O impacto do farmacêutico clínico na adesão ao tratamento farmacológico de pacientes idosos hipertensos
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Data
2014-11-04
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Universidade Federal de Goiás
Resumo
Adherence is the behavior of a patient before the doctor or other health professional
recommendation regarding the use of medicines, adoption of diets or lifestyle changes. Thesis
built in the form of scientific articles. The first article is titled: “Adherence to pharmacological
treatment in hypertensive elderly: An integrative literature review”. The second one is titled:
"The impact of the clinical pharmacist in the adherence to the pharmacological treatment of
elderly hypertensive patients". Objectives: First Article: studying concepts of adherence, factors
for adherence, and causes of abandonment and methods for assessing adherence. Second
article: Assessing the impact of the clinical pharmacist in pharmacological treatment of elderly
hypertensive patients. Method: In the review article the search was conducted in MEDLINE,
LILACS, Cochrane, IBECS, SciELO and PubMED, studies published between 1979 to 2014
data. The following Descriptors in Health Sciences were used (DeCS): Hypertension, Elderly,
Adherence, Factors for adherence, Assessment Methods. The second article is a prospective
study, exploratory and quantitative with 26 elderly hypertensive patients, performed at the
Family Health Basic Unit in the northern part of the city of Goiânia-GO. The patients of
microarea A were followed by the pharmacist and patients of microarea B were visited by
community health agent for six months. In both microareas assessment of sociodemographic
profile, evaluation of pharmacological treatment and measurement of blood pressure of patients
were carried out. Results: The first article described the difficulty of conceptualizing adherence
as well as the main factors that influence adherence. There are several direct and indirect
methods for evaluation of pharmacological treatment; all methods have advantages and
disadvantages. In the second article: There was a predominance of female patients, age
ranging between 60 -69 years old, primary / secondary education, earning 2-4 minimum wages,
married, white and retired. Patients reported no alcohol use, no physical activity and no salt/
sugar restriction. Patients of the micro areas A and B are similar in sociodemographic
characteristics. At the beginning of the study the adherence to pharmacological treatment and
blood pressure had the same distribution in the two micro areas. At the end, the microarea A
presented variation in the rate of total adherence which rose from 66.7% to 87.5% patients and
there was significant reduction in blood pressure levels. Conclusions: The adherence to
treatment is a complex issue, multifactorial, and is essential to obtain the reduction of blood
pressure levels and decrease in complications in elderly hypertensive patients. Adherence to
treatment is not related to sociodemographic variables. In the microarea A, through
pharmaceutical intervention, it was observed that there was increase in adherence to
pharmacological treatment with a significant reduction in blood pressure levels.
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FREITAS, Jaqueline Gleice Aparecida de. O impacto do farmacêutico clínico na adesão ao tratamento farmacológico de pacientes idosos hipertensos. 2014. 121 f. Tese (Doutorado em Ciências da Saúde)–Universidade Federal de Goiás, Goiânia, 2014.