scholarly journals ELDERLY RECEIVING OUTPATIENT CARE: REASONS FOR ADHERENCE/NONADHERENCE TO MEDICATION

2015 ◽  
Vol 24 (4) ◽  
pp. 1094-1103
Author(s):  
Daiane Porto Gautério-Abreu ◽  
Silvana Sidney Costa Santos ◽  
Bárbara Tarouco Silva ◽  
Silomar Ilha ◽  
Giovana Calcagno Gomes

ABSTRACT This study aimed to characterize the elderly receiving outpatient care in Rio Grande, Rio Grande do Sul state, Brazil, concerning their demographic and socioeconomic characteristics, health condition, medication usage and adherence to medication; to identify their self-reported reasons for adherence/nonadherence to the prescribed medication. A descriptive, cross-sectional study, with a quantitative approach, performed in the outpatient unit of a university hospital in Rio Grande do Sul, Brazil. One hundred seven elderly were interviewed in November of 2013. Data were collected with three instruments. The statistical analysis was descriptive. Among the elderly, 86.9% were adherent to medication. Wanting to feel good was the reason most often reported for adherence to the prescribed medication, and the occurrence of adverse reactions was the most often cited reason for nonadherence. The results of this study can support the development of actions that promote adherence to medication by the elderly.

2020 ◽  
Vol 30 (1) ◽  
pp. 34225
Author(s):  
Ibrahim Clós Mahmud ◽  
Carla Viero Kowalski ◽  
Paulo Renato Petersen Behar ◽  
Claus Dieter Stobäus

Aims: to analyze the current Brazilian and of the state of Rio Grande do Sul epidemiological situation of visceral leishmaniasis (LVH) in the elderly and verifythe mortality coefficient.Methods: This is a cross-sectional study with a secondary data source, taken from SINAN data from January 2013 to December 2017, with confirmed visceral leishmaniasis in Brazil and Rio Grande do Sul, which are tabulated in Excel and analyzed with Epiinfo 7.Results: cases of LVH in the elderly have increased in the last 5 years, within the Brazilian and the state of Rio Grande do Sul settings. Although not widely reported, it is frequent to compromise and increase the proportion of elderly people who die from LVH, which was 20,3% of the cases in the period from 2013 to 2017, demonstrating the seriousness of the infection in this public. In our study we also found a strong relation between age and the increase in the lethality coefficient, reaching 46.87% in 2016.Discussion: One of the recent strategies in the fight against HVL is the slaughter of dogs that contains the parasite responsible for the transmission of the disease, but this method of control has not been very effective. Thus, the immunoprophylactic measurement by Leish-Tec® vaccine has a favorable effect in the fight  against the disease only in animals that are not in high transmission areas.


2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Tânia Solange Bosi de Souza Magnago ◽  
Franciele Ormizinda Almeida ◽  
Emanuelli Mancio Ferreira da Luz ◽  
Patrícia Bitencourt Toscani Greco ◽  
Juliana Dal Ongaro ◽  
...  

Objetivo: Analisar a resiliência no trabalho e os fatores associados em trabalhadores do Serviço Hospitalar de Limpeza de um Hospital Universitário do Sul do Brasil. Método: Estudo transversal, desenvolvido com 149 trabalhadores terceirizados de um Hospital Universitário do Rio Grande do Sul, Brasil. Os dados foram coletados por meio de um questionário de caracterização sociodemográfica, laboral, de saúde e a Resilience at Work Scale – Brasil 25. Realizou-se análise descritiva e inferencial. Considerou-se associação significativa quando p<0,05. Resultados: Os trabalhadores do Serviço Hospitalar de Limpeza possuem média resiliência no trabalho (78,9 ± 11,5). Dos fatores avaliados, a realização de treinamento sobre riscos ergonômicos, mostrou-se associada com o maior nível de resiliência no trabalho (p=0,028). Conclusões: Os trabalhadores capacitados executam as suas funções com conhecimento e segurança, repercutindo em melhorias no processo de adaptação à situações adversas no trabalho. O desenvolvimento de estratégias, individuais, coletivas e de gestão, para a promoção da resiliência e saúde no intuito de favorecer ambientes saudáveis no trabalho, são importantes.Descritores: Enfermagem; Saúde do Trabalhador; Resiliência; Serviço Hospitalar de Limpeza. Resilience at work and associated factors in hospital cleaning service workersObjective: To analyze resilience at work and associated factors among workers in the Hospital Cleaning Service of a University Hospital in southern Brazil. Methodo: Cross-sectional study, developed with 149 outsourced workers from a University Hospital in Rio Grande do Sul, Brazil. The data were collected through a questionnaire of sociodemographic, occupational, health and Resilience at Work Scale - Brasil 25. Descriptive and inferential analysis was carried out. A significant association was considered when p<0,05. Results: Hospital Cleaning Service workers have a medium resilience at work (78.9 ± 11.5). Of the factors evaluated, training on ergonomic risks was shown to be associated with a higher level of resilience at work (p = 0.028). Conclusion: Trained workers perform their duties with knowledge and safety, resulting in improvements in the process of adapting to adverse situations at work. The development of strategies, individual, collective and management, to promote resilience and health in order to favor healthy environments at work, are important.Descriptors: Nursing; Worker's Health; Resilience; Hospital Cleaning Service. Resiliencia en el trabajo y factores asociados en trabajadores del servicio de limpieza hospitalariaObjetivo: Analizar la resiliencia en el trabajo y los factores asociados entre los trabajadores del Servicio de Limpieza de Hospitales de un Hospital Universitario en el sur de Brasil. Método: Estudio transversal, desarrollado con 149 trabajadores subcontratados de un Hospital Universitario en Rio Grande do Sul, Brasil. Los datos se recolectaron a través de un cuestionario de escala sociodemográfica, ocupacional, de salud y de Resilience at Work Scale - Brasil 25.  Se realizó un análisis descriptivo e inferencial. Se consideró una asociación significativa cuando p<0,05. Resultados: Los trabajadores del Servicio de Limpieza de Hospitales tienen una resistencia media en el trabajo (78.9 ± 11.5). De los factores evaluados, la capacitación sobre riesgos ergonómicos se asoció con un mayor nivel de resiliencia en el trabajo (p = 0,028). Conclusión: Los trabajadores capacitados realizan sus tareas con conocimiento y seguridad, lo que resulta en mejoras en el proceso de adaptación a situaciones adversas en el trabajo. Es importante el desarrollo de estrategias, individuales, colectivas y de gestión, para promover la resiliencia y la salud a fin de favorecer entornos saludables en el trabajo.Descriptores: Enfermería; Salud del Trabajador; Resistencia; Servicio de Limpieza Hospitalaria.


2021 ◽  
pp. 095646242097594
Author(s):  
Guilherme B Shimocomaqui ◽  
Craig S Meyer ◽  
Maria L Ikeda ◽  
Elson Romeu Farias ◽  
Tonantzin R Gonçalves ◽  
...  

In 2018, Rio Grande do Sul (RS) had some of the highest HIV/AIDS rates in Brazil, and we did not find any studies about the HIV care and treatment cascade (HCTC) related to this state. We aimed to estimate the indicators of HCTC of RS, Brazil, and associated factors. A cross-sectional study with all people living with HIV (PLWH) in RS between 1 January 2014 and 31 December 2017 was conducted using a national database which registers all HIV notifications, CD4 and viral load laboratory data and antiretroviral therapy (ART) usage in the public health system. We considered sex, age, education, race, year of HIV diagnosis, and health region as predictor factors, and defined linkage to care, retention to care, being on ART, and having undetectable viral load as the HCTC indicators. Descriptive analysis and multivariable logistic regression were performed using Stata 15.2. A total of 116,121 PLWH were diagnosed, 79,959 were linked to care, 72,117 retained in care, 69,219 on ART, and 54,857 had undetectable viral load from 2014 to 2017. We observed greatest attrition for younger age, non-white, and lower education in all HCTC indicators. Women are more likely to have undetectable viral load (OR = 1.04, 95% CI: 1.01–1.07), even though they are less likely to be retained to care (OR = 0.92; 95% CI: 0.89–0.96) and on ART (OR = 0.82; 95% CI: 0.78–0.86). Although all HCTC indicators have increased over the period and the “test and treat” policy indicates improvements in ART and in undetectable viral load outcomes, evidence suggests specific attrition and disparities such as those related to HIV healthcare facilities should be addressed. These findings may be used by researchers, health professionals, and policymakers in order to investigate and implement interventions to better engage PLWH across the HCTC.


2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.


2010 ◽  
Vol 4 (3) ◽  
pp. 1457
Author(s):  
Aline Do Nascimento Silva ◽  
Eduardo Tavares Gomes ◽  
Renata Livia Alves de Souza Melo ◽  
Rutheanne Melo de Siqueira ◽  
Lucileide Silva Fonteles

ABSTRACTObjective: to elucidate the situation of the notification of cases of violence in a university in a university hospital in Recife at the beginning of training actions and professional awareness of this issue. Method: an observational cross-sectional study as conducted. Data collection was done through referrals made to the Social Service of Clinics Hospital of the Federal University of Pernambuco (HC/UFPE), by reports of professional by itself, a recording instrument from the hospital and copies of the notification form of cases. The project was approved by the Ethics Research Center of Health Sciences of the Federal University of Pernambuco/UFPE with protocol number 13/10. All cases were considered of September 2006, when began using the Notification Form from the Ministry of Health until December 2008. Results: the most notification was cases against the child (n=20, 46,51%), while there isn’t registration of cases against the elderly. Professionals who often made the notification were doctors (n=22, 51.16%) and psychologists (n=12, 27,91%). The Notification Form was used in only 41,86% of cases. Conclusion: the data underscore the under-reporting. Further research should verify the cause of poor service (lack of commitment, lack of specific training, among others) so that they can perform actions to make better situation. Descriptors: violence; epidemiology; public health; mandatory reporting.RESUMOObjetivo: elucidar a situação da notificação dos casos de violência em um hospital universitário do Recife no inicio das ações de capacitação e sensibilização dos profissionais para essa questão. Método: foi realizado um estudo observacional do tipo corte transversal. A coleta de dados foi realizada a partir dos encaminhamentos realizados para o Serviço Social do Hospital das Clínicas da Universidade Federal de Pernambuco/HC/UFPE por meio de relatórios dos profissionais, instrumento de registro próprio do hospital e cópias das Fichas de Notificação dos casos. O projeto foi aprovado pelo Comitê de Ética em Pesquisa do Centro de Ciências da Saúde/UFPE com número de protocolo 13/10. Foram considerados todos os casos de setembro de 2006, quando iniciou o uso da Ficha de Notificação do Ministério da Saúde até dezembro 2008. Resultados: a maior notificação foi de casos contra à criança (n=20, 46,51%), ao passo que não consta registro de casos contra idosos. Os profissionais que mais notificaram foram os médicos (n=22, 51,16%) e os psicólogos (n=12, 27,91%). A Ficha de Notificação foi usada em apenas 41,86% dos casos. Conclusão: os dados ressaltam a sub-notificação. Pesquisas posteriores devem verificar a causa da pouca notificação (falta de compromisso, falta de formação específica, entre outras), para que se possam realizar medidas para melhorar o quadro. Descritores: violência; epidemiologia; saúde pública; notificação de abuso.RESUMENObjetivo: conocer la situación de la notificación de casos de violencia en un hospital universitario en Recife al inicio de las acciones de formación y sensibilización del profesional de esta cuestión. Método: se realizó un estudio observacional, transversal. Recolección de datos se realiza através de consultas que el Servicio Social del Hospital de Clínicas, Universidad Federal de Pernambuco/HC/UFPE por los informes de profesionales de por sí, un instrumento de registro del hospital y copia del Formulario de Notificación de los casos. El proyecto fue aprobado por el Centro de Ética de la Investigación de las Ciencias de la Salud/UFPE com el número de protocolo 13/10.  Se consideraron todos los casos de septiembre de 2006, cuando comenzó a usar el Formulario de Notificación del Ministerio de Salud hasta diciembre de 2008. Resultados: la mayoría de los casos de notificación fue contra el niño (n=20, 46,51%), mientras que no hay registro de casos en contra de los ancianos. Los profesionales que a menudo hace la notificación eran médicos (n=22, 51,16%) y los psicólogos (n=12, 27,91%).  El Formulario de Notificación se utilizó en sólo 41,86% de los casos. Conclusión: los datos ponen de relieve la subnotificación. Las investigations futuras deberían verificar la causa de la notificación de baja (falta de compromiso, la falta de formación específica, entre otros) de modo que puedan llevar a cabo acciones para mejorar la situación. Descriptores: violencia; epidemiología; salud pública; notificatión obligatoria. 


Rev Rene ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Bruna Zortea ◽  
Daiane Porto Gautério-Abreu ◽  
Silvana Sidney Costa Santos ◽  
Bárbara Tarouco da Silva ◽  
Silomar Ilha ◽  
...  

Objective: to evaluate the cognitive state of elderly people under outpatient care; investigate the association betweenthe cognitive state and the socio-demographic variables, health conditions, number of medications and adhesion to thetreatment. Methods: this is a cross-sectional, exploratory, and descriptive study, with a quantitative approach, conductedwith 107 elderly people undergoing outpatient care in a university hospital in the south of Brazil. The following variableswere used: gender, age, marital status, income, schooling, occupation, preexisting noncommunicable diseases, number andtype of prescribed medications, adhesion, mini mental state examination and cognitive status. Data were analyzed throughinferential and descriptive statistics. Results: The prevalence of cognitive deficit was of 42.1% and had a statisticallysignificant connection with schooling, income, marital status, hypertension and cardiopathy. Conclusion: nurses canintervene to avoid the increase of cognitive deficit through an assessment of the elderly people, directed to facilitativestrategies to soften this deficit.


2020 ◽  
Vol 1 ◽  
pp. 04
Author(s):  
Giovani Sturmer ◽  
Maria Eugênia Bresolin Pinto ◽  
Monica Maria Celestina de Oliveira ◽  
Alessandra Dahmer ◽  
Airton Tetelbom Stein ◽  
...  

No Brasil, a Atenção Primária em Saúde (APS) é porta de entrada no serviço de saúde do Sistema Único de Saúde (SUS). A rede é constituída por unidades de saúde onde profissionais preparados para atuar na prevenção e manutenção da saúde da comunidade buscam atender às necessidades locais de forma equitativa, eficaz e precisa. O objetivo deste estudo é descrever o perfil dos profissionais da APS, vinculados a Especialização em Saúde da Família – UNA-SUS UFCSPA. Foi realizado um estudo transversal com profissionais da saúde não participantes do Programa Mais Médicos, que atuam na APS no Rio Grande do Sul vinculados ao curso, entre 2011 e 2013, para observar as características dos profissionais e o seu vínculo com o trabalho. Entre os 277 avaliados, a maioria são mulheres, enfermeiras, com média de 35 anos, formadas a menos de 10 anos, 88% trabalham em ESF, e 73,1% participam de equipes de saúde bucal. A pós-graduação concluída direcionada para APS foi observada em 30% dos profissionais; e 56,3% estavam no primeiro trabalho em APS, com media de 4,5 anos de atuação; 40,4% tinham outra atividade remunerada (77% médicos). Observou-se que 59% estavam satisfeitos com o tipo de vínculo, e entre a maioria foi observada a satisfação com as condições gerais de trabalho (58,1%), com a estrutura física e com os equipamentos das unidades (58,3%). Observaram-se profissionais com menor idade e pouca especialidade na área, entretanto, todos eles buscando aprimoramento através da Especialização para melhorar sua atuação na APS.Palavras-chave: Atenção Primária à Saúde. Saúde da Família. Profissionais da Saúde.ABSTRACTIn Brazil Primary Health Care (PHC) is the gateway to health service of the Unified Health System. The network consists of health unit where professionals seek to meet local needs fairly and effectively, and it must rely on trained professionals to work in community health prevention and maintenance. The aim of this study is to describe the profile of PHC professionals who are linked to UNA-SUS–UFCSPA’s Specialization Program in Family Health. A cross-sectional study with health professionals who work in PHC in Rio Grande do Sul and were linked to the program between 2011 and 2013 was conducted to observe the characteristics of professionals and their relationship with work. Among the participants (277), the majority are women, nurses with an average of 35 years, professionals for less than 10 years, 88% work in FHS, and 73.1% with oral health team. The completed a graduate degree focused on PHC was observed in 30% of the professionals; 56.3% were working their first job in PHC, with a median of 4.5 years of operation; and 40.4% engaged in another paid activity (77% physicians). It was observed that 59% were satisfied with their type of employment, and most participants showed to be satisfied with their general working conditions (58.1%) and the physical structure and equipment of the health unit (58.3%). Younger professionals and with little expertise in the area were observed, however all of them were seeking development through Specialization to improve their performance in PHC.Keywords: Primary Health Care. Family Health. Health Personnel.


2007 ◽  
Vol 23 (suppl 3) ◽  
pp. S424-S434 ◽  
Author(s):  
Neiva Isabel Raffo Wachholz ◽  
Jair Ferreira

The survival of children with AIDS has increased considerably with the use of more effective antiretrovirals, but the benefits of this therapy are limited by the difficulty of adherence to the treatment. This cross-sectional study aimed to estimate the prevalence of non-adherence to antiretrovirals among children residents in Porto Alegre, Rio Grande do Sul State, Brazil, and identifying associated factors. There were 194 child caregivers interviewed. The technique utilized to evaluate adherence allowed the detection of lack of understanding of the prescribed antiretroviral regimens, as well as conscious loss of doses. Non-adherence was defined when the child had taken less than 80% of the prescribed medication during the 24h period prior to the interview. A general prevalence of non-adherence was 49.5%, which was higher than that estimated. The non-institutional caregivers had a prevalence rate of 55.7%, while the institutional caregivers had 22.2%. In multivariate analysis, the education of the caregiver was found to have a borderline association with the outcome. Institutionalized children and those taken care of by people with a higher educational level appeared to have more protection against non-adherence to antiretroviral therapy.


2007 ◽  
Vol 23 (12) ◽  
pp. 2862-2868 ◽  
Author(s):  
Clarissa Lisbôa Arla da Rocha ◽  
Bernardo L. Horta ◽  
Ricardo Tavares Pinheiro ◽  
Ana Laura Sica Cruzeiro ◽  
Suelen Cruz

This study aimed to assess the prevalence of contraceptive use by adolescents. A cross-sectional study was performed from March to September 2002 in a representative sample of adolescents 15 to 18 years of age in the urban area of Pelotas, Rio Grande do Sul State, Brazil. Multiple-stage sampling was used, and in the 448 census tracts located in the urban area, 90 were sampled and households were visited in each tract. Information was collected on sexual initiation and use of contraceptive methods. Chi-square test was used to compare proportions. The sample included 960 adolescents. 88% of subjects reported the use of any contraceptive method. Condoms were the most commonly used method (63.2%). Low adolescent schooling was the only variable associated with increased risk of non-use of contraceptives. Condom use was higher among males, adolescents whose mothers had 9 or more years of schooling, and those reporting several sexual partners in the previous year. Condoms were the most commonly used contraceptive method.


2016 ◽  
Vol 21 (8) ◽  
pp. 2565-2570 ◽  
Author(s):  
Cândida Garcia Sinott Silveira Rodrigues ◽  
Vanda Maria da Rosa Jardim ◽  
Luciane Prado Kantorski ◽  
Valeria Cristina Christello Coimbra ◽  
Carlos Alberto dos Santos Treichel ◽  
...  

Abstract This is a cross-sectional study that aims to identify the prevalence of lower independent living skills and their associations in 390 users of psychiatric community-based services in the state Rio Grande do Sul, Brazil. For tracing the outcome it was used the “scale Independent Living Skills Survey”, adopting a cut-off value lower than 2. The crude and adjusted analyses were conducted on binary logistic regressions and they considered a hierarchical model developed through a systematic literature review. In adjusted analysis the level of the same variables were adjusted to each other and to previous levels. The statistical significance remained as a < 0.05 p-value. The prevalence of smaller independent living skills was 33% and their associations were: younger age; no partner; lower education; resident at SRT; diagnosis of schizophrenia and younger diagnosis.


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