2037/2013 - Uso Racional de Medicamentos entre indivíduos com Diabetes Mellitus e Hipertensão Arterial no Município do Rio de Janeiro, Brasil. Rational use of medicines by individuals with hypertension and diabetes in the municipality of Rio de Janeiro, Brasil.
Este estudo tem como objetivo o uso racional de medicamentos (URM) entre indivíduos com Hipertensão Arterial (HA) e/ou Diabetes Mellitus (DM) atendidos em unidades básicas de saúde no município do Rio de Janeiro. Trata-se de estudo transversal utilizando os dados de inquérito domiciliar realizado de janeiro a fevereiro de 2010. Foram elaborados indicadores para mensurar a taxa de adesão ao tratamento, automedicação e cuidados domiciliares relacionados aos medicamentos. O tratamento dos dados incluiu análise uni e multivariada. Dos 547 pacientes entrevistados, 77,5% relataram não costumar deixar sobrar medicamentos e 80,3% relataram não costumar esquecer de tomá-los. Quase a totalidade dos entrevistados relataram apenas tomar medicamentos prescritos por prescritores. Metade dos pacientes não tinham medicamentos com validade vencida ou embalagem danificada no domicílio. Os testes estatísticos mostraram que houve maior uso racional entre hipertensos, indivíduos casados, que trabalham, que referem receber orientações de seu médico sobre dieta e exercício físico e que não faltaram a consultas na unidade básica de saúde nos 6 meses anteriores à pesquisa. O achados reforçam a importância da atenção primária em saúde para a promoção do URM.
Palavras-chave:
assistência farmacêutica
doenças crônicas não transmissíveis
uso racional de medicamentos
atenção primária em saúde
Abstract:
This study focuses on the rational use of medicines (RUM) by hypertensive and diabetic patients treated in primary care units in the city of Rio de Janeiro. It constitutes a cross-sectional study conducted between January and February 2010. Indicators were created considering the following aspects: adherence, self-medication and how patients take care of medicines within their households. It was performed univariate and multivariate data danalysis. From 547 patients studied, 77.5% reported that they usually do not leave leftover medicines and 80.3% reported that they usually do not forget to take them. Almost all respondents reported that they only take medications prescribed by authorized healthcare professionals. Half of the patients had no medicines with expired or damaged packaging at home. Statistical tests showed that RUM has revealed to be higher among hypertensive individuals who are married, who are working, who have mentioned to receive medical guidance about diet and physical exercise, and who has not missed any scheduled medical consultations at the primary health care unit within the 6 months before this research was done. Our findings strengthen the importance of the primary health care in promoting the rational use of medicines.
Keywords:
pharmaceutical services
chronic non-communicable diseases
rational use of medicines
primary health care
Rational use of medicines by individuals with hypertension and diabetes in the municipality of Rio de Janeiro, Brasil.
Resumo (abstract):
This study focuses on the rational use of medicines (RUM) by hypertensive and diabetic patients treated in primary care units in the city of Rio de Janeiro. It constitutes a cross-sectional study conducted between January and February 2010. Indicators were created considering the following aspects: adherence, self-medication and how patients take care of medicines within their households. It was performed univariate and multivariate data danalysis. From 547 patients studied, 77.5% reported that they usually do not leave leftover medicines and 80.3% reported that they usually do not forget to take them. Almost all respondents reported that they only take medications prescribed by authorized healthcare professionals. Half of the patients had no medicines with expired or damaged packaging at home. Statistical tests showed that RUM has revealed to be higher among hypertensive individuals who are married, who are working, who have mentioned to receive medical guidance about diet and physical exercise, and who has not missed any scheduled medical consultations at the primary health care unit within the 6 months before this research was done. Our findings strengthen the importance of the primary health care in promoting the rational use of medicines.
Palavras-chave (keywords):
pharmaceutical services
chronic non-communicable diseases
rational use of medicines
primary health care
Villarinho, L.P.M, Lucia Luiza, Vera, Campos, M. R.. Uso Racional de Medicamentos entre indivíduos com Diabetes Mellitus e Hipertensão Arterial no Município do Rio de Janeiro, Brasil.. Cien Saude Colet [periódico na internet] (2013/out). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/uso-racional-de-medicamentos-entre-individuos-com-diabetes-mellitus-e-hipertensao-arterial-no-municipio-do-rio-de-janeiro-brasil/14630?id=14630
