scholarly journals O conhecimento de idosos portadores de doenças crônicas não transmissíveis acerca de seu tratamento polimedicamentoso

2019 ◽  
Vol 7 (2) ◽  
pp. 33199
Author(s):  
Renatta Rossatto De Araújo ◽  
Ana Karina Silva da Rocha Tanaka ◽  
Luiza Maria Gerhardt ◽  
Maria Luiza Paz Machado
Keyword(s):  
Medicinal Plants ◽  
Elderly Patients ◽  
Drug Treatment ◽  
Noncommunicable Diseases ◽  
Adherence To Treatment ◽  
Porto Alegre ◽  
Systemic Arterial Hypertension ◽  
Poor Understanding ◽  
Lay Understanding ◽  
Concomitant Medications

OBJECTIVE: To evaluate the knowledge of elderly patients with chronic noncommunicable diseases about their treatment. METHODOLOGY: A descriptive exploratory study with a qualitative approach. The study sample was intentional, composed of 14 elderly patients, of both sexes, linked to the Diabetic Adult Nursing (EAD) agenda of the ambulatory of the Clinical Hospital of Porto Alegre. Data collection was carried out between September and December 2017.Results: The analysis resulted in two categories: Knowledge about the disease and pharmacological treatment and Use of medicinal plants. The results showed that: all had three or more noncommunicable diseases, with prevalence for Diabetes Mellitus and Systemic Arterial Hypertension; more than half used eight or more concomitant medications; all used medicinal plants concomitant with drug treatment. CONCLUSIONS: Patients have shown a lay understanding of their illnesses and a poor understanding of drug treatment, which may result in the risk of non-adherence to treatment and increased chances of adverse drug reactions.

scholarly journals O enfermeiro e a questão da adesão do paciente ao tratamento da hipertensão arterial sistêmica [Nurses and patient adherence to treatment for systemic arterial hypertension] [El enfermero y la cuestión de la adhesión del paciente al tratamiento de la hipertensión arterial sistémica]

2019 ◽  
Vol 27 ◽  
pp. e37193
Author(s):  
Anna Luisa de Oliveira Salles ◽  
Carlos Eduardo Peres Sampaio ◽  
Leonardo Dos Santos Pereira ◽  
Nickson Scarpine Malheiros ◽  
Renan Araújo Gonçalves
Keyword(s):  
Arterial Hypertension ◽  
Rio De Janeiro ◽  
Patient Adherence ◽  
Family Health ◽  
Adherence To Treatment ◽  
Structured Interviews ◽  
Systemic Arterial Hypertension ◽  
Health Strategy ◽  
El Sistema ◽  
Family Health Strategy

Objetivo: identificar os recursos utilizados pelo enfermeiro da estratégia saúde da família (ESF) para estimular a adesão do paciente ao tratamento da Hipertensão Arterial Sistêmica. Método: abordagem qualitativa. O projeto foi aprovado por Comitê de Ética em Pesquisa. A coleta de dados ocorreu no período de abril a agosto de 2017, por meio de entrevista semiestruturada com 10 enfermeiros atuantes em unidades de ESF localizadas no Estado do Rio de Janeiro. Os depoimentos dos sujeitos foram submetidos à análise de conteúdo de Bardin. Resultados: os enfermeiros realizam consultas de enfermagem garantindo a adesão dos participantes em atividades educativas de grupo, como palestras e orientações de enfermagem. Conclusão: o sistema utilizado na adesão ao tratamento é similar entre as unidades de ESF mantendo um padrão preconizado pela literatura.ABSTRACTObjective: to identify the resources used by Family Health Strategy (FHS) nurses to encourage patient adherence to treatment for Systemic Arterial Hypertension. Method: qualitative approach. The project was approved by the research ethics committee. Data were collected between April and August 2017, through semi-structured interviews of 10 nurses working in FHS units in Rio de Janeiro state. The transcriptions underwent Bardin content analysis. Results: the nurses held nursing appointments thus fostering participants’ adherence in group educational activities, such as talks and nursing guidance sessions. Conclusion: the treatment adherence system used is similar among FHS units, maintaining a pattern recommended by the literature.RESUMENObjetivo: identificar los recursos utilizados por el enfermero de la estrategia de salud familiar (ESF) para estimular la adhesión del paciente al tratamiento de la hipertensión. Método: enfoque cualitativo. El proyecto fue aprobado por el Comité de Ética en Investigación. La recolección de datos ocurrió en el período entre abril y agosto de 2017, por medio de entrevista semiestructurada junto a 10 enfermeros que trabajan en unidades de ESF ubicadas en el estado de Río de Janeiro. Las declaraciones fueron sometidas al análisis de contenido de Bardin. Resultados: los enfermeros realizan consultas de enfermería garantizando la adhesión de los participantes en actividades educativas de grupo, como charlas y orientaciones de enfermería. Conclusión: el sistema utilizado en la adhesión al tratamiento es similar entre las unidades de ESF manteniendo un patrón preconizado por la literatura.

scholarly journals Feasibility of Screening for Frailty in Elderly Patients with Arterial Hypertension: Age Is Not a Hindrance?

Medicina ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 36-57
Author(s):  
S. N. Bel'diev ◽  
◽  
E. V. Andreeva ◽  
E. I. Berezina ◽  
I. V. Egorova ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Elderly Patients ◽  
Drug Treatment ◽  
Arterial Hypertension ◽  
Treatment Strategy ◽  
Clinical Guidelines ◽  
Critical Analysis ◽  
Geriatric Care ◽  
Evidence Based ◽  
Care Availability

The Russian clinical guidelines "Arterial hypertension in adults" (2020) contain a statement according to which elderly (≥65 years) patients should be screened for frailty using "Vozrast ne pomeha" (verbatim – "Age is not a hindrance") questionnaire, since the identification of frailty can affect drug treatment strategy and level of target blood pressure. The paper presents a critical analysis of this statement, which shows that recommendation to use "Vozrast ne pomeha" questionnaire for frailty screening is insufficiently evidence based and does not fully take into account the problem of geriatric care availability.

scholarly journals Pilot-project of implantation of pharmaceutical care close to the program of bipolar mood disorder of the Hospital of Clinics of Porto Alegre

2009 ◽  
Vol 45 (2) ◽  
pp. 249-256 ◽  
Author(s):  
Keila Maria Mendes Ceresér ◽  
Marcello Ávila Mascarenhas ◽  
Aida Santin ◽  
Flávio Kapczinski
Keyword(s):  
Mood Disorder ◽  
Pharmaceutical Care ◽  
Pilot Project ◽  
Tertiary Hospital ◽  
Adherence To Treatment ◽  
Porto Alegre ◽  
Bipolar Mood Disorder ◽  
Number Of Patients ◽  
Bipolar Patients

The Bipolar Mood Disorder is characterized by the alternation of depressive crises with episodes of mania or euphoria, having these patients 15 to 35 times more chances of suicide, as compared with people without this disorder. The pharmacotherapy is fundamental for this disease, aiming to decrease the frequency of episodes and disease severity. In these patients, the polypharmacy has recently increased and one of the main difficulties is the adherence to treatment. The objective of this study was to contribute for the improvement of bipolar patients health conditions, developing their respective pharmacotherapeutic follow-up. Twenty eight adult bipolar patients who were participants of a specialized clinic within a tertiary hospital in Porto Alegre have been randomly selected, and the Dader Method of pharmacotherapeutic follow-up has been applied. The more common clinical comorbidities were: hypertension (50%), obesity (46.43%), and hypothyroidism (36.29%). The bipolar patients are more susceptible to clinical comorbidities, and many of them could be due to pharmacotherapy. Only 1.43% of patients presented Drug Related Problems, being all of them resolved along the study. It was also observed that 32.14% of evaluated patients presented low adherence to treatment, and between these patients, 55.56% passed to have good adherence after pharmacotherapeutic follow-up. The pharmacotherapeutic follow-up is fundamental for the improvement of patient's health. New studies, with higher number of patients and longer duration, are necessary to evaluate the percentage of patients that could be beneficiary of Pharmaceutical Care.

scholarly journals Improvement of drug treatment in elderly patients, through the collaborative work between pharmacists and physicians

2016 ◽  
Vol 16 (6) ◽  
pp. 58
Author(s):  
Conxita Mestres ◽  
Laura Puerta ◽  
Marta Hernandez ◽  
Anna Agustí ◽  
Blanca Llagostera
Keyword(s):  
Elderly Patients ◽  
Drug Treatment ◽  
Collaborative Work

scholarly journals Adherence in elderly patients with NCDs: Which is the best, educational or social support? A comparative study in Ecuador

2019 ◽  
Author(s):  
Elizabeth Elena Aguirre Céspedes ◽  
Angela Faydé Alfonso Florido ◽  
Edgar León Segovia ◽  
Patricia Ortiz Solórzano ◽  
Sergio Minué Lorenzo ◽  
...  
Keyword(s):  
Family Support ◽  
Sociodemographic Factors ◽  
Noncommunicable Diseases ◽  
Educational Strategy ◽  
Adherence To Treatment ◽  
Post Intervention ◽  
Support Strategy ◽  
Significant Difference ◽  
Group A ◽  
Group B

Abstract Background: Adherence to treatment is one of the mainstays of non-communicable diseases adequate control. Non – adherence can affect several aspects to both the patient and the health system. For this reason, it is important to have intervention strategies available to prevent detachment and improve adherence to treatment. The objective of this study is to evaluate the effectiveness of the educational strategy compared with the social and family support for the improvement of adherence in patients with chronic noncommunicable diseases. Methods: A quasi-experimental study was conducted in 159 participants with diagnosis of arterial hypertension or/and diabetes mellitus type 2 plus polypharmacy. Participants were divided in two groups and strategies: Group A: educational (n = 79) and Group B social/family support (n = 80), follow up three months for each group. For group "A", informative group workshops were assigned; while for group "B" therapeutic agreements were established. Adherence to treatment pre- and post-intervention were evaluated using the four item Morisky Green Levine scale of public domain. At the end of the intervention period, an intra and intergroup analysis were performed and a Z test for difference in proportions was applied; the RR was used as a measure of association, and Chi2 as a measure of significance. Results: A total of 152 patients complete the intervention. In group A, pre-intervention non-adherence was 58.2%, post-intervention of 45.3% and final reduction of the failure was 12.9% (p<0,001). In group B, pre-intervention non-adherence was 55%, post-intervention 46.8%, and final reduction of adherence failure of 8.2%, (p> 0.05). Statistically significant difference was obtained between the decrease in the failure reached after the application of the educational strategy compared to social / family support strategy (p = 0.001). Conclusions: Educational strategy is more effective than social/family support strategy, to reduce the failure of therapeutic adherence. There was not association of sociodemographic factors and adherence to treatment.

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