Factors that hinder adherence to nutritional therapy in individuals with type 2 diabetes mellitus: an integrative review/FATORES QUE DIFICULTAM A ADESAO A TERAPIA NUTRICIONAL EM INDIVIDUOS COM DIABETES MELLITUS TIPO 2: UMA REVISAO INTEGRATIVA

Objective: to identify the factors that may interfere with the adherence of type 2 diabetic patients to nutritional treatment. Materials and Methods: this is an integrative review study based on bibliographical research. The research was carried out from February to May 2022 and included original articles from studies carried out with adults and/or elderly individuals with DM2 of both genders, indexed in the Virtual Health Library (VHL) and Science Direct databases, using descriptors: adherence to treatment; nutritional therapy; type 2 diabetes mellitus and type 2 diabetes. Results: after the analysis process, 4 articles were selected. Not having received guidance on proper nutrition or difficulty understanding or following the guidance received were the main factors associated with non-adherence to dietary treatment, referred to in three of the analyzed studies. In addition to these, some of the limiting factors for properly adhering to the diet include emotional issues and economic problems. Conclusion: it is necessary that health professionals are aware of the profile of their patients, taking into account their characteristics and particularities, and that they provide guidelines using clear and accessible language for the target audience, so that there is a better conduction and adherence to the treatment. Key words: Adherence to treatment. Nutritional therapy. Diabetes mellitus type 2. Objetivo: identificar os fatores que podem interferir na adesao de pacientes diabeticos tipo 2 ao tratamento nutricional. Materiais e Metodos: trata--se de um estudo de revisao integrativa baseada em pesquisa bibliografica. A pesquisafoi realizada no periodo de fevereiro a maio de 2022 e incluiu artigos originais de estudos realizados com individuos adultos e/ou idosos com DM2 de ambos os sexos, i ndexados nas bases de dados Biblioteca Virtual em Saude (BVS) e Science Direct, utilizando os descritores: adesao ao tratamento; terapia nutricional; diabetes mellitus tipo 2 e diabetes do tipo 2. Resultados: apos o processo de analise, foram selecionados 4 artigos. Nao ter recebido orientacoes sobre a alimentacao adequada ou dificuldade de compreensao ou de seguir as orientacoes recebidas foram os principais fatores associados a nao adesao ao tratamento dietetico, referidos em tres dos estudos analisados. Alem destes, alguns dos fatores limitantes para aderiradequadamente a dieta incluem questoes emocionais e problemas economicos. Conclusao: e necessario que os profissionais