Adesão medicamentosa em idosos em seguimento ambulatorial

Cintra, Fernanda Aparecida; Guariento, Maria Elena; Miyasaki, Lilian Akemi

doi:10.1590/s1413-81232010000900025

Cited by 44 publications

(69 citation statements)

References 14 publications

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“…10 One hypothesis to explain greater adherence to treatment by older individuals is fear of damaging their health and desire to live and the need to follow treatment increases their motivation to follow medical treatment regimes. 3 Factors related to the health and the care of older patients that may affect adherence to treatment include: type, severity and duration of the illness, number of morbidities, frequency with which health care services are used, patient satisfaction with health care professionals and care quality. 13 In this study, no significant difference were found between levels of adherence to treatment and the primary health care model in the area of residence or having had a doctor's appointment in the preceding three months.…”

Section: Resultsmentioning

confidence: 99%

“…The cost of treatment, therefore, is shown to be an important factor in adherence to treatment in this segment of the population. 5 In an outpatient based study that took place in Campinas, SP, Southeastern Brazil, 3 the lack of medication in primary health care units and spending on medicines were highlighted by the older adults interviewed as the main difficulties in acquiring medicine. This finding emphasizes the importance of appropriate pharmaceutical care management in primary health care as a facilitator of access to medications at this level of care, which could impact on adherence to treatment.…”

Section: Discussionmentioning

confidence: 99%

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Fatores associados a baixa adesao ao tratamento medicamentoso em idosos

Tavares¹,

Bertoldi²,

Thumé³

et al. 2013

Rev. Saude Publica

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OBJECTIVE:To assess factors associated with low adherence to pharmacotherapy in older adults. METHODS:Cross-sectional population-based study, with a representative sample of 1,593 individuals aged 60 or older, living in the urban area of Bagé, RS, Southern Brazil, in 2008. A multiple stage sampling model was used. The data were collected through individual household interviews. The analyses of the association between low adherence regarding pharmacotherapy, measured using the Brief Medication Questionnaire (BMQ), and demographic, socioeconomic, behavioral, health, assistance and prescription factors were carried out applying Poisson regression model to assess crude and adjusted prevalence ratios, their respective 95% confidence intervals and p-value (Wald test). RESULTS:Around 78.0% of individuals reported have taken at least one medication in the seven days prior to the interview. Of these, approximately one third (28.7%) were considered to have low adherence to the treatment. The factors significantly associated to low adherence to treatment were: age (65 to 74 years old), not having health insurance, having to purchase (totally or partially) their own medicines, having three or more morbidities, having functional disabilities and using three or more medicines. CONCLUSIONS:The increased use of medicines by older adults, because of the high prevalence of non-communicable diseases in this group, and the access to the treatment need to be considered by health care professionals regarding fostering adherence to treatment, which increases therapeutic solutions and quality of life among older people.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fatores associados a baixa adesao ao tratamento medicamentoso em idosos

Tavares¹,

Bertoldi²,

Thumé³

et al. 2013

Rev. Saude Publica

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“…For older adults, instruments and guidelines to prevent and recognize communication impairments and technologies to facilitate adherence to treatment should be used (20) . These competencies for older adults are necessary considering their sensory and movement changes that have a high potential to impair communication.…”

Section: For This Reason It Is Important That a Competent Multiprofesmentioning

confidence: 99%

Professional competencies in primary health care for attending to older adults

Witt

Roos²,

Carvalho

et al. 2014

Rev. esc. enferm. USP

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RESUMENObjetivo: Identificar y analizar las competencias profesionales necesarias para la atención de ancianos en cuidados primarios de salud. Método: Estudio exploratorio descriptivo cuali-cuantitativo. Fue utilizada la Técnica Delphi en tres rondas, con la participación de profesionales de la red básica y un grupo multidisciplinario de expertos. El primer cuestionario solicitó que los participantes indicasen competencias necesarias para la atención de ancianos en cuidados primarios. Estas fueron compiladas en un listado que, añadido de una Escala de Likert (de 1 a 5), compuso el segundo y tercer cuestionarios. El criterio de consenso adoptado fue el 70%. Resultados: Veintiocho competencias alcanzaron el consenso, habiéndose clasificado en 12 áreas de dominio. Conclusión: Las competencias reflejan las políticas brasileñas de salud y constituyen una referencia para la práctica y la formación de los profesionales de salud para la atención al añoso en la atención primaria a la salud. DESCRIPTORES ABSTRACTObjective: to identify and analyze the necessary competencies in primary health care for attending to older adults. Methods: An exploratory, descriptive, and quali-quantitative study was developed. Three rounds of the Delphi Technique were conducted with participants from primary health care services and a multidisciplinary committee. The first questionnaire asked participants to indicate the competencies needed for attending to older adults in primary health care. They were compiled into a list and added to a Likert Scale (from 1 to 5) for the second and third questionnaires. A consensus criterion of 70% was adopted. Results: Twenty eight competencies were reached by consensus and were classified into twelve domains. Conclusions: the competencies reflect Brazilian health care policy and constitute a reference for professional health practice and education when caring for the older adult in primary health care.

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“…A study with 165 elderly patients in outpatient monitoring in a university hospital about the reasons for complying with drug treatment revealed the situation of living alone, and the side effects of the drugs are the main predictors for non-compliance to therapy, which, for the authors, shows the relevance of the support provided by other people in the care for this population group (18) .…”

Section: Rev Esc Enfermmentioning

confidence: 93%