Consumo De Medicamentos Por Adultos Usuários De Três Unidades De Saúde Da Família De Santa Rosa-Rs: Perfil E Fatores Associados

Abstract

RESUMOEste estudo teve como objetivo descrever o perfil de consumo de medicamentos e identificar fatores associados entre adultos que aguardavam por atendimento na sala de espera de três unidades de Estratégia de Saúde da Família (ESF) do município de Santa Rosa-RS. Trata-se de um estudo transversal, analítico e descritivo. A coleta de dados foi realizada durante três semanas no mês de agosto de 2014, uma semana em cada unidade. Os dados obtidos foram analisados estatisticamente através do teste Anova, seguido de Test T de Student para as amostras independentes. Identificou-se entre os entrevistados que 58,95% utilizam medicamentos de forma contínua, com média de 2,08 medicamentos/indivíduo. Entre as variáveis relacionadas ao uso contínuo de medicamento observaram-se a faixa etária, acima de 50 anos, presença de doença crônica, escolaridade e frequência de uso dos serviços da unidade de saúde. Entre as variáveis que não apresentaram relação identificaram-se prevalência de mulheres (86,03%), uso correto dos medicamentos (83,84%), o recebimento de orientações para o uso de medicamentos (96,07%), os que referiram cuidar da alimentação (73,36%) e o sedentarismo (71,62%). Garantir acesso a medicamentos encontrase entre as diretrizes do SUS, porém, é responsabilidade do serviço de saúde promover a utilização desses produtos de forma eficaz e segura. Como estratégia para estes objetivos apresenta-se a sensibilização e capacitação das equipes de saúde e o incentivo à corresponsabilização do usuário de medicamentos sobre o seu tratamento, processo que pode ser desenvolvido através da educação em saúde e do matriciamento, sendo fundamental a participação ABSTRACT This study's objective is to describe the medication use profile and identify factors associated with medication use among adults waiting for medical care in the waiting rooms of three units of the Family Health Strategy (FHS) in the city of Santa Rosa, RS. This is a cross-sectional, analytical, and descriptive study. Data collection was carried out over three weeks in August 2014, one week in each unit. Data were statistically analyzed using ANOVA followed by the Student's t-test for the independent samples. It was observed that 58.95% of those interviewed use medication continuously, with a mean use of 2.08 medications/individual. Among the variables correlated with continuous drug use, we observed: the over-50 age group, chronic disease, educational level, and frequency of use of the health unit services. Among the variables with no observed correlation, we identified: a prevalence of women (86.03%), correct use of medications (83.84%), having received guidance on the use of medications (96.07%), those who reported healthy eating (73.36%), and sedentary lifestyle (71.62%). Ensuring access to medications is one of the guidelines of the Brazilian Public Health System, however, it is the health service's responsibility to promote the effective and safe use of these products. A strategy for meeting these objectives includes increased awareness and training of healt...

Custo de um município do sul do Brasil com medicamentos de uso contínuo dispensados na Atenção Primária à Saúde

“…Além disso, cabe destacar que no serviço de saúde estudado grande parte dos profissionais atua com dedicação exclusiva aos serviços públicos, promovendo baixa rotatividade dos profissionais e maior conhecimento sobre os medicamentos presentes na lista municipal. Desse modo, salienta-se a importância da divulgação do elenco de medicamentos disponibilizados pelo SUS e dos Protocolos Clínicos e Diretrizes Terapêuticas, tanto para os usuários quanto para os prescritores que utilizam e atuam nos serviços públicos e privados de saúde do município, além da discussão para a inclusão de novos medicamentos nas listas oficiais do SUS (Bandeira et al, 2017).…”

Use of medicines by people bearing arterial hypertension and/or diabetes who were assisted by a family health strategy

“…A similar result was observed in a survey conducted with adult users of three Family Health Strategies in the city of Santa Rosa, Rio Grande do Sul State, in which there was no association between sex and medicine intake, nonetheless, a study developed in the city of Campinas, São Paulo State, found that belonging to the female sex was one of the factors associated with the use of medications. 16,17 Women are more concerned with health, seek health services more than men, and are thus more subject to medicalization. 15 The use of a large number of medications is widely observed among elderly individuals, mainly due to the presence of comorbidities in this age group.…”

“…15 Herein, 92.73% of the participants were instructed in the use of medications, as well as in a consumption study of medication, carried out in three units of the FHS from Santa Rosa city, Rio Grande do Sul State, identifying that 96.07% of adults attended, received guidance on the use of medication, offered mainly by a physician. 16 Systemic arterial hypertension and/or diabetes mellitus are configured as risk factors for other cardiovascular diseases, thus the FHS has a relevant role in the management of these pathologies, with offers of guidance and monitoring of pharmacological treatment, then contributing to the rational use of medicines and adherence to pharmacological treatment. 13,16…”

“…16 Systemic arterial hypertension and/or diabetes mellitus are configured as risk factors for other cardiovascular diseases, thus the FHS has a relevant role in the management of these pathologies, with offers of guidance and monitoring of pharmacological treatment, then contributing to the rational use of medicines and adherence to pharmacological treatment. 13,16…”

Medication consumption in a Brazilian area covered by the Family Health Strategy: Prevalence and associated factors

“…5 In the city of Santa Rosa, RS, the doctor (55.94%), the nurse (16.40%) and the nursing technicians (14.14%) were the professionals who provided the greatest contribution with pharmacological orientations. 26 In Medelin, Colombia, the sources of information about the most used medications were the doctor (73%), the internet (44 %) and the pharmacist (43 %). 27 The population must be oriented on how to proceed with the use of medications, in order to guarantee a safe action and with lower risks to health.…”