30 research outputs found
The influence of the advertising in the medication use in a group of elderly attended in a primary health care unit in Aracaju (Sergipe, Brasil)
O crescimento da população idosa brasileira tem levado a uma maior tendência ao uso de medicamentos. A sua utilização inadequada pode ser induzida por vários fatores, dentre eles a propaganda, podendo trazer danos à saúde do usuário. O objetivo do estudo foi avaliar a influência da propaganda no consumo de medicamentos por um grupo de idosos atendidos em unidade básica de saúde de Aracaju, Sergipe. No período de abril a junho de 2007, um grupo de 230 idosos, com idade acima de 60 anos, de ambos os gêneros, foi entrevistado. A maioria dos entrevistados (73%) possuía pelo menos uma doença crônica e 73,9% consumiam pelo menos um medicamento regularmente. Do total de entrevistados, 17,8% da amostra relataram utilizar medicamentos por influência da propaganda; 2,2% consideraram que os medicamentos veiculados na mídia nunca fazem mal e 6,5% acreditavam que eles sempre fazem bem. No estudo, correlações foram feitas e demonstraram que quem mais consome medicamentos influenciados pela propaganda também considera que eles sempre fazem bem e vice-versa (p= 0,04). Os dados revelaram que parte dos idosos sofreu influência da propaganda no consumo de medicamentos, não levando em consideração os riscos que estes poderiam causar.The growth of the Brazilian elderly people has led to a trend to an increase in the medication use. The inadequate use of drugs can be induced by some factors, like advertisement, with the risk of damaging the user's health. The objective of the study was to evaluate the advertisement influence in medication use in a group of elderly patients in a primary health care unit in Aracaju, Sergipe, Brazil. 230 elderly aging over 60 years with both genders had been interviewed from April to June of 2007. The majority of the interviewees (73%) has at least a chronic health condition and 73.9% consumed regularly at least one medication. 17.8% of the sample informed to use medication motivated by publicity influence; 2.2% had considered that the medication never cause damages and 6.5% believed that always it makes well. In this study, correlations have been made and demonstrated that those who presented a higher level of consumption influenced by advertising also think that drugs used are always beneficial and vice versa (p= 0.04). The data showed that part of elderly suffered influence of advertisement to medication use, and are not conscious of risks involved
Evaluation of pharmaceutical counseling after hospital discharge of post-surgery patients
The aim of this study was to evaluate pharmaceutical counseling following hospital discharge.
All subjects received pharmacist counseling before discharge in a private hospital in Aracaju-SE,
Brazil, from October 2007 to February 2008. Medication adherence was measured by Haynes-Sacket and
Morisky-Green-Levine scales at the end of post-discharge treatment. Post-surgery patients (n = 243) received
counseling on the day of hospital discharge, while adherence was observed in 186 (76.5 %) of these
patients. During the four months, the increase in adherence was observed in those patients that received
the counseling: 68.7 %, 73.6 %, 82.9 % and 85.7 %, respectively. The patients were distributed according
to the variables of age, chronic illness, and duration of treatment did not significantly vary during the
study. At the end of pharmaceutical counseling period, more than three fourths of post-surgery patients
were considered adherent after hospital discharge. This result indicates a potential opportunity to implement
this service in other wards.Colegio de Farmacéuticos de la Provincia de Buenos Aire
Evaluation of pharmaceutical services in eight cities of the Brazilian Northeast
This article intended to assess the Pharmaceutical Services in eight cities of the Brazilian
Northeast. It was a descriptive and transversal study done between July and September of 2007. Data was
gathered from the sectors of the Pharmaceutical Services Bureau, medicines delivery, and pharmacies of
the Municipal Secretaries of Health-care. The assessment was based on a study instrument developed by
the researchers following the indicators elaborated by the Brazilian Health Ministry. The development
levels for each Pharmaceutical Services stage were measured from 1 to 3, with 3 representing the Best
quality of PS. The programming and acquisition stages showed the best results. On the other hand, prescription
was considered the most problematic stage. This data shows the need for improvement in the
Pharmaceutical Services of these citiesColegio de Farmacéuticos de la Provincia de Buenos Aire
Enhancing health care for type 2 diabetes in Northern Brazil: A pilot study of pharmaceutical care in community pharmacy
To evaluate the impact of a medication therapy management (MTM) program on the clinical outcomes and the quality of life (QoL) of a group of elderly patients with type 2 diabetes mellitus (DM). The study was conducted in a community pharmacy in Aracaju, Brazil, from February to November 2009. A quasi-experimental, longitudinal, prospective study was conducted by intervention. The group patients received medication therapy management from a clinical pharmacist. A sample of convenience was obtained for patients of both genders aged from 60 to 75 years. Monthly visits were scheduled over 10 months. At these consultations, sociodemographic, clinical data were obtained. QoL assessment was conducted using a generic instrument-the Medical Outcomes Studies 36-item Short Form Survey (SF-36 (R)). In total, 34 completed the study. The mean age of the patients was 65.9 (4.7) years. In total, 117 DRPs were identified. Patients' baseline and final evaluation measures for glycosylated hemoglobin, capillary blood glucose, blood pressure, and waist circumference were significantly different (p < 0.05). The domains of QoL assessed by the SF-36 (R) also shows significant differences between patients' baseline and final evaluation scores. The co-responsibility and active participation on the part of the elderly may have helped pharmacotherapy achieve its clinical and humanistic aims
Bulas de medicamentos usados por idosos com hipertensão: adequação da informação à regulamentação sanitária e possíveis implicações para a saúde
Influência da propaganda na utilização de medicamentos em um grupo de idosos atendidos em uma unidade básica de saúde em Aracaju (SE, Brasil)
Evaluation of pharmacotherapy on elderly residents of nursing homes in the North-East of Brazil
Os dados referentes às prescrições e ao uso de medicamentos foram coletados a partir dos
prontuários de 94 idosos de dois asilos no município de Aracaju (SE). A média de idade foi de 83,2 (DP =
10,1), com maioria pertencente ao gênero feminino (63,8%). A prevalência do uso de medicamentos foi de
87,2% e a média de medicamentos consumidos igual a 2,7 (DP = 1,8), predominando aqueles com ação no
sistema cardiovascular e nervoso. No estudo foram observados polifarmácia (18,1%), uso de medicamentos inadequados (28,7%) e duplicidade terapêutica (11,7%) na amostra de idosos estudados. Os dados evidenciam a necessidade do aprimoramento e avaliação da qualidade da farmacoterapia de modo a promover o uso racional de medicamentos nesta faixa etária.Data related to medication order and the use of medications was collected from 94 elderly medical
records of two nursing homes of Aracaju (SE). The mean age was 83.2 (SD = 10.1), with most belonging to the
females (63.8%). The prevalence of the use of drugs was 87.2% and the average of medicines consumed was
equal to 2.7 (SD = 1.8), mainly with action in the cardiovascular and nervous systems. In this study, the elderly
population studied presented polypharmacy (18.1%), inappropriate use of drugs (28.7%) and double therapy
(11.7%). Data showed the need for improvement and evaluation of the quality of pharmacotherapy to promote
rational drug use in the elderly population.Colegio de Farmacéuticos de la Provincia de Buenos Aire
Assessment of community pharmacists´ counselling skills on headache management by using the simulated patient approach: a pilot study
Background: Headache, or cephalalgia, is one of
the 20 most disabling diseases in the world and
affects a large portion of the world´s population.
People generally use over-the-counter medications
to treat headaches and other minor symptoms. A
pharmacist should help patients choose the most
effective, safe, and convenient
pharmacotherapeutic option.
Objective: To assess the counselling skills of
community pharmacists for headache management
by using the simulated patient approach.
Methods: A cross-sectional study was conducted
from March 2010 to July 2010. Data were obtained
from a convenience sample consisting of one
pharmacist from each of the 24 participating
community pharmacies. In order to evaluate the
pharmacists´ counselling skills, a simulated patient
role played a standardized headache case
requesting self-medication. The interactions of the
simulated patient with the pharmacists were
audiovisually recorded using a hidden micro
camera, and these recordings were analysed using
a validated questionnaire.
Results: Of the 24 evaluated pharmacists, 19
(79.1%) were women. Information was
spontaneously provided by 15 (62.5%) pharmacists.
At least one question was asked by the pharmacist
to assess the signs and symptoms. Most
pharmacists (n=17, 70.8%) recommended sodium
dipyrone, either alone or in combination with other
drugs. The most discussed items in the simulation
visits were contraindications (n=17, 70.8%),
indications (n=10, 41.6%), and drug administration
times (n=8, 33.3%). None of the pharmacists
recommended any non-pharmacological therapeutic alternatives. The overall impressions of the
pharmacists professional counselling skills ranged
from poor to fair.
Conclusion: This study showed that the
pharmacists counselling skills and the guidance
provided by the pharmacists to the simulated patient
were insufficient for the satisfactory management of
headache.Antecedentes: El dolor de cabeza o cefalea es una
de las 20 enfermedades más incapacitantes en el
mundo y afecta a una gran parte de la población
mundial. La gente utiliza generalmente
medicamentos OTC para tratar los dolores de
cabeza y otros síntomas menores. Un farmacéutico
debería ayudar a los pacientes a elegir la opción
farmacoterapéutica más efectiva, segura y
conveniente.
Objetivo: Evaluar las habilidades de los
farmacéuticos comunitarios para el manejo del
dolor de cabeza utilizando un abordaje de paciente
simulado.
Métodos: Se realizó un estudio transversal entre
marzo 2010 y julio 2010. Se obtuvieron datos de
una muestra de conveniencia consistente en un
farmacéutico de cada 24 farmacias comunitarias
participantes. Para evaluar las habilidades de
asesoramiento de los farmacéuticos, un paciente
simulado recreó un caso estandarizado de dolor de
cabeza solicitando auto-medicación. Las
interacciones del paciente simulado con el
farmacéutico fueron audiovisualmente grabadas
utilizando una micro-cámara oculta, y estas
grabaciones fueron analizadas utilizando un
cuestionario validado.
Resultados: De los 24 farmacéuticos evaluados, 19
(79,1%) eran mujeres. 15 farmacéuticos (62,5%)
proporcionaron información espontáneamente. El farmacéutico pregunto al menos una pregunta para
evaluar los síntomas. La mayoría de los
farmacéuticos (n=17, 70,8%) recomendó dipirona
sódica, sóla o en combinación con otros
medicamentos. Los ítems más discutidos en las
visitas simuladas fueron las contraindicaciones
(n=17, 70,8%), la indicación (n=10, 41,6%), y la
frecuencia de administración (n=8, 33,3%).
Ninguno de los farmacéuticos recomendó alguna
alternativa terapéutica no farmacológica. La
impresión general de las habilidades de
asesoramiento profesional delos farmacéuticos
osciló entre pobre y moderada.
Conclusión: Este estudio mostró que las
habilidades de asesoramiento de los farmacéuticos
y los consejos proporcionados al paciente simulado
fueron insuficientes para el manejo satisfactorio del
dolor de cabeza
Evaluation of pharmacotherapy on elderly residents of nursing homes in the north-east of Brazil
Data related to medication order and the use of medications was collected from 94 elderly medical records of two nursing homes of Aracaju (SE), The mean age was 83.2 (SD = 10.1), with most belonging to the females (63.8%). The prevalence of the use of drugs was 87.2% and the average of medicines consumed was equal to 2.7 (SD = 1.8), mainly with action in the cardiovascular and nervous systems. In this Study, the elderly population studied presented polypharmacy (18.1%), inappropriate use of drugs (28.7%) and double therapy (11.7%). Data showed the need for improvement and evaluation of the quality of pharmacotherapy to promote rational drug use in the elderly population
Development and validation of a chromatographic method for the determination of biflorin obtained from Capraria biflora roots
Se desarrolló y validó un método de Cromatografía Líquida para la cuantificación de biflorina obtenida de las raíces de Capraria biflora. El análisis fue realizado utilizando una columna C18 en condiciones isocráticas utilizando metanol-agua como solvente, con detección UV a 510 nm. Se obtuvo un coeficiente de determinación alto para biflorina (0,9993). El método presentó buena repetibilidad (R.S.D. = 1,68 %), reproducibilidad (R.S.D. = 2,13 %) y exactitud para el pico de biflorina (99,13 %, R.S.D. =2,14 %).A LC-method was developed and validated for quantification of biflorin obtained from Capraria biflora roots. The HPLC analysis was performed using a C18 column in isocratic conditions using methanol-water and UV detection at 510 nm. A high coefficient of determination was achieved for biflorin (0.9993). The method showed good repeatability (R.S.D. = 1.68 %), reproducibility (R.S.D. = 2.13 %) and good accuracy for biflorin peak (99.13 %, R.S.D. = 2.14 %).Colegio de Farmacéuticos de la Provincia de Buenos Aire