Significados atribuídos à autogestão do regime medicamentosos: resultados preliminares de uma scoping review

Abstract

Introduction: Controlling chronic illness requires the person to develop skills in self-management of the therapeutic 
regimen, and nurses play a significant role in empowering self-care. The meaning(s) attributed by the person to the disease 
and treatment regimen are personal conditions that impact the health-disease transition process and, consequently, the 
process of self-management of the therapeutic regimen. Facilitating this transition process is the core of nurses' actions. 
Objective: To map nursing knowledge regarding the meanings attributed to self-management of the medication regimen. 
Material and Methods: Scoping review, following the JBI methodology. A search was performed on databases CINAHL 
Complete, CINAHL Plus with Full text, and MEDLINE through EBSCOHOST; Web of Science; OVID; and SCOPUS. Inclusion 
criteria were publications in English, Portuguese or Spanish, adult participants, any care setting, and no restriction on the 
type of studies and time frame. Results: A total of 260 articles are included in the scoping review. Regarding the meanings 
attributed to the medication regimen, three categories emerged: hindering meanings attributed to the regimen (e.g., 
devaluation; shame), facilitating meanings attributed to the regimen (e.g., efficacy; maintaining life), and hindering 
meanings attributed to the medication administration route (e.g., painful/uncomfortable intaking). Conclusion: The 
results of this scoping review are a valuable contribution to representing nursing knowledge in self-management of the 
medication regimen. Supporting clients to (re)structure hindering meanings points to a very relevant therapeutic nursing 
approach in this area of care