Conhecimento dos pacientes sobre os medicamentos prescritos após consulta médica e dispensação

Abstract

Conhecimento dos pacientes sobre os medicamentos prescritos após consulta médica e dispensação Patient awareness about drugs prescribed after medical appointment and prescriptionResumo As orientações sobre medicamentos fornecidas aos pacientes são fundamentais para o sucesso do tratamento, uma vez que a ausência delas é uma das principais causas do uso incorreto dos medicamentos. O objetivo deste estudo foi verificar o conhecimento dos pacientes sobre seu tratamento medicamentoso, após consulta médi-ca e dispensação, realizadas na unidade básica de saúde do município de Grão Pará, em Santa Catarina. Foram entrevistados 111 indivíduos, 70 após a consulta médica e 41 após a dispensação dos medicamentos. O nível de conhecimento foi verificado mediante perguntas relativas ao nome do medicamento, indicação, dose, frequência de uso, duração do tratamento, efeitos adversos e precauções. Após a consulta médica, 28,5% foram classificados com nível bom de conhecimento; 17,1%, regular; e 64,4%, insuficiente. Após a dispensação, 4,9% dos pacientes foram classificados com bom nível de conhecimento; 87,8%, regular; e 7,3%, insuficiente. A maioria dos entrevistados não possui bom nível de informação para a administração de medicamentos. Os resultados encontrados após a dispensação foram melhores que os resultados encontrados após a consulta médica, o que sugere a importância do farmacêutico na orientação dos pacientes para a correta utilização dos medicamentos. Palavras-chave Medicamentos, Estudos de utilização de medicamentos, Conhecimento, Uso racional de medicamentos Abstract Information provided to patients about medication is important for the success of the treatment, since the lack of such information is one of the main reasons why patients fail to take medicines as prescribed. The aim of this study was to verify patients' awareness about prescribed drugs distributed at the Grão Pará (Santa Catarina) primary healthcare unit after a medical appointment. One hundred and eleven patients were interviewed, seventy after a medical appointment and forty-one after drugs were distributed. Patient awareness was tested by asking questions about the name, usage, dosage, length of treatment, side effects, and precautions. After a medical appointment 28.5% of patients were classified as having a good level of awareness, 17.1% fair and 64.4% insufficient. After drugs were distributed 4.9% of patients were classified as having a good level of awareness, 87.8% fair and 7.3% insufficient. The majority of those interviewed had a low level of awareness about the use of the prescribed drugs. Results after drugs were distributed were better in comparison to results after a medical appointment, suggesting the importance of the pharmacist in informing patients about the correct use of drugs.

Medication dispensing as an opportunity for patient counseling and approach to drug-related problems

“…The pharmaceutical interventions were then performed by written and verbal instructions, given directly to the patient. This finding is corroborated by previous studies conducted in community pharmacies in Brazil and Germany (Nicolas et al, 2013;Oenning, Oliveira, Blatt, 2011), revealing that patient's knowledge about medications and their correct use was limited. These results support the importance of taking the time of dispensing as an opportunity to provide the patient with instructions for medication use.…”

“…In comparison to a similar study previously conducted in the south of Brazil (Oenning, Oliveira, Blatt, 2011), a greater improvement in patient's level of knowledge of medication after dispensing was found in our study. This may be explained by differences regarding the pharmacy structure, including the quality of informational materials, and pharmacists' academic background.…”

“…The lack of patient knowledge of medications may result in poor adherence and a negative impact on the therapy success, due to pharmacotherapy failure, increased incidence of adverse effects and intoxications, and deterioration in health status (Fernandes, Pires, Gouvêa, 2002;Margonato, Thomson, Paoliello, 2008;Oenning;Oliveira;Blatt, 2011). This is also evident in previous studies, as reported by Margonato et al (2008), correlating the incidence of hospitalization secondary In the process description, we have found that most of the DRPs identified were related to the fact that the patient did not know how to use medication appropriately.…”

Pharmaceutical Services in Primary Health Care: are pharmacists and users on the same page?

“…Several authors have shown problems at PHCPS, such as low availability of medicines [9][10][11] , inattention to the legal rules for medicines procurement 12 ; inadequacies in the dispensing area 9,13 , in medicines storage 9,12,13 and in inventory control 12 . Additionally, there is a large number of patients who do not have satisfactory knowledge about their prescribed treatment 13,14 . This study investigated structural and organizational characteristics of the PHCPS as well as alternatives to improve them, from the viewpoints of the users and pharmacists, in order to better understand the full suite of services that are being offered to the community.…”

Percepção e utilização da educação em saúde para o uso racional de medicamentos por médicos

“…Já a posologia leva em conta o diagnóstico e as características individuais do usuário (16) Dessa forma, é necessário que o medicamento seja prescrito adequadamente na forma farmacêutica, constando doses e período de duração do tratamento (1) . E com a correta utilização, para o alcance dos objetivos terapêuticos (22) .…”