Objective: analyze adherence to pharmacotherapy and associated factors among elderly patients using at least one antihypertensive medication. Methods: A cross-sectional, population-based study was performed of elderly patients resident in Juiz de Fora, Minas Gerais, Brazil. Adherence to medication was assessed with the Morisky-Green Test. Socio-demographic variables and variables related to health status, the health service and drug therapy were collected. The Poisson regression model was used to assess crude and adjusted (95% confidence interval) prevalence ratios (PR). The level of significance was tested using the Wald test. Results: The prevalence of adherence to pharmacological therapy was 47% (95% CI: 41%-53%). The sample consisted of 279 elderly persons, the majority of whom were women (69%), described themselves as white (45.5%), and had up to four years of schooling (76.48%). Regarding pharmacological therapy, the subjects took 5.19 (±2.8) medications and 7.1 (±4.4) tablets per day. Conclusion: a significant association was observed between adherence to pharmacological therapy and the variables positive perception of vision, positive perception of hearing and absence of frailty.
Objetivo: analisar os enfrentamentos das profissionais de enfermagem que vivenciaram a amamentação após o fim da licença maternidade. Método: estudo descritivo, de abordagem qualitativa. Os dados foram coletados através de entrevista junto a profissionais de enfermagem em um hospital da região e foram submetidos a análise de conteúdo. Resultados: emergiram quatro categorias temáticas, e o tempo médio de aleitamento materno entre as entrevistadas foi de 3,6 meses, apenas 12,5% manteve o aleitamento materno exclusivo (AME) por seis meses, 75% aleitamento complementado e 12,5% aleitamento inexistente após o retorno ao trabalho. Conclusão: mesmo dispondo de conhecimentos e estratégias sobre a amamentação, as profissionais de enfermagem estão sujeitas as mesmas dificuldades que as demais mulheres em relação ao aleitamento. Evidenciando a necessidade de apoio de profissionais, família e sociedade para o êxito da amamentação.
Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons Artículo Original Identificación de dificultades de aprendizaje y de conducta en niños y niñas de 6 a 7 años de edad que acuden a una escuela pública, ubicada en el Barrio Julio Correa, Luque, Año 2019 Identification of learning and behavior difficulties in boys and girls 6 to 7 years of age attending a public school, located in the Julio Correa neighborhood, Luque, Year 2019
Background Prescription of medications for elderly individuals is complex, potentially involving polypharmacy, drug interactions, and inappropriate medication. Notable among the medications are benzodiazepines, whose long-term use is common and growing among the elderly population. Objective This study aimed to evaluate the occurrence of potential drug interactions (PDI) in elderly community-dwelling patients who use benzodiazepines. Method Cross-sectional study, conducted via household survey, with 73 elderly persons in Juiz de Fora, MG, Brazil. The search and classification of PDIs was carried out using the Micromedex® system. Results The prevalence of benzodiazepine use in this population was 18.3% (95% CI, 15.2-21.6). The use of benzodiazepines was associated with polypharmacy (p<0.01; PR 3.03; 95% CI, 1.79-5.26). A total of 157 PDI occurrences were found in 69.9% of the elderly people assessed. Of these, 25 were related to benzodiazepines. In the elderly individuals who use benzodiazepines, polypharmacy was associated with PDI (p<0.01; PR = 16.13; 95% CI, 4.67-55.55). PDI occurrence was high in the elderly people who use benzodiazepines, including interactions of highly significant clinical value. Conclusion In general, PDI is associated with polypharmacy, which demonstrates the need to rationalize drug use in the elderly population through continuous monitoring, seeking the simplest and safest possible therapeutic regimen.
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