Weaknesses and opportunities in the management of Attention Deficit Hyperactivity Disorder in adults in primary care - integrative review.
Attention deficit/hyperactivity disorder (ADHD) is a neurodevelopmental pathology that usually manifests in childhood and can continue into adulthood, with significant personal and labor losses. The aim of this review is to make a scientific contribution to improve primary care services for adults w...
| Publicado en: | Minas Gerais Medical Journal / Revista Médica de Minas Gerais Vol. 34; no. 4; pp. 1 - 12 |
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| Autores principales: | , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Associacao Medica de Minas Gerais
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183017600&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183017600 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0103880X MXCZ jtl: Minas Gerais Medical Journal / Revista Médica de Minas Gerais issn: 0103880X maglogo: N pubinfo: dt: 2024 vid: 34 iid: 4 pid: 38810 pub: Associacao Medica de Minas Gerais artinfo: ui: 183017600 183017600 183017600 10.5935/2238-3182.2024e34205-en 183017600 ppf: 1 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Weaknesses and opportunities in the management of Attention Deficit Hyperactivity Disorder in adults in primary care - integrative review. aug: au: Oliveira Melo, Fellipe Mori Vilares, Nadia de Souza Cavazzana, Juliane affil: Faculdade de Medicina de Marília, São Paulo, Brazil sug: subj: Attention Deficit Hyperactivity Disorder Therapy Attention Deficit Hyperactivity Disorder Psychosocial Factors Primary Health Care Quality Improvement Human Child Adult Systematic Review PubMed Descriptive Statistics Health Services Accessibility Stigma Medication Compliance Physician-Patient Relations Professional Knowledge Psychoeducation Patient Autonomy Accountability Child: 6-12 years Adult: 19-44 years ab: Attention deficit/hyperactivity disorder (ADHD) is a neurodevelopmental pathology that usually manifests in childhood and can continue into adulthood, with significant personal and labor losses. The aim of this review is to make a scientific contribution to improve primary care services for adults with ADHD. This article presents an integrative literature review, with searches carried out in the PUBMED and SciELO databases. Complete articles in Portuguese, English and Spanish from the last 10 years were included, and those that were not relevant to the theme or that did not fit the eligibility criteria were excluded. Eighteen articles were included, with different study designs, the results of which showed the difficulties of access to primary care, significant variation in clinical protocols between child/adult services, stigmas about the pathology and poor adherence to treatment as main weaknesses. The opportunities highlighted are the strengthening of the doctor-patient bond, improvements in the structure of services, continuous education for health professionals, psychoeducation for the community, and strengthening the sense of co-responsibility and autonomy of patients. Although there are already theoretical models on the transition of care from childhood and adolescence to adulthood in patients with ADHD, more research is needed to evaluate the role of each of the therapeutic opportunities in the long term. O transtorno de déficit de atenção/hiperatividade (TDAH) é uma patologia do neurodesenvolvimento que costuma se manifestar na infância e pode continuar na fase adulta, com prejuízos pessoais e laborativos importantes. O objetivo desta revisão é a contribuição científica na melhoria dos serviços da atenção básica aos adultos com TDAH. O presente artigo traz uma revisão integrativa da literatura, com buscas realizadas nas bases de dados PUBMED e SciELO. Foram incluídos artigos completos nos idiomas português, inglês e espanhol dos últimos 10 anos, e excluídos aqueles não apresentavam relevância à temática ou que não se enquadravam nos critérios de elegibilidade. Foram incluídos 18 artigos, com delineamentos de estudos diversos, cujos resultados demonstraram como principais fragilidades as dificuldades de acesso à atenção básica, variação expressiva nos protocolos clínicos entre os serviços infantis/adulto, estigmas sobre a patologia e má adesão ao tratamento. As oportunidades destacadas são o estreitamento do vínculo médico-paciente, melhorias na estrutura dos serviços, educação contínua para profissionais da saúde, psicoeducação para a comunidade, fortificação de senso de corresponsabilização e autonomia dos pacientes. Apesar de já existirem modelos teóricos sobre a transição do cuidado da fase infantil e adolescência para a adulta em pacientes com TDAH, mais pesquisas são necessárias para avaliar o papel de cada uma das oportunidades terapêuticas no longo prazo. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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