Objectiveto compare the SALSA and risk awareness scales with the DASH scale in assessments on leprosy surgery.Methodbefore the operation and 90 days afterwards, we applied the tests to 14 patients (11 females and three males) of ages from 28 to 67 years, who were operated between November 2011 and May 2012.Resultsthe patients were evaluated after the operation using the SALSA and DASH scales, to measure their relationships and results.Conclusiondespite the small sample, this study showed that there were similar relationships of results between the SALSA/risk awareness and DASH scales.
As doenças reumáticas autoimunes, tais como: artrite reumatoide, espondilite anquilosante, artrite psoriásica são doenças inflamatórias crônicas, que provocam deformidades permanentes. O tratamento dessas patologias envolve o uso de medicamentos imunobiológicos, que se caracterizam por ser termolábeis e de uso parenteral, necessitando de cuidados com a armazenagem em temperatura recomendada para a manutenção de sua eficácia e segurança. Estudos observacionais vêm demonstrando que a maioria dos pacientes armazena seus medicamentos imunobiológicos fora da temperatura recomendada em bula, e houve associação entre temperatura incorreta do armazenamento destas drogas e moderada/alta atividade das doenças reumáticas autoimunes. Orientar aos pacientes os cuidados de transporte, de armazenagem e de conservação dos medicamentos imunobiológicos em domicílio, visando preservar a eficácia e segurança do tratamento. Foram pesquisadas publicações sobre o armazenamento domiciliar dos medicamentos biológicos nas bases de dados virtuais e manuais de conservação dos orgãos de regulamemtação de armazenagem de biomedicamentos, relacionando terapia biológica, armazenamento doméstico e doenças reumáticas. Com a revisão de literatura foi possível elaborar normas quanto ao cuidado no transporte, no armazenamento e na conservação dos medicamentos imunobiológicos, respeitando a realidade local. Com o acesso às normas de armazenamento e conservação dos medicamentos imunobiológicos, os pacientes obtiveram maior conhecimento e, assim, uma resposta mais eficaz, diminuindo também a chance de eventos adversos durante o seu tratamento. Palavras-chave: Terapia Biológica. Temperatura Ambiental. Doenças Reumáticas. Antirreumáticos. Armazenamento Doméstico. Abstract Autoimmune rheumatic diseases such as rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis are chronic inflammatory diseases that cause permanent deformities. The treatment of these pathologies involves the use of immunobiological drugs that are characterized by being thermolabile and for parenteral use, requiring care with storage at the recommended temperature to maintain their effectiveness and safety. Observational studies have shown that most patients store their immunobiological drugs outside the recommended temperature in the medicine package insert, and there was an association between incorrect storage temperature of such drugs and moderate / high autoimmune rheumatic diseases activity. Objective: To guide patients in the care of transport, storage and preservation of immunobiological drugs at home in order to preserve the treatment effectiveness and safety. Methods: Publications on the home storage of biological medicines were searched in the virtual databases and manuals for the conservation of biomedical storage regulatory bodies, concerning biological therapy and home storage. Result: With the literature review, it was possible to elaborate rules regarding the care in the transport, storage and conservation of immunobiological drugs, respecting the local reality. Conclusions: With access to the rules for storage and conservation of immunobiological drugs, patients obtained greater knowledge and thus a more effective response, also decreasing the chance of adverse events during their treatment. Keywords: Biological Therapy. Temperature. Rheumatic Diseases. Antirheumatic Agents. Home Storage.
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