Fatores associados a baixa adesao ao tratamento medicamentoso em idosos

Tavares, Noêmia Urruth Leão; Bertoldi, Andréa Dâmaso; Thumé, Elaine; Facchini, Luiz Augusto; França, Giovanny Vinícius Araújo de; Mengue, Sotero Serrate

doi:10.1590/s0034-8910.2013047004834

Cited by 64 publications

(83 citation statements)

References 25 publications

(38 reference statements)

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“…The number of self-reported morbidities in the present study was higher than that of the elderly resident in the community in Bagé (Rio Grande do Sul), in which 50.0% of respondents reported having two or more morbidities 26 , although the diagnosis of MS was not specified. The higher values found in the present study can be attributed, in part, to the characteristics of the group, namely elderly persons with MS.…”

Section: Discussioncontrasting

confidence: 75%

Profile of elderly persons with metabolic syndrome and factors associated with possible drug interactions

Tavares

Gomes

Rodriguês

et al. 2018

Rev. bras. geriatr. gerontol.

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Objectives: To describe the sociodemographic, clinical and pharmacotherapy characteristics of elderly persons with metabolic syndrome and to identify factors associated with drug interactions among these individuals. Method: A quantitative, analytical and transversal study was carried out among 263 elderly people with metabolic syndrome in the urban area of Uberaba, Minas Gerais, Brazil. Possible drug interactions were identified and classified according to the Micromedex® DrugReax System. The chi-squared test and the multiple logistic regression model were used for analysis ( p<0.05). Results: The majority of the individuals were female (70.7%); aged 60 to 74 years (72.3%); lived with a spouse/ partner (63.9%); had some schooling (74.1%); an individual monthly income of ≤ one minimum wage (77.1%); lived with others (88.2%); had five or more morbidities (89.7%) and exhibited polypharmacy (73.0%); used potentially inappropriate medications (54.4%) and had possible drug interactions (75.3%). Associated with the possible presence of drug interactions were: age range ( p=0.005), polypharmacy ( p<0.001) and use of potentially inappropriate medications ( p=0.006). Conclusion: Possible drug interactions were associated with increased age, polypharmacy and the use of potentially inappropriate medications. This study contributes to knowledge of these possible interactions among elderly people with metabolic syndrome, and as such can be considered an important tool for planning actions to ensure the safety of these individuals who, due to the complexity of their treatment, use multiple medications.

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Section: Discussioncontrasting

confidence: 75%

Profile of elderly persons with metabolic syndrome and factors associated with possible drug interactions

Tavares

Gomes

Rodriguês

et al. 2018

Rev. bras. geriatr. gerontol.

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“…The simultaneous occurrence of multiple diseases, associated with the use of large quantities of drugs, the lack of a private health plan, a low level of schooling and the aging process itself, with loss of independence and cognitive capacity, are factors that limit adherence to medications 30 . Good schooling, a health plan and good functional and cognitive capacity are factors that likely contributed to the fact that only 12.1% of the elderly in the present study had low adherence to treatment.…”

Section: Discussionmentioning

confidence: 99%

Analysis of medication use by elderly persons with supplemental health insurance plans

Muniz

Goulart

Lazarini

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: To analyze the socio-demographic and pharmacotherapeutic profiles of elderly users of a private health plan. Method: A cross-sectional and descriptive study was conducted with 239 elderly users of a private health plan in a medium-size city in the state of São Paulo, Brazil. A structured questionnaire was used for data collection and absolute and relative frequencies were obtained. The pharmacotherapeutic survey estimated the prevalence and average number of medicines used in the 15 days prior to the interview, as well as adherence to treatment. Results: Of the respondents, 79% were female, with a mean age of 73 years. The main health problems reported were: arterial hypertension, rheumatism/ arthritis, dyslipidemia and diabetes. A total of 97.1% of the elderly persons used medicine, and the most frequently used classes were for the cardiovascular and digestive systems. An average of 5.9 drugs/elderly person were used and 62.8% of the sample were undergoing polymedication. A total of 11.7% of the sample used medications that were unsuitable for the elderly, 51% had average adherence to medication and 12.1% had poor adherence. Conclusions: The majority of elderly people in the sample were female, lived with relatives and had a higher-level education. Despite the use of polymedication and the presence of multiple comorbidities, the percentage of elderly persons with low adherence to treatment was lower than that found in other studies. A high level of education and purchasing power, which facilitated the access to medication of the elderly patients under study, may be important predictors of adherence to treatment. The results support maintaining a model of care for the elderly centered on the treatment of diseases and pharmacotherapy.

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“…Identificou-se entre idosos de Bagé, Rio Grande do Sul, a baixa adesão ao tratamento associada à idade mais avançada, ocorrência de três ou mais morbidades, e a necessidade de compra total ou parcial de medicamento (4) . Os autores apontam a importância do acesso aos medicamentos, uma vez que a maioria da população atendida no serviço público de saúde é de baixa renda e a obtenção gratuita frequentemente é a única alternativa de acesso.…”

Section: Discussionunclassified

“…Nesse contexto, para acesso ao medicamento diante de sua indisponibilidade nas farmácias públicas, a compra foi apontada pela maioria dos entrevistados na presente investigação, semelhante ao identificado em estudos nacionais (4,12) . O programa Farmácia Popular do Brasil também foi referido pelos participantes da atual pesquisa, o qual é uma estratégia do Ministério da Saúde com vistas a ampliar o acesso aos medicamentos para as doenças prevalentes na população, seja de forma gratuita, seja 90% mais baratos, na rede privada de farmácias e drogarias (19) .…”

Section: Discussionunclassified

“…Destaca-se que a cobertura universal para gastos com medicamentos essenciais e a equidade no acesso aos medicamentos ainda são desafios para o SUS, uma vez que a falta de acesso e o uso irracional de medicamento colocam em risco os investimentos das ações de saúde (3) . Outro fator importante é a indisponibilidade de medicamentos nos serviços de saúde, que pode estar correlacionada à: menor adesão ao tratamento medicamentoso (4)(5)(6)(7) , pior estado de saúde, aumento dos gastos com tratamento, maior uso dos serviços de saúde e também de terapias adicionais, interferindo na satisfação dos usuários desses serviços (4,8) . A execução inadequada das últimas etapas da AF, tais como na dispensação e orientação farmacêutica, também repercutem para o uso irracional dos medicamentos e insatisfação com a AF prestada.…”

Section: Introductionunclassified

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