Complexidade do regime terapêutico prescrito para idosos

Acúrcio, Francisco de Assis; Silva, Anderson Lourenço da; Ribeiro, Andréia Queiróz; Rocha, Natália Pessoa; Silveira, Micheline Rosa; Klein, Carlos Henrique; Rozenfeld, Suely

doi:10.1590/s0104-42302009000400025

Cited by 37 publications

(45 citation statements)

References 16 publications

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“…The nosological profile of the participants was in line with other studies (Trauthman et al, 2014;Bastos-Barbosa et al, 2012;Acúrcio et al, 2009), since it was related mainly to other common problems such as metabolic syndrome, diabetes and dyslipidemia (SBC, 2010).…”

Section: Discussionsupporting

confidence: 86%

“…If they were not prescribed, the need for these products should be assessed, and interventions to improve prescribing should be made. When the drugs were evaluated according to their anatomical groups, they were similar to other studies (Trauthman et al, 2014;Acúrcio et al, 2009) that evaluated medication complexity prescribed for elderly people.…”

Section: Discussionmentioning

confidence: 57%

“…To a certain extent, interventions increased treatment complexity (Acúrcio et al, 2009). Thus, it is suggested that all medication schedules should be regularly prepared by prescribers, especially pharmacists.…”

Section: Discussionmentioning

confidence: 99%

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Pharmacotherapy review: a proposal to improve medication adherence among hypertensive patients

Rigoni

Brito

Alano

et al. 2015

Braz. J. Pharm. Sci.

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Pharmacotherapy review is a structured assessment of medicines, which aims to obtain a partnership with patients to achieve drug treatment goals and agreement about drug dosage, as well as when and how the drugs should be administered. The objective was to analyze the influence of pharmacotherapy review, by scheduling drug administration to improve medication adherence among antihypertensive patients. This study was an uncontrolled intervention developed in three distinct stages. The first stage included data collection on the profile of patients and their medications, and a preliminary assessment of medication adherence. In the second stage, the review report was delivered to patients. In the third stage, the results of blood pressure and medication adherence were assessed. The influence of the revision was measured through statistical tests (p<0.05). The study included 40 patients with a mean age of 58.0 (SD:11.3) years; 72.5% were women. Thirty-three (82.5 %) patients required some intervention, after when there was a significant increase in the number of daily doses (p=0.039) and drug intakes (p=0.025). There was a significant increase in the adherence rate, according to both the Morisky-Green test (p<0.001) and self-reported assessment (p=0.004). There was also an improvement in the levels of systolic (p<0.001) and diastolic (p=0.002) blood pressure and in the number of patients with controlled hypertension (p=0.006). The pharmaceutical service enhanced medication adherence and control of systemic blood pressure; however, it increased the complexity of treatment.Uniterms: Pharmacotherapy review. Drugs/administration schedule. Hypertension/medication adherence. Medication adherence. Pharmaceutical assistance.A revisão da farmacoterapia é uma avaliação estruturada dos medicamentos com o objetivo de proporcionar aos pacientes o alcance dos objetivos terapêuticos por meio da forma adequada de administração dos medicamentos. O objetivo foi analisar a influência da revisão da farmacoterapia, por meio do aprazamento dos medicamentos, na adesão à medicação e no controle da hipertensão arterial sistêmica. Trata-se de um estudo de intervenção não controlado desenvolvido em três momentos distintos. No primeiro, realizou-se a coleta de dados sobre o perfil dos pacientes e de suas medicações e a avaliação da adesão; no segundo momento, realizou-se a entrega do relatório da revisão aos pacientes e na terceira etapa avaliou-se o resultado da adesão e pressão arterial. A influência da revisão foi medida por meio de testes estatísticos (p<0,05). Participaram deste estudo 40 pacientes, com média de idade de 58,0 anos (SD:11,3), sendo 72,5% mulheres. Dos pacientes, 33 (82,5%) necessitaram intervenções. Após estas se verificou aumento significativo no número de doses (p=0,039) e no número de tomadas (p=0,025). Houve aumento significativo no número de aderentes tanto pelo teste de Morisky-Green (p<0,001) quanto na avaliação autorreferida (p=0,004). Também, houve melhora nos níveis de pressão sistólica (p<0,001) e diastólica (p=...

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 57%

See 1 more Smart Citation

Pharmacotherapy review: a proposal to improve medication adherence among hypertensive patients

Rigoni

Brito

Alano

et al. 2015

Braz. J. Pharm. Sci.

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“…Nascimento et al 27 também identificaram este medicamento como potencialmente inadequado mais frequentemente prescrito entre idosos institucionalizados de um município mineiro. Fato semelhante foi observado nos estudos de Bradley et al 28 , com pacientes da atenção primária na Irlanda do Norte, e de Regueiro et al 29 , com pacientes ambulatoriais Ademais, o uso de anti-histamínicos de primeira geração relaciona-se com o risco de sedação e efeitos adversos anticolinérgicos, como, por exemplo, confusão, boca seca e constipação.…”

Section: Métodosunclassified

Uso de medicamentos potencialmente inadequados entre idosos do Município de Viçosa, Minas Gerais, Brasil: um inquérito de base populacional

et al. 2015

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Resumo Avaliou-se o uso de medicamentos potencialmente inadequados entre idosos de Viçosa, Minas Gerais, Brasil, de acordo com os critérios de Beers 2012 e STOPP, bem como os fatores associados a esse uso. Estudo transversal com 621 idosos não institucionalizados, abordados por entrevista domiciliar. As variáveis explicativas foram sexo, idade, escolaridade, percepção da saúde, restrição de atividades nos últimos 15 dias, capacidade funcional, história de internação hospitalar, número de doenças autorreferidas e polifarmácia. Realizou-se análise de regressão de Poisson multivariada. Observou-se alta prevalência de uso de medicamentos potencialmente inadequados, 43,8% (IC95%: 37,8%-47,8%) e 44,8% (IC95%: 40,9%-48,8%), segundo os critérios de Beers 2012 e STOPP respectivamente. Sexo feminino e polifarmácia se mantiveram independentemente associados ao uso de medicamentos potencialmente inadequados, de acordo com os critérios de Beers. Para o critério STOPP, as variáveis independentemente associadas ao uso de medicamentos potencialmente inadequados foram sexo feminino, percepção de saúde regular e polifarmácia. Esforços são necessários para se qualificar a prática da polifarmácia entre idosos.

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“…But not always these institutions can provide the necessary treatment, since they are financed with funds from the various government levels or retirement/pensions of the elderly [21].…”

Section: Discussionmentioning

confidence: 99%

Health Problems of Institutionalized Elderly

et al. 2016

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Introduction: Human aging is marked by a decrease in the performance of some daily tasks, some even considered banal and imperceptibly when this limitation is followed by chronic diseases, the elderly becomes a source of concern for the family. Objective:Identifying the health problems of the elderly living in long-stay institutions from self-reported diseases. This is a descriptive and quantitative study, conducted in northeastern Brazil capital, involving 138 elderly. For data collection we used a questionnaire containing demographic variables, institutional and related to self-reported health problems. Data were evaluated using bivariate analysis and association chi-square.Results: Predominance of women was found (61.6%), aged 60-69 years old (39.1%), coming from the state capital (51.4%), and institutional permanence time between 1-5 years (77.5%). The most frequent diseases were related to the cardiovascular system (15.9%) and endocrine, nutritional and metabolic diseases (9.4%). It showed a significant association between self-reported diseases and the age of the elderly (p=0.047).

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Complexidade do regime terapêutico prescrito para idosos

Cited by 37 publications

References 16 publications

Pharmacotherapy review: a proposal to improve medication adherence among hypertensive patients

Pharmacotherapy review: a proposal to improve medication adherence among hypertensive patients

Uso de medicamentos potencialmente inadequados entre idosos do Município de Viçosa, Minas Gerais, Brasil: um inquérito de base populacional

Health Problems of Institutionalized Elderly

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