Adesão ao tratamento medicamentoso dos usuários de centros de atenção psicossocial com transtornos de humor e esquizofrenia

Zago, Ana Carolina; Tomasi, Elaine; Demori, Carolina Carbonell

doi:10.11606/issn.1806-6976.v11i4p224-233

Cited by 8 publications

(10 citation statements)

References 12 publications

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“…Observou-se que o aumento da adesão foi proporcional ao aumento da idade, achado também evidenciado em outra pesquisa da área 10 . Experiência tem sinalizado que o fator idade é proporcionalmente significativo quanto à adesão ao tratamento para os transtornos psiquiátricos.…”

Section: Resultsunclassified

Transtorno afetivo bipolar: determinantes sociais de saúde, adesão ao tratamento e distribuição espacial [Bipolar affective disorder: health social determinants, adherence to treatment and space distribution] [Trastorno afectivo bipolar: determinantes sociales de la salud, adherencia al tratamiento y distribución del espacio]

et al. 2019

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Objetivo: identificar os determinantes sociais de saúde dos pacientes com transtorno afetivo bipolar (TAB), sua distribuição espacial e a adesão ao tratamento. Métodos: estudo descritivo e transversal, com amostragem não probabilística, realizado no Centro de Atenção Psicossocial de Divinópolis/Minas Gerais, no período de fevereiro/2017 a fevereiro/2018 com 35 pacientes diagnosticados com TAB, submetidos a um questionário, escala clínica e telefonemas. Análise estatística realizada através de técnicas univariadas e multivariadas. Estudo aprovado por Comitê de Ética em Pesquisa. Resultados: a maioria da população estudada apresentou predição positiva à adesão ao tratamento, que se associou ao sexo, idade, estilo de vida saudável, apoio de redes sociais e comunitárias, saneamento básico, acesso a serviços sociais de saúde e benefício do governo. Conclusão: a adesão ao tratamento é um produto da interação entre as dimensões relacionadas ao paciente, ao serviço de saúde, aos fatores socioeconômicos e à terapêutica proposta.ABSTRACTObjective: to identify the health social determinants of patients with bipolar affective disorder (BAD), their spatial distribution and treatment adherence. Methods: a descriptive and cross-sectional study with non-probabilistic sampling, carried out at the Psychosocial Care Center of Divinópolis/Minas Gerais, from February/2017 to February/2018 with 35 patients diagnosed with BAD, submitted to a questionnaire, clinical scale and phone calls. Analysis performed through univariate and multivariate techniques. Study approved by the Research Ethics Committee. Results: most of the population studied had a positive prediction for treatment adherence, which was associated with gender, age, healthy lifestyle, support from social and community networks, basic sanitation, access to social health services and government benefit. Conclusion: adherence to treatment is a product of the interaction between the dimensions related to the patient, the health service, the socioeconomic factors and the proposed therapy.RESUMENObjetivo: identificar los determinantes sociales de la salud de pacientes con trastorno afectivo bipolar (TAB), su distribución espacial y la adherencia al tratamiento. Métodos: estudio descriptivo y transversal con muestreo no probabilístico, realizado en el Centro de Atención Psicosocial de Divinópolis/Minas Gerais, de febrero/2017 a febrero/2018 con 35 pacientes diagnosticados de TAB, sometidos a un cuestionario, escala clínica y llamadas telefónicas. Análisis realizado a través de técnicas univariadas y multivariadas. Estudio aprobado por Comité de Ética en Investigación. Resultados: La mayoría de la población estudiada tenía una predicción positiva para la adherencia al tratamiento, que se asoció con el género, la edad, el estilo de vida saludable, el apoyo de las redes sociales y comunitarias, el saneamiento básico, el acceso a los servicios de salud social y los beneficios del gobierno. Conclusión: la adherencia al tratamiento es producto de la interacción entre las dimensiones relacionadas con el paciente, el servicio de salud, los factores socioeconómicos y la terapia propuesta.

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Section: Resultsunclassified

Transtorno afetivo bipolar: determinantes sociais de saúde, adesão ao tratamento e distribuição espacial [Bipolar affective disorder: health social determinants, adherence to treatment and space distribution] [Trastorno afectivo bipolar: determinantes sociales de la salud, adherencia al tratamiento y distribución del espacio]

et al. 2019

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“…Another study highlighted a higher prevalence of women linked to the CAPS, agreeing with better adherence among men (29). A study, however, pointed out a high prevalence of women inserted in the Psychosocial Care Center who have moderate or mild psychiatric conditions and who will rarely need hospitalization (30).…”

Section: Discussionmentioning

confidence: 98%

Psychiatric Hospitalizations and Implementation of Caps in Rio Grande Do Sul

Kuczynski

Vicenzi

Júnior

et al. 2021

VITTALLE, ISSN 1413-3563, Rio Grande, Brasil

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The CAPS was created with the objective of offering care that prioritizes the rehabilitation and psychosocial reintegration of the mentally ill individual. However, psychiatric hospitalization remains a widely used resource. This study aims to evaluate the rates of psychiatric hospitalizations and the implementation of CAPS in the state of Rio Grande do Sul, from 2008 to 2018. The study has an ecological time series design. As a result, we found a 42% increase in psychiatric hospitalizations. The CAPS coefficient was 0.64 in 2008 and increased to 0.85 (34% higher). The correlation between the CAPS coverage coefficient and the rate of psychiatric hospitalizations in RS exhibited a positive and statistically significant coefficient. These data diverge from what is found in the literature, which indicates a reduction in psychiatric hospitalizations in recent years. Thus, it is possible to conclude that there was an increase in hospitalizations and an increase in CAPS during the study period.

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“…26 , 27 One study estimated 65% adherence to psychotropic drugs, coinciding with the findings of this study. 28 On the other hand, one CAPS survey identified drug adherence of 32%, 29 while another only reported 12%. 30 Notwithstanding the diversity found in the literature on adherence to psychotropic drugs, more participants in the present study were adherent to drug treatment than to CMPA treatment.…”

Section: Discussionmentioning

confidence: 99%

Adherence to treatment in collective multiprofessional activities and factors associated with adherence in a specialized center for psychosocial care

Tergolina

Stein

Faria

2020

Trends Psychiatry Psychother.

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Introduction: Specialized psychosocial care centers (Centros de Atenção Psicossocial [CAPS]) are mental health services focused on social rehabilitation and reducing hospitalization of patients with severe and persistent mental illness. Collective multiprofessional activities (CMPA) are the main therapeutic tools used at CAPS. This study aimed to determine rates of adherence to CMPA and identify factors associated with adherence. Methods: This is a cross-sectional study in which 111 CAPS users were evaluated using questionnaires covering patient characteristics, clinical status, and treatment and incorporating the Functioning Assessment Short Test (FAST), the Clinical Global Impression-Severity scale (CGI-S), and the Clinical Global Impression-Improvement scale (CGI-I). Adherence was defined as attendance at 50% or more CMPA during the previous 3 months. Data were analyzed using descriptive statistics, bivariate analysis, and Poisson logistic regression with robust variance to estimate prevalence ratios. Results: CPMA adherence was 43%. Having children aged 14 years or younger was significantly associated with non-adherence (71%, p = 0.001). Poor or partial adherence to psychotropic drugs tended to be associated (p = 0.066) with poor adherence (33% higher risk), as was the number of psychiatric hospitalizations during CAPS (p = 0.076), with a cumulative association of 5% non-adherence per hospitalization. Conclusions: CMPA adherence was low in the study. It is necessary to consider the environment in which the individual lives and invest in support networks, providing patients and family members with explanations about the importance of CMPA to rehabilitation and attempting to tailor the care provided to each patient's needs. There was an association between greater number of psychiatric hospitalizations and non-adherence, suggesting that CAPS are fulfilling a preventive role.

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Adesão ao tratamento medicamentoso dos usuários de centros de atenção psicossocial com transtornos de humor e esquizofrenia

Cited by 8 publications

References 12 publications

Psychiatric Hospitalizations and Implementation of Caps in Rio Grande Do Sul

Adherence to treatment in collective multiprofessional activities and factors associated with adherence in a specialized center for psychosocial care

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