scholarly journals AVALIAÇÃO DA ADESÃO AO TRATAMENTO MEDICAMENTOSO DE PACIENTES COM DISTÚRBIOS PSIQUIÁTRICOS NO SERVIÇO DE EMERGÊNCIA

2018 ◽  
Vol 9 (4) ◽  
Author(s):  
Maria Carolina Barbosa Teixeira Lopes ◽  
Gabriela Parizzi Bianche ◽  
Andréa Fachini Da Costa ◽  
Meiry Fernanda Pinto Okuno ◽  
Ruth Ester Assayag Batista ◽  
...  

Objetivo: Identificar o perfil sociodemográfico e clínico e avaliar a adesão ao tratamento medicamentoso domiciliar e, os fatores associados, de pacientes com distúrbios psiquiátricos atendidos no Serviço de Emergência. Metodologia: Estudo transversal e analítico, realizado no Serviço de Emergência do Hospital São Paulo (HSP), de maio a dezembro de 2015. Foram incluídos 98 adultos com transtorno psiquiátrico agudo ou crônico agudizado. A adesão medicamentosa foi avaliada pelo Teste de Morisky-Green. Para verificar os fatores associados à adesão, utilizou-se o teste Qui-Quadrado (p< 0,05). Resultados: Houve predomínio de homens, adultos, que procuraram o serviço para contenção de comportamento por psicose não orgânica não especificada. Os pacientes com abstinência alcoólica e que não eram usuários de drogas apresentaram maior percentual de alta adesão ao tratamento medicamentoso. Conclusões: A adesão foi baixa e associada ao uso de psicotrópicos e drogas ilícitas.Descritores: Adesão à Medicação; Pacientes; Transtornos Mentais; Serviços Médicos de Emergência; Enfermagem.EVALUATION OF ACCESSION TO THE MEDICINAL TREATMENT OF PATIENTS WITH PSYCHIATRIC DISORDERS IN THE EMERGENCY SERVICEObjective: To identify the socio-demographic and clinical profile and to evaluate the adherence to home drug treatment and, the associated factors, of patients with psychiatric disorders attended at the Emergency Department. Methodology: A cross-sectional and analytical study carried out at the Emergency Service of the São Paulo Hospital (HSP), from May to December, 2015. 98 adults with acute or chronic psychiatric disorders were included. Drug adherence was assessed by the Morisky-Green Test. The chi-square test was used to verify the factors associated with adherence (p <0.05). Results: There was a predominance of men, adults, attending the service to contain behavior by unspecified nonorganic psychosis. Patients with alcohol withdrawal and who were not drug users had a higher percentage of high adherence to drug treatment. Conclusions: Adherence was low and associated with the use of psychotropic drugs and illicit drugs.Descriptors: Medication Adherence; Patients; Mental Disorders; Emergency Medical Services; Nursing.EVALUACIÓN DE LA ADHESIÓN AL TRATAMIENTO MEDICAMENTOSO DE PACIENTES CON DISTURBIOS PSIQUIÁTRICOS EN EL SERVICIO DE EMERGENCIAObjetivo: Identificar el perfil sociodemográfico y clínico y evaluar la adhesión al tratamiento medicamentoso domiciliar y, los factores asociados, de pacientes con disturbios psiquiátricos atendidos en el Servicio de Emergencia. Metodología: Estudio transversal y analítico, realizado en el Servicio de Emergencia del Hospital São Paulo (HSP), de mayo a diciembre de 2015. Se incluyeron 98 adultos con trastorno psiquiátrico agudo o crónico agudizado. La adhesión medicamentosa fue evaluada por la prueba de Morisky-Green. Para verificar los factores asociados a la adhesión se utilizó la prueba Qui-Cuadrado (p <0,05). Resultados: Hubo predominio de hombres, adultos, que buscaban el servicio para contención de comportamiento por psicosis no orgánica no especificada. Los pacientes con abstinencia alcohólica y que no eran usuarios de drogas presentaron mayor porcentaje de alta adhesión al tratamiento medicamentoso. Conclusiones: La adhesión fue baja y asociada al uso de psicotrópicos y drogas ilícitas.Descriptores: Cumplimiento de la Medicación; Pacientes, Trastornos Mentales; Servicios Médicos de Urgencia; Enfermería.

2015 ◽  
Vol 25 (3) ◽  
pp. 313 ◽  
Author(s):  
Fabiana Pelegrin Cogo Dos Santos ◽  
Fabiana Cristina Frigieri De Vitta ◽  
Marta Helena Souza De Conti ◽  
Sara Nader Marta ◽  
Márcia Aparecida Nuevo Gatti ◽  
...  

Introdution: The direct income transfer programmes such as “BolsaFamília” have the important function of making it possible for aspects of life to receive the necessary care and importance in order to improve the quality of life. One of the aspects concerns food and healthy nutrition. Objective: The objective was to assess the nutritional condition of children under five years old whose families are benefited by the programme”BolsaFamília” in a city of northwestern São Paulo state, Brazil. Methods: A cross-sectional and retrospective study was carried out using the medical records of 284 children under the age of five, from which socio-demographic, weight and height data were collected. In order to diagnose children’s nutritional condition,the indicators weight/age, height/age and weight/height were used, from the cutoffpoint z-score, recommended by the WHO Global Database on Child Growth and Malnutrition. Descriptive statistics and the Chi-square test were used to analyse data, assessing the association of indicators, gender and age. Results: 8.8% of the children have deficits concerning height/age and 4.2% have deficits concerning weight/age; 8.1% and 7.4% are overweight concerning weight/age and weight/height; 4.6 % of the children under 2 years oldhave higher weight than the expected for their age and also for their height, and 7.8% of the children have low height for their age. The prevalence of weight deficit and excess in children observed in this study were similar to those found in other regions of Brazil. Conclusion: The maintenance of the nutritional surveillance system is extremely important in order to detect risk groups and help plan effective measures to prevent and correct nutritional problems.


2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Hedayat Nazari ◽  
Mandana Saki ◽  
Sajad Yarahmadi ◽  
Zoherh Mohammadi

Background: Psychiatric disorders are common and impose a huge burden globally. The study aimed to examine the prevalence of psychiatric disorders in patients referring to a psychiatric clinic in Lorestan. Objectives: This study aimed to investigate the prevalence of psychiatric disorders in patients referring to a psychiatric clinic in Lorestan province Methods: A cross-sectional study was conducted with all people aged 18 years or older. Participants were selected by a convenience sampling method. Diagnostic interviews based on DSM-5 were held for 750 patients who were administered between January and June 2018. The collected data were analyzed by SPSS version 22 using absolute frequency, relative frequency, mean, and chi-square test. Results: Women included 53% of the study sample. The most prevalent psychiatric disorders were anxiety (35.3%) and mood disorders (31.5%). Depression was the most prevalent mood disorder (63.6%), followed by generalized anxiety disorder (60%). The prevalence of psychiatric disorders was higher in people aged 21-30 (28.5%), the illiterate or primary education group (52.4%), housekeepers (29.5%), and married ones (51.8%). Conclusions: The majority of the patients referring to the psychiatric clinic suffered from mood and anxiety disorders. Therefore, public health authorities of the province need to take steps to warrant necessary measures, including mental health promotion policies, to improve the mental health status and prevent anxiety and mood disorders.


2020 ◽  
Vol 19 (2) ◽  
pp. 421-465
Author(s):  
Alisséia Guimarães Lemes ◽  
Elias Marcelino da Rocha ◽  
Vagner Ferreira do Nascimento ◽  
Liliane Santos da Silva ◽  
Maria Aparecida Sousa Oliveira Almeida ◽  
...  

Introducción: El consumo de drogas psicoactivas es cada vez mayor, precoz y abusivo, causando dependencia química. Esta dependencia requiere tratamiento y control. Uno de los lugares disponibles en Brasil para esa atención es el servicio comunitario terapéutico.Objetivo: Identificar el perfil de los usuarios de drogas psicoactivas que residen en comunidades terapéuticas.Métodos: Estudio descriptivo cuantitativo, transversal, realizado con usuarios de drogas de tres comunidades terapéuticas, en el interior de la región centro-oeste de Brasil. Para la recopilación de datos, se utilizó un cuestionario semiestructurado, cuyas respuestas se analizaron y analizaron en el programa BioEstat versión 5.0, luego de la aprobación ética de la Universidad de São Paulo, según la opinión de 2.487.000. Resultados: Participaron 21 hombres, adultos jóvenes, solteros, escolarización baja, desempleados y con religión. El uso de drogas fue precoz, a través del alcohol, tabaco y marihuana, usado por amigos y curiosidad. Hubo una historia de admisiones múltiples para tratar la dependencia química, y la comunidad terapéutica es el servicio más buscado. El conflicto familiar, la pérdida del tabajo remunerado y los problemas de salud mental, así como la forma en que el usuario considera el tratamiento recibido y la disposición a consumir drogas durante el tratamiento, se han asociado con el consumo de drogas. Conclusión: Conocer el perfil de los usuarios de drogas puede subsidiar acciones de salud dirigidas a satisfacer las demandas integrales de los usuarios, contribuyendo a la elaboración de políticas públicas y estrategias de rehabilitación que contribuyan a la adhesión al tratamiento. Introduction: The consumption of psychoactive drugs is increasing, precocious and abusive, causing chemical dependence. This dependence requires treatment and control. One of the places available in Brazil for this host is the therapeutic community service.Objective: to identify the profile of psychoactive drug users residing in therapeutic communities. Methods: cross-sectional, quantitative descriptive study with drug users from three therapeutic communities, located in the interior of the Central-West region of Brazil. For data collection, a semi-structured questionnaire was used, whose responses were analyzed and analyzed in the BioEstat version 5.0 program, after ethical approval by the University of Sao Paulo, under opinion 2,487,000. Results: 21 men, young adults, single, low schooling, unemployed and with religion participated. The use of drugs was precocious, through alcohol, tobacco and marijuana, used by friends and curiosity. There was a history of multiple admissions to treat chemical dependence, with the therapeutic community being the most sought after service. Family conflict, loss of reemployment, and problems with mental health, as well as the way in which the user considers the treatment received and the willingness to use drugs during treatment have been strongly associated with drug use. Conclusion: Knowing the profile of drug users can subsidize health actions aimed at meeting the integral demands of users, contributing to the elaboration of public policies and rehabilitation strategies that contribute to adherence to treatment.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Martins ◽  
J Fernandes ◽  
Y Pamplona ◽  
C Barbieri ◽  
J Vaz ◽  
...  

Abstract Introduction The Região Metropolitana da Baixada Santista (RMBS) is considered as a region with the worst maternal and child mortality rates in the state of São Paulo, Brazil. Besides this, RMBS has the worst rates of environmental contamination. High-Risk Pregnancy is one of the factors that lead to a higher chance of morbidity and mortality of the mother and fetus binomial. Objective Evaluate the relationship between exposure to environmental contaminants and high-risk pregnancy. Methodology Case-control study, using a probabilistic sample composed of 402 pregnant women divided into with and without high-risk pregnancy. The instrument used was a self-administered questionnaire and secondary data on contaminated areas obtained from the Environmental Company of the State of São Paulo. Descriptive analysis, Chi-square test, univariate and multiple logistic regression analysis were performed. The participants were also georeferenced by place of residence. Results It was observed an association, by chi-square test between high-risk pregnancy and age over 35 years (p &lt; 0.05), use of insecticide (p &lt; 0.001), consumption of foods packed in plastics (p = 0.050) and manipulation with oil paint (p = 0.002). The final multiple logistic regression model demonstrated that those who live in contaminated areas are 2 times more likely to have a risk pregnancy (OR = 1.993; 95%CI: 1.02; 3.90), as well as identified as jointly important risk factors for pregnancy: working in health services (OR = 3.97 (95%CI: 1.00; 16.09)), use of insecticide (OR = 3.45 (95%CI: 1.66; 7.16)) and use of oil paint (OR = 6.96 (95%CI: 1.38; 35.09)). Conclusions Environmental contaminants play an important role in pregnancy, and mitigating measures are needed to improve the environment and reduce high-risk pregnancy in RMBS. Key messages Exposure to the environmental contaminants is an important rik factor in the pregnancy. The Região Metropolitana da Baixada Santista (RMBS) is considered as a region with the worst maternal and child mortality rates in the state of São Paulo, Brazil.


Author(s):  
Maria Isabel Saraiva Dinelli ◽  
Mauro Fisberg ◽  
Maria Isabel de Moraes-Pinto

The prevalence of hepatitis A virus (HAV) antibodies was assessed in adolescents (age ranging from 10.4 to 19.9 years) at an Adolescent Outpatient Clinic in São Paulo, Brazil. Anti-HAV was detected in 137 (54.2%) out of 253 individuals. When separated into two age groups, anti-HAV frequency was higher in the 15 to 19 year-old group (64%) in comparison to the 10 to 14 year-old group (46%) (Chi-square test: p = 0.004). These results suggest that adolescents in São Paulo are at risk of hepatitis A infection and are probably contracting HAV infection during this age period.


2018 ◽  
Vol 7 (4) ◽  
pp. 260
Author(s):  
Liena Sofiana ◽  
Suci Musvita Ayu ◽  
Marsiana Wibowo ◽  
Erni Gustina ◽  
Satriawan Jaohandhy Muhtori

<p>Yogyakarta City, which is known as the center of education is a potential place for drug abuser to distribute illegal substance to the youth. It is evident in the great number of drug users in Yogyakarta City, in which 50% of them are adolescents and university students. The research aimed to know the relationships predisposing, enabling, and reinforcing factors and the drug abuse among adolescents in Yogyakarta City. The research employed cross sectional design. The samples were taken using multistage random cluster sampling. The data were taken through questionnaire given to 481 youth, at the age of 15-19 years in 18 senior high school and the equals in Yogyakarta City. The data were then analyzed using Chi Square test. Attitude, self-confidence, family role, and peer’s role are related to drug abuse. Knowledge, information sources, and teacher’s role are not related to drug abuse. </p>


Rev Rene ◽  
2020 ◽  
Vol 22 ◽  
pp. e44129
Author(s):  
Lucas Pinto de Lima ◽  
Priscila Fernanda de Almeida ◽  
Cristina Berger Fadel ◽  
Luciane Patrícia Andreani Cabral ◽  
Everson Augusto Krum ◽  
...  

Objective: to analyze factors associated with medication adherence among public university workers who reported use of continuous medication. Methods: cross-sectional study carried out with 629 workers from a public university. Data were collected through interviews using forms adapted from the Brazilian Ministry of Health and analyzed using the chi-square test. Results: three hundred thirty-one (52.6%) participants were users of continuous medication, of these, 175 (52.9%) had a partially satisfactory adherence pattern and 156 (47.1%) a totally satisfactory pattern. Workers with chronic back problems, depression, weakness/tiredness, dyspnea, and chest pain had significantly less adherence to drug treatment (p≤0.050). Sociodemographic and labor characteristics, polypharmacy, and type of medication were not associated with medication adherence (p>0.050). Conclusion: satisfactory drug adherence was observed among the participants in relation to drug treatment, and the presence of some symptoms and specific chronic diseases was associated with partially satisfactory drug adherence.


2014 ◽  
Vol 40 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Graciane Laender Moreira ◽  
Beatriz Martins Manzano ◽  
Mariana Rodrigues Gazzotti ◽  
Oliver Augusto Nascimento ◽  
Rogelio Perez-Padilla ◽  
...  

OBJECTIVE: To determine the underdiagnosis rate in new COPD cases at the end of a nine-year follow-up period-in the study designated "Projeto Latino-Americano de Investigação em Obstrução Pulmonar" (PLATINO, Latin-American Pulmonary Obstruction Investigation Project)-and compare that with the underdiagnosis rate during the initial phase of the study, as well as to identify the clinical features exhibited by the subjects who were not diagnosed until the end of the follow-up phase. METHODS: The study population comprised the 1,000 residents of the city of São Paulo, Brazil, who took part in the PLATINO study. Of those, 613 participated in the follow-up phase, during which the subjects were assessed with the same instruments and equipment employed in the initial phase of the study. We used the chi-square test or the independent sample t-test to analyze the underdiagnosis rate and to identify the characteristics of the subjects who were not diagnosed until the end of the follow-up phase. RESULTS: The underdiagnosis rate for new COPD cases at the end of the nine-year follow-up period was 70.0%. The underdiagnosis rate during the follow-up phase was 17.5% lower than that reported for the initial phase of the study. The subjects who were not diagnosed until the end of the follow-up phase presented with fewer respiratory symptoms, better pulmonary function, and less severe disease than did those previously diagnosed with COPD. CONCLUSIONS: The underdiagnosis rate for new COPD cases was lower in the follow-up phase of the study than in the initial phase. The subjects who were not diagnosed until the end of the follow-up phase of the PLATINO study presented with the same clinical profile as did those who were not diagnosed in the initial phase. These findings underscore the need for spirometry in order to confirm the diagnosis of COPD and provide early intervention.


Author(s):  
Kumari Padma ◽  
Sagar Subhash Nanaware ◽  
Aruna Yadihal ◽  
P. John Mathai

Background: Psoriasis is associated with a variety of psychological problems including poor self-esteem, sexual dysfunction, anxiety and depressive disorder and suicidal ideation. There are reports that patients with psoriasis may have significant psychiatric morbidity. The objective of the study is to evaluate the frequency of psychiatric disorders, frequency and nature of psychiatric symptoms in patients with psoriasis.Methods: 100 patients with psoriasis were evaluated and included for the study. Comprehensive Psychopathological Rating Scale (CPRS) is used for assessment of psychiatric symptoms and MINI Plus for assessing psychiatric disorders. Chi-square test was used to compare the proportions.Results: Patients with psoriasis had high frequency of psychiatric morbidity and was found to be 42%.Conclusions: Patients with psoriasis have more psychopathology and higher psychiatric morbidity which may further imply justifiable consultation liaison psychiatry in other speciality fields like Dermatology.


2017 ◽  
Vol 5 (1) ◽  
pp. 28
Author(s):  
Priscilla De Paula Gusmão ◽  
Rayssa Ferreira Diniz Fernandes ◽  
Rhávila Cristina Rezende ◽  
Rodrigo De Souza Bonfim ◽  
Yuri Viktor Porto ◽  
...  

ResumoObjetivos: Descrever o perfil sociodemográfico e o padrão de uso de drogas de internos de clínicas de reabilitação do município de Anápolis e entorno. Método: Estudo transversal, observacional, descritivo e quantitativo. Participaram os internos de sete clínicas de reabilitação localizadas em Anápolis. Os dados foram coletados por meio de um roteiro semiestruturado elaborado pelos pesquisadores Para verificar a associação entre as variáveis categóricas foi utilizado o Teste Qui-quadrado, com correções de LikelihoodRatio. O nível de significância utilizado foi p< 0,05. Os dados foram analisados no Software StatisticalPackage Social Science (SPSS, versão 21). Resultados: Todos os 144 participantes eram homens, com idade média de  37,4 anos (DP ±11,6),  sendo que 79 (54,9%) eram solteiros e goiana, 67 (46,5%) eram pardo/moreno com renda familiar variando entre 1 a 3 salários mínimos. As drogas mais utilizadas foram álcool (79,9%), seguida do tabaco (64,4%) e cocaína/crack (57,6%). 15 (10,4%) já injetaram drogas e a maioria (60%) destes já compartilhou seringa/agulhas. Quatorze participantes (9,7%) fizeram uso de nove tipos diferentes de drogas no ano anterior à internação. Conclusões: Revelou-se a importância em traçar o perfil sóciodemográfico e o padrão de uso de drogas a fim de estabelecer políticas públicas de prevenção e tratamento para este público vigente.Palavras-chave:Comportamento de procura de droga. Perfil de Saúde. Saúde Pública. Transtornos relacionados ao uso de Substâncias. AbstractObjective: To describe the sociodemographic profile and the drug use pattern of rehabilitation centers in Anápolis and surroundings. Method: A cross-sectional, observational, descriptive and quantitative study. The research evaluated 144 drugs addicts in 7 centers from Anápolis and surroundings. The data was collected by objective and structured questionnaires elaborated by the researchers. The Chi-square test was used to verify the association among the categorical variables, and corrections by LikelihoodRatio. The significance level adopted was p<0,05. The software Statistical Package Social Science (SPSS, version 21) analyzed the data. Results: All patients were men, with an age average of 37,4 years old (DP ±11,6), 79 (54.9%) were unmarried from Goiás, and 67 (46.5%) whad brown skin with income Family ranging from 1 to 3 minimum wages. The main drugs used were alcohol (79,9%),  followed by tobacco (64,4%)  and cocaine/crack (57,6%). Fifteen patients (10,4%) had already injected drugs and most of them (60%) had already shared needles. Fourteen patients (9,7%) used 9 different kinds of drugs in the year before hospitalization. Conclusions: It was revealed the importance of outlining the socio-demographic profile and the pattern of drug use in order to establish public policies of prevention and treatment for this current public.Keyword:Drug-SeekingBehavior. Public Health. Health Profile. Substance-related disorders.


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