______________________________________________________________________________________ Resumo. O presente trabalho teve como objetivo avaliar o perfil dos futuros profissionais de saúde com relação à utilização de medicamentos sem prescrições de um profissional habilitado. O estudo transversal foi composto por 244 acadêmicos da área da saúde, sendo 110 (45%) do curso de Farmácia, 71 (29%) Enfermagem e 63 (25%) cursando Medicina, com idade entre 17 e 51 anos. Destes entrevistados 183 (75%) eram muheres, 214 (87%) solteiros e 161 (66%) não possuíam plano de saúde privado. Do total, 97% declararam se automedicar, sendo 77% alegando o principal motivo o problema de saúde simples. O uso de analgésicos/antitérmicos foi de 84%, seguido dos anti-inflamatórios (57%). A dor de cabeça foi a principal causa da utilização de medicamento sem prescrição (84%). Dentre os entrevistados, 70% foram influenciados por familiares, vizinhos e amigos a praticarem a automedicação. Porém, 63% relataram receber orientação no ato da compra do medicamento. Das orientações profissionais, 71% foram por um farmacêutico, sendo a posologia (dose e horário) a principal orientação recebida. Das 183 mulheres, 58% usavam contraceptivo, sendo que apenas 21% não tiveram orientação médica. A automedicação entre os estudantes universitários de Sinop -MT é elevada, mas são similares aos reportados em outros estudos. Todavia, havia uma expectativa de um consumo menor por se tratar de estudantes da área de saúde.Abstract. The present study had the objective of evaluating the self-medication in graduates of the health area. The cross-sectional study consisted of 244 health professionals, of which 110 (45%) were Pharmacy, 71 (29%) Nursing and 63 (25%) Medicine, aged between 17 and 51 years. Of these, 183 (75%) were women, 214 (87%) were unmarried and 161 (66%) had no private health insurance. Regarding the use of drugs, 97% declared self-medication, with 78% claiming to be a simple health problem. The use of analgesics and antipyretics was reported in 84% of the interviewees, followed by autoregressive antiinflammatory drugs (58%). Headache was the main cause of the use of nonprescription medication (84%). Among the interviewees, 70% were influenced by family members, neighbors and friends practicing selfmedication. However, 63% reported receiving counseling at the time of purchase. Of the professional guidelines, 71% were by a pharmacist, being the dosage (dose and schedule) the main orientation received. Of the 183 women, 58% used contraception, and only 21% did not receive medical advice. Self-medication among college students at Sinop -MT is high, but they are similar to those reported in other studies. However, there was an expectation of a lower consumption because it was health students.
Systemic arterial hypertension is a disease that affects approximately 1.13 billion of the world population. This paper aims to analyze the values obtained through blood pressure measurements by three different types of devices, namely: aneroid, semiautomatic and automatic, in participants who demanded assistance in the extension project “Consultório Farmacêutico” (Single Health System/SUS) in Sinop, MT, twice a week, with blood pressure measurements, following the guidelines of the Brazilian Society of Hypertension, and the manual of each device, which describe the techniques for measuring blood pressure in its particularities. The survey was carried out from February 2017 to April 2018. At the end of each measurement, the results were recorded and analyzed, being compared among each other. By the statistical analyzes carried out, it was possible to compare the blood pressure measurements obtained with an auscultatory method and two oscillometric methods, making it possible to verify and guide each patient who preferably uses only one device model in their measurements, since the variation of methods that the devices can present, can be harmful and confuse to the patient, because depending on the values found, they may worry the mentioned patient in carrying out his self-care.
Resumo. O trabalho teve como objetivo principal avaliar o consumo do tratamento antiparasitário, pelos clientes de uma drogaria no bairro São Cristóvão em Sinop -MT. A pesquisa contou com dados da Organização Mundial de Saúde, pesquisa bibliográfica, além da aplicação do questionário elaborado e aplicado pela autora da pesquisa, no período de Dezembro de 2014 a Março de 2015. As variáveis analisadas foram a destinação do tratamento antiparasitário, a ocorrência de prescrição para o tratamento, se o prescritor utilizou-se de exames laboratoriais, se vai fazer uso de polivitamínicos ao término do tratamento, se tem conhecimento de como ocorre transmissão e prevenção de formas parasitárias, qual o tipo do tratamento, as justificativas para automedicação e se neste caso, procurou orientação qualificada de um farmacêutico. Verificou-se que 72,0% dos entrevistados foram mulheres, 39,0% dos tratamentos se destinou para crianças de 1 a 10 anos, 34,0% foram motivados a procurar o tratamento devido a dores estomacais e intestinais. Dentre estes, 41,0% dos tratamentos foram realizados somente com Albendazol. Além disso foi possível analisar informações como: 60% não tem conhecimento de transmissão e prevenção das formas parasitárias, 76,0% buscaram atendimento qualificado de profissional farmacêutico, 22,0% apresentaram prescrição, e dentre elas 41,0% fizeram exames laboratoriais. Em conclusão, a automedicação foi uma prática comum , sendo as mulheres as que mais fizeram aquisição do tratamento, devido maior exposição à medicalização em todas as fases de sua vida, além de recaírem sobre elas, a função de prover saúde à família. Palavras-chaves: Automedicação, antiparasitário, drogaria.Abstract. This study aimed to evaluate the consumption of antiparasitics from a drugstore in the São Cristóvão neighborhood in Sinop -MT. The research used data from the World Health Organization, a bibliographic research, and the analysis of a questionnaire developed and applied by the author of the research, from December 2014 to March 2015. The variables analyzed were: the destination of antiparasitic treatment; presence of a medical prescription; presence of previous laboratory exams; use of multivitamins at the end of treatment; consumer awareness of the transmission and prevention of parasitic diseases; what kind of treatment the reason for self-medication and, in this case, whether there has been qualified guidance from a pharmacist. Of the total, 72.0% of the interviewees were women, 39.0% of the treatments were for children aged 1 to 10 years, 34.0% were motivated to seek treatment due to stomach and intestinal pain. Of these, 41.0% used only Albendazole. In addition, 60% did not know about the transmission and prevention of parasitoses, 76.0% asked the pharmacist for help, 22.0% had a prescription, and among them, 41.0% had previous laboratory tests. In conclusion, self-medication was a common practice, with women being the most frequent, probably because they had been exposed to medicalization in all phases of their lives, as well a...
The home pharmaceutical service is a type of pharmaceutical assistance common in several municipalities in the country, whether private or public. The objective of this study was to track chronic diseases, with emphasis on diabetes, obesity, hypertension, during home pharmaceutical services. During the consultations, which were random and concentrated in a neighborhood of Sinop-MT, a form was applied. During visits, clinical parameters were measured, such as: blood pressure; body index; abdominal circumference; glycemia; Findrisc score for diabetes mellitus; and any other illnesses that the patient was affected at that time, that is, the patient's current history of illness. The study was characterized by a quantitative and experimental methodological approach, such as field and intervention research. The study involved 19 households and 30 patients, occurring between September 25, 2019 to January 31, 2020. Of the total, 36.7% (n = 11) had hyperglycemia. When assessing BMI (Body Mass Index), 30.0% (n = 9) were overweight and 23.3% (n = 7) were obese; abdominal circumference (WC) in 36.7% (n = 11) suggested a high risk for the development of obesity; 26.6% (n = 8) were hypertensive. Seven patients (23.3%) were self-monitoring for diabetes, obesity and blood pressure. In the Findrisc Survey for risk factors for type 2 diabetes mellitus, 20.0% (n = 6) were classified as high risk and very high risk. The distribution in the age group was 33.3% (n = 10) for age <45 years and 66.7% (n = 20) for age> 45 years. Still, the responses to the questionnaire showed that 23.3% (n = 7) of patients declared a family history for diabetes. In the tracking of illnesses, there was an emphasis on type diabetes mellitus (20%; n = 7); obesity (20.0%; n = 7); hypertension (16.6%; n = 6); insomnia / anxiety (16.6%; n = 6); and dyslipidemia (8.4%; n = 3). Drug interactions were not observed in polypharmacy, a practice with a prescription rate of 22.2% (n = 4). With this study it was possible to discuss the role of the pharmacist with the team of the Family Health Assistance Center in tracking chronic diseases present in the population. Thus, it is possible to correlate these findings with the incident diseases, providing the future pharmaceutical professional with greater involvement in caring for his community and being able to act in maintaining health and with a sense of social responsibility.
With the support of the Secretaria Municipal de Saúde (Municipal Health Secretariat) until 2018, the court orders regarding the obtainment of medication was assessed descriptively and quantitatively through cross-sectional data, which included all active processes registered in the judicial support sector of the Secretariat, 355 court orders including one or more prescription drugs were analyzed. The processes contained 598 drugs, 57% of the lawsuit authors were female and the medication was targeted to 4-years-old children to 91-years-old. Most legal representatives were public agents, 82% (N=292) of them, and 14% (N=50) were private agents. 52% (N=184) of the prescriptions came from public health establishments, and 27% (N=96) from private establishments. 20% (N=73) of the requests had no medical prescription annexed to the lawsuit. 46% (N=164) of the prescriptions were made by specialized physicians and 32% (N=114) by general practitioners. In 94% (N=333) of the lawsuits, the city or the state were the defenders. Regarding the competence to supply the medication, 75% (N=452) of the solicited medication was not included in any official lists, 8% (N=48) belonged to REMUME (the official municipal medication list), and 8% (N=48) belonged to RESME (the official state list). The results suggest it is possible to see face judicialization as an elite phenomenon, if the official lists of medication supplied by SUS are properly updated and if the number of specialized physicians by prescription is emphasized. However, the lack of information compromises the technical analysis and clarifications necessary to fulfill the claims and to ensure safety, efficiency and rational use of medication. Additionally, the court decision to determine the supply of the drug by means of an injunction is supported only by the prescription or medical report without first consulting a technical team.
In recent years, medication errors have received considerable attention from healthcare professionals, health institutions, and health authorities worldwide. The purpose of this work was to identify preventive strategies to prevent drug-dispensing errors and harms to patients in Brazilian hospitals. An integrative review was conducted on Scientific Electronic Library Online, Google Scholar, Medical Literature Analysis and Retrieval System Online Database and Portal of Periodicals of the Coordination for the Improvement of Higher Education using the following keywords: medication errors, dispensing errors, and hospital pharmacy. 96 papers were first selected and after analysis, those that did not fulfill the inclusion criteria, that is discussion of dispensing errors in a hospital setting or evaluation or suggestions of preventive drug- dispensing actions, were excluded, and only 11 papers were included in this review. Low implementation actions to prevent dispensing medication errors were the most common. In general, hospitals have been adopting safer dispensing systems namely unit-dose drug dispensing system, medication reconciliation, potentially dangerous drugs supervision, development of guidebooks of properly drug storage and medication prepare and dispensing, double checks during dispensing and differentiation similar pronunciation and spelling drugs. All strategies were found to be in accordance with international recommendations to prevent medication and dispensing errors.
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