difficulties in the doctor-patient relationship and with the presence of negative emotional states. Subjective and behavioral factors such as self-efficacy, self-control and self-regulation have been little studied.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cumplimiento y adherencia al tratamiento]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus tipo 2]]></kwd>
<kwd lng="en"><![CDATA[treatment adherence and diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[type 2]]></kwd>
</kwd-group>
</article-meta>
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