Desprescrição aplicada à polifarmácia / Description applied to polypharmacy

Ferreira, Lucas Martins; Ferreira, Mariana Pires; Neto, Vicente Spínola Dias

doi:10.34119/bjhrv4n3-070

Cited by 2 publications

(4 citation statements)

References 14 publications

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“…MMAS 12 , and number of drugs prescribed). Patientcentred care (PACIC 13 , CARE 14 , NHS LTCQ 15 , and NHS GP Patient Survey 16 ). Continuity of care (COCI 17 , Visit Entropy measure, and numbers of consultations in primary and secondary care).…”

Section: Health Related Outcomes Characteristicsmentioning

confidence: 99%

“…The literature seems to support the benefits that personalized long-term care models exert in the training of self-care, which contribute to greater independence and autonomy in people’s daily lives ( 13 ). Other benefits reported include a more positive perception of quality of life and functionality in people with multimorbidity and frailties ( 9 , 14 ), a reduction of hospitalizations and readmission rates ( 15 ), a reduction of polypharmacy ( 4 , 16 ) and increased patient satisfaction with the perception of quality of care and access to services ( 17 ). However, the absence of reviews that directly compare the main health findings of different models of person-centered care hinders the construction of knowledge about the advantages or disadvantages of self-care training.…”

Section: Introductionmentioning

confidence: 99%

“…QoL, quality of life; BPSD, behavioral and psychological symptoms of distress 1. Dementia quality of life measure;2 Cohen-Mansfield Agitation Inventory; 3 Neuropsychiatric Inventory-Nursing Home Version; 4 Clinical Dementia Rating; 5 Functional Assessment Staging Tool;6 Cornell Scale for Depression in Dementia;7 Camberwell Assessment of Need for the Elderly; 8 Quality of Interaction Survey;9 Five-level version of the EuroQol-5 Domain;10 Hospital Anxiety and Depression score;11 Multimorbidity Treatment Burden Questionnaire;12 Morisky Medication Adherence eight-item score;13 Patient Assessment of Care for Chronic Conditions; 14 Consultation and Relational Empathy;15 NHS Long Term Conditions 6 questionnaire;16 NHS General Practice Patient Survey;17 Continuity of Care index;18 UK Quality and Outcomes Framework;19 Minnesota Living with Heart Failure Questionnaire; 20 Incremental shuttle walk test;21 Self-Care of Heart Failure Index;22 Copenhagen Burnout Inventory; 23 Dementia-Specific Burden instrument;24 Competence-Reflection Inventory;25 Quality of Life in Late-Stage Dementia;26 Three-level version of the EuroQol-5 Domain; 27 Gain in Alzheimer Care Instrument;28 The Cornell Scale for Depression in Dementia;29 Resistance to Care Scale;30 Pain in Advanced Dementia Scale; 31 Oswestry Disability Index; 32 Numerical Rating Scale;33 Pain Self-Efficacy Questionnaire;34 Major Depression Inventory;35 Lawton-Brody Instrumental Activities of Daily Living;36 Mini Nutritional Assessment;37 36-Item Short Form Survey; 38 Mini Mental State Examination; 39 Agitation Management Self-Efficacy Scale; 40 Caregiver Competence Scale.…”

mentioning

confidence: 99%

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A rapid literature review on the health-related outcomes of long-term person-centered care models in adults with chronic illness

Cano,

Alves,

João

et al. 2023

Front. Public Health

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IntroductionThe strong association between age and the increasing prevalence of chronic diseases, makes it imperative to promote self-care throughout life. Systematic knowledge on the health findings of person-centered care models may contribute to designing effective healthcare strategies to promote empowerment for self-care in long-term care.ObjectiveTo assess the association between the implementation of person-centered care models that promote self-care training in long-term care and health-related outcomes, among adults with chronic illness.MethodsA rapid review of the literature was performed following the Cochrane rapid review methodology. The electronic databases CINAHL, MedicLatina, MEDLINE, and Psychology and Behavioral Sciences Collection were searched for randomized experimental studies, published between 2017 and 2022, that implemented interventions based on person-centered models to promote self-care in adults aged ≥18 years with chronic diseases and needing long-term health care. Verification of the eligibility of the articles and the extraction of data were performed by two independent investigators. Quantitative data on the health-related variables assessed were collected and, through narrative synthesis, health outcomes were grouped into individual, institutional and societal levels.ResultsEight studies, mostly conducted in European countries, were included. All satisfied more than 60% of the methodological quality score. A large variability among studies was found regarding the number of participants, the data collection period and duration of the intervention, the samples selected and the care model implemented. A high number of health-related outcomes (n = 17) were analyzed in the studies, using 52 different instruments. The main health-related outcomes were multidimensional, with implications at the individual, institutional and societal levels. The promotion of overall health and wellbeing (n = 4), the implementation of patient-centered care models (n = 1), the positive and more frequent interactions with health professionals (2), the decrease on staff psychosocial distress (n = 1), and the absence of added costs (n = 1), while improving family caregivers’ skills (n = 1) were the main health-related outcomes described.ConclusionThere is a need to develop robust experimental studies focused on the views and experiences of all stakeholders and conducted in different countries and cultures. Short-, medium- and long-term health outcomes should be measured using internationally accepted and validated scales for chronic patients.

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Section: Health Related Outcomes Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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A rapid literature review on the health-related outcomes of long-term person-centered care models in adults with chronic illness

Cano,

Alves,

João

et al. 2023

Front. Public Health

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“…A prática consiste no processo de identificação e descontinuação de medicamentos desnecessários, inefetivos, inseguros ou potencialmente inadequados e envolve a colaboração entre profissionais e pacientes. No entanto, deve considerar os benefícios e danos do medicamento, quais são os objetivos do tratamento, expectativa de vida, bem como comodidade e preferências do paciente (Ferreira;Ferreira;Neto, 2021).…”

Section: Discussionunclassified

Prevalência e fatores associados à polifarmácia em pacientes atendidos em um ambulatório público de geriatria

Angelo Vidal Muniz,

Azevedo Ferreira,

Maria Cavalcante de Portela

et al. 2024

CadUniFOA

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INTRODUÇÃO: A polifarmácia é o termo utilizado para descrever o uso de cinco ou mais medicamentos por indivíduo, realidade comum entre os idosos. OBJETIVO: Investigar a polifarmácia vigente nos pacientes atendidos no ambulatório de geriatria do Hospital Universitário da Universidade Federal do Maranhão, estimando a prevalência e os fatores de risco associados. MÉTODOS: Trata-se de um estudo de caráter documental, de natureza quantitativa e descritiva voltado para a análise de prontuários. Foram analisados os prontuários de indivíduos atendidos no ambulatório de geriatria no período de abril e maio de 2023. Foram analisadas as seguintes características: sexo, idade, estado civil, escolaridade, comorbidades, número de medicamentos, presença ou não de polifarmácia e a classe dos medicamentos utilizados. Para avaliar as associações, foram utilizados os testes, Qui-quadrado ou Exato de Fisher nos casos em que as exigências para aplicação do teste Qui-quadrado não foram satisfeitas. Os resultados foram considerados estatisticamente significativos quando o valor p < 0,05. RESULTADOS: A prevalência da polifarmácia foi 59% e a média de 5,4 medicações. A principal classe medicamentosa foram os anti-hipertensivos, e a hipertensão arterial a principal comorbidade. A polifarmácia teve associação significativa com: estado civil, sendo maior em idosos solteiros, e a presença de duas ou mais comorbidades. CONCLUSÃO: Os resultados podem impulsionar estudos na área da pesquisa, na assistência clínica e na saúde pública. Os idosos suscetíveis poderão ser monitorados, com práticas voltadas para a desprescrição e reabilitação.

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Desprescrição aplicada à polifarmácia / Description applied to polypharmacy

Cited by 2 publications

References 14 publications

A rapid literature review on the health-related outcomes of long-term person-centered care models in adults with chronic illness

A rapid literature review on the health-related outcomes of long-term person-centered care models in adults with chronic illness

Prevalência e fatores associados à polifarmácia em pacientes atendidos em um ambulatório público de geriatria

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