scholarly journals Evaluation of adherence to treatment by patients seen in a psychosocial care center in northeastern Brazil

2011 ◽  
Vol 47 (4) ◽  
pp. 787-795 ◽  
Author(s):  
Thaís Teles Souza ◽  
Wellington Barros Silva ◽  
Alexandre Sherlley Casimiro Onofre ◽  
Jullyana de Souza Siqueira Quintans ◽  
Fabiana Botelho de Miranda Onofre ◽  
...  

In the treatment of mental disorders, nonadherence to medication, the main cause of psychiatric morbidity, is observed in about 50% of the cases and is responsible for numerous losses. This study evaluated adherence to drug treatment by patients seen in a Psychosocial Care Center (CAPS) in northeastern Brazil. Adherence to treatment was evaluated using the Haynes-Sackett and Morisky-Green-Levine tests. All patients registered in the CAPS were included in the study (n= 101). Only 11.88% of the patients adhered to drug treatment. The main reasons not to use medication were: oblivion (68.83%), feeling unwell after taking the medication (54.22%), not having money to buy the medication (43.83%), not finding the medication in the public health service (39.94%) and fear of harm that might be caused by the drug (28.90%). Furthermore, 85.1% of the patients did not know their diseases, 88.1% did not know their treatment, 86.4% did not feel good when they took their medication, and 88.1% took their medication incorrectly. The results revealed that the lack of information about diseases and drugs used, the nuisance posed by drug therapy and the low access to medications reduce adherence to treatment and, consequently, treatment effectiveness.

CoDAS ◽  
2020 ◽  
Vol 32 (6) ◽  
Author(s):  
Caroline Lopes Barbosa ◽  
Cristiana Beatrice Lykouropoulos ◽  
Vera Lúcia Ferreira Mendes ◽  
Luiz Augusto de Paula Souza

ABSTRACT Purpose: The speech therapy practice in mental health is questioned by the challenge of producing shared care strategies to, above all, expand the conditions and the communicational repertoire, the discursive and social circulation of people with mental suffering. Objective of this study was to identify the perception of clinical listening in professionals of Child and Adolescent Psychosocial Care Center (CAPSij), specifying the role of speech therapy in the care and listening of patientes. Methods: This is a participatory and dialogical research. A discussion group was used to collect data. Results: were grouped in the following categories: listening conception; listening and working process; listening effects; speech therapy and clinical listening. These professionals think of clinical listening as a central device for mental health care. The clinical listening favors reflection on the bio psychic dynamics of healthcare. It was observed contributions of speech therapy in intra and interinstitutional scopes, in the clinical-therapeutic work of the health professionals, patients and relatives. The speech therapist’s skills and knowledge about organic aspects of child development in the opinion of professionals enhance clinical listening. Conclusion: It was concluded that without teamwork, care in CAPSij would not happen in a qualified way under the public health policies: Psychosocial Care Network (PSCN) and Unified Health System (SUS) frameworks. The clinical listening is a condition of possibility of the care offered by the professionals.


Rev Rene ◽  
2015 ◽  
Vol 16 (3) ◽  
Author(s):  
Luiza Cantão ◽  
Leonardo Leão Kahey Fonseca ◽  
Talita Ingrid Magalhães Silva ◽  
Marcella De Oliveira ◽  
Valéria Da Conceição de Oliveira ◽  
...  

Objective: to know the socio-demographic and clinical profile of elderly patients with depressive disorders and the useof psychoactive drugs. Methods: it is a retrospective epidemiological study that analyzed 218 medical records of elderlypatients in a Psychosocial Care Center in a period of 72 months. Results: it was observed that 67.9% of elderly men werepredominantly those aged between 60 and 70 years. Alcohol was the most commonly used drug among men and tobaccoamong women, depression was the most frequent occurrence in both sexes. 53.7% were assisted at a health unit, and thepredominant time of treatment was from 31 to 60 days (47.7%). The patients assisted by the family health teams were lessfrequent (10.5%). Conclusion: the cultural aspects of man’s role in society, easily accessible drugs (alcohol and tobacco) andthe lack of information were the main factors related to depression and the use of drug by the elderly.


PEDIATRICS ◽  
1967 ◽  
Vol 40 (3) ◽  
pp. 527-528
Author(s):  
Charles J. A. Schulte

ON JANUARY 1, 1967, the Cancer Control Program will become part of the National Center for Chronic Disease Control within the Public Health Service's new Bureau of Disease Prevention and Environmental Control. Our primary mission is to stimulate and encourage the application of currently available techniques of cancer prevention, cancer detection, and cancer control to the community at the grass roots level. If this will be the case after the reorganization remains to be seen. Figure 1 shows the new organization of the Public Health Service. By way of illustration, I think it would be well to briefly outline a few of our activities. An area of heavy emphasis has been the use of the Papanicolaou smears for cervical cancer control. These programs have been responsible for developing certified cytotechnology training schools, supporting and training large numbers of cytotechnicians. In addition, we are supporting some 90 hospital-based cervical cancer screening projects across the country. A program to encourage the general practitioner to screen his private patients in the office is jointly sponsored by the American Academy of General Practice and the Cancer Control Program. The very grave problem in the United States of smoking and carcinoma of the lung is the major responsibility of tile National Clearinghouse for Smoking and Health, a part of the Division of Chronic Diseases which developed out of the Cancer Control Program. We are engaged in a number of developmental projects, such as the flexible fiber optic proctosigmoidoscope. We hope to be able to produce a proctosigmoidoscope that will reach the splenic flexure.


2017 ◽  
Vol 11 (03) ◽  
pp. 53-64
Author(s):  
Jussac Maulana Masjhoer ◽  
Dwi Wibowo ◽  
Bijak Qoulan Sadida ◽  
Inosensius Tito Ogista

The lack of information related to the best practices in responsible tourism is one of the causes to tourist behavior problems. This study aims to determine the behavior of tourists in hiking, the adoption of responsible tourism practices, and to compile a responsible tourism practices guidebook. The research method used is survey research by spreading the questionnaire. Based on Likert analysis, at the pre-ascending stage, the classification of attitudes indicated by the respondents for cost and transportation is quite agreeable, while for equipment, guide, and simaksi is agreed. The ascent stage, the indicator when going up the mountain is quite agree, camping is not agree, the cook is agree, and when down the mountain is strongly agree. The post-ascent stage shows quite agreeable attitude. The public test of the guidebook, for the aspect of size and language of submission shows an agreeable attitude, while for the design, thickness, and content of the book shows an agreeable attitude. The conclusion is that (1) Still found the behavior of tourists in mountain climbing that is not environmentally friendly, (2) The responsible tourism practices of mountaineering that includes pre-ascending, ascent, and post-ascent, not well implemented by tourists, and (3) The responsible tourism practices guidebook still lack both technical and substance. Keywords: responsible tourism, mountain hiking, guidebook, tourist behavior


PEDIATRICS ◽  
1967 ◽  
Vol 40 (4) ◽  
pp. 691-693
Author(s):  
STARKEY D. DAVIS ◽  
RALPH J. WEDGWOOD

Dr. Yerushalmy points out the excess mortality in the isoniazid pupulation in two trials: contacts of new cases and patients in mental hospitals. He failed to mention that the Public Health Service has conducted five other isoniazid prophylaxis trials (Table I). In the six trials listed, excluding the one in institutions, the isoniazid groups had more deaths in three trials, the placebo group had more deaths in two trials, and in one trial the number of deaths in each group was equal.


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