Navegando por Autor "Provin, Mércia Pandolfo"
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Item Adesão primária ao tratamento farmacológico em pacientes psiquiátricos utilizando a metodologia da proporção dos dias cobertos(Universidade Federal de Goiás, 2019-12-11) Macedo, Dayane Borges; Queiroz, Thays da Fonseca; Provin, Mércia Pandolfo; Provin, Mércia Pandolfo; Carvalho, Núbia Cristina Burgo Godói de; Silva, Paula Beatriz Medrado eTreatment adherence is not only related to medication prescription follow-up, it in volves several factors, such as the health system, the patient and the disease itself. Polypharmacological treatment has a great complexity that is increased in patients undergoing psychiatric treatment, in which the use of various drugs are part of the therapy. Objective: To identify the degree of adherence and non-adherence to therapy in these patients, through the methodology of the proportion of days covered. Methods: A cross-sectional and descriptive study was conducted at the Centro de Atenção Psicossocial (CAPS) Novo Mundo in the metropolitan region of Goiânia. The data were obtained from the universal system of the city of Goiânia. The methodology was divided into three stages: (i) data collection; (ii) calculation of the proportion of days covered; (iii) classification of the therapeutic complexity index. Data were collected between May and October to calculate the proportion of days covered. Results: Among 28 selected patients, 18 were female and 10 male, with a mean age of 49 years and a low level of education. Regarding the proportion of days covered, about 60% were adherent, with low therapeutic complexity. Discussion: Female patients were more prevalent in the study, since the prevalence of Mental Disorders in this population is higher. Sociodemographic characteristics may directly affect the degree of adherence. High therapeutic complexity is related to nonadherence to pharmacological treatment. Conclusion: Through the study, it was possible to identify the degree of primary adherence in psychiatric patients and to describe the sociodemographic profile of this population.Item Analisar o empoderamento do paciente frente a sua segurança referente ao tratamento farmacológico durante internação(Universidade Federal de Goiás, 2020-11-18) Neves, Esther Rodrigues; Provin, Mércia Pandolfo; Provin, Mércia Pandolfo; Macedo, Stefane Arruda; Torres, Thais dos Santos FerreiraPatient safety has been a focus of discussion in recent years, especially the safe use of medication in health institutions. Medication errors are among the most frequent preventable adverse events in hospitalized patients, requiring attention from health professionals and empowerment of those affected by them. An effective measure, considering the patient as the last barrier in preventing errors in the medication system, is to make him an active and empowered member to participate in the decisions and actions related to his care. However, there is relatively little research in this area. OBJECTIVE: To evaluate the empowerment of hospitalized patients with regard to their medication safety. METHODOLOGY: This is an exploratory and descriptive research with a quantitative approach, in the rehabilitation and rehabilitation unit in the state of Goiás. Data collection was performed through the application of a questionnaire composed of statements on a 5-point Likert scale, between the months of October to November 2019, with patients admitted to the health unit as participants. RESULTS: Among 48 participating patients, 28 were male, with a mean age of 34 years and a low level of education and income. It is noteworthy that 75.0% of respondents reported trusting those who administer the medication, and 33.3% stated that they never check the medication. DISCUSSION: Given the perception of the participants in this study, it can be seen that few have incorporated active roles in care, especially in the medication administration stage. The patient had gaps in knowledge about the medications he receives at the hospital, he trusts the medication administrator, and his involvement in the care proved to be fragmented and insufficient to ensure his safety, being justified by not understanding the importance of his role. CONCLUSION: Patient empowerment is a strategy for reducing medication errors, however, it still needs ample awareness, dissemination and incentive to significantly increase their involvement and co-responsibility, resulting in an active participation in their care.Item Aplicabilidade de dois instrumentos de avaliação de serviços em farmácia hospitalar(Marize Campos Valadares, 2008-06) Martins, Bárbara Posse Reis; Vechiato, Camile; Vieira, Daniela Alves; Borges, Daniela Mendes; Provin, Mércia PandolfoThe evaluation of a hospital pharmacy is difficult and complex because it involves changeable structures and services in accord with the pharmacy and with characteristics related to the hospital. This study had as an aim the applicability and the results of two evaluation instruments of hospital pharmacy services, they are: the guide of the Spanish Society of Pharmacy Hospital (SEFH) and the guide proposed by the researchers. It was applyed the two guides in twelve hospitals in Goiânia. In both of the instruments, the evaluation consisted in giving points for the activities developed for the pharmacy services. The punctuations were divergent between the two guides. The instrument of the SEFH revealed more sensible and safety, however it is very complex, demanding sufficiently time for its application and analysis. The other instrument is simpler and fast, however it only supplies superficial information on the services, not evaluate them deeply. The joined results demonstrate the necessity of the creation of an official instrument that evaluates in quality and quantity of way the services that can give support for the taking decisions of managers of these services aiming at improvements and adaptations. The application and analysis of the two guides had allowed to identify and analyze to the main activities and the problems of the pharmacy services of these hospitals.Item Aspectos jurídicos e sanitários condicionantes para o uso da via judicial no acesso aos medicamentos no Brasil(2012) Provin, Mércia Pandolfo; Sá, Maria Célia Delduque Nogueira Pires de; Amaral, Rita GoretiThe search for having access to health care and medicines right granted through Judicial Courts has increased in Brazil. What has been nominated “health judicialization” is a multidimensional phenomenon, a need for dealing with it in a multidisciplinary way involving legal-judicial, political-institutional and sanitary approaches has raised. The Health is recognized as a fundamental human right in the Brazilian Constitution giving it a different legal protection under the legal- constitutional order and the country guarantees the right to health are not only the Constitution and the law strictly, but mainly in an normative infralegal arc that define the goals and outcomes to be achieved by public policy. The lawsuits by drugs may be a reflection of the difficulty of access to health services, to empty and downgrading of health care. Therefore, this turns out to affect the judicialization of pharmaceutical care in Brazil.Item Atenção farmacêutica em Goiânia: inserção do farmacêutico na estratégia saúde da família(2010) Provin, Mércia Pandolfo; Campos, Andrea de Paula; Nielson, Sylvia Escher de Oliveira; Amaral, Rita GoretiIn agreement with the Brazilian National Drug Po- licy, the School of Pharmacy of Universidade Federal de Goiás, in partnership with the Municipal Health Department of Goiânia, state of Goiás, created and implemented a university development project suggesting the inclusion of the pharmacist in the Family Health Strategy. Meetings were held in order to introduce the project to the respective primary care units and to train the teams of pharmacists in the exercise of pharmaceutical assistance. In the 12 months of the project, 50 patients with hypertension (70% female), with average age of 50, were assisted. Among those, 40 (80%) presented more than one associated illness and 46 (92%) used 2 or more drugs, simultaneously prescribed. In the study, 154 Medication-Related Problems (MRP) were detected, with an incidence of 3.1 MRP per patient. The most frequent MRP was lack of therapeutic efficacy (49%), and 26.3% of these were caused by lack of treatment adherence. It can be concluded that the health care problems caused by lack of pharmacotherapy effi- ciency assume important proportions. Pharmaceuti- cal Care as a strategy of Pharmaceutical Assistance in Family Health can be an efficient alternative to obtain better clinical and economic results, and to improve the healthcare provided for users of Brazil’s National Health System.Item Avaliação do serviço de saúde prestado aos pacientes diabéticos em uma unidade de saúde de Goiânia-GO(2014-12) Ribeiro, Emmeline Flor; Sousa, Maria Isabel Caetano de; Campos, Andrea de Paula; Nielson, Sylvia Escher de Oliveira; Lima, Dione Marçal; Provin, Mércia PandolfoDiabetes mellitus is a syndrome of multiple etiology and a major public health problem in Brazil. The control of this disease in basic services is crucial because of its growing magnitude, transcendence, and complex vulnerability. This retrospective study aimed to evaluate the treatment and monitoring of diabetic patients according to the Brazilian Diabetes Society guidelines in two basic health units (UBESFs) in the city of Goiânia/GO. Data were collected by review of medical records from January 2007 to December 2009, resulting in 250 records, consolidated in the Epi InfoTM software. There was a higher frequency of diabetes mellitus type 2 (96.65%) compared to type 1. In 78% of the records, arterial hypertension had been detected and of these, 77.4% had a prescription for ACE inhibitors. In 30.4% of the records, aspirin had been prescribed. On average, a small percentage of the medical records met the recommendations of the Brazilian Diabetes Society almost 50% of the patients had controlled blood pressure in UBESF unit ?A? and over 35% in UBESF unit ?B?; about 25% had LDL less than 100mg/dL in both units, and approximately 25% had HbA1c below 7% in UBESF unit ?B? and 18% in UBESF unit ?A?. As to the study of medication use, 41.1% of the records had prescriptions for metformin and a secretagogue, and only 20.4% of the patients with HbA1c >9% had an insulin prescription.Item Avaliação do serviço de saúde prestado aos pacientes diabéticos em Unidade de Saúde em Goiânia(2014) Ribeiro, Emmeline Flor; Sousa, Maria Isabel Caetano de; Campos, Andrea de Paula; Nielson, Sylvia Escher de Oliveira; Lima, Dione Marçal; Provin, Mércia PandolfoDiabetes mellitus is a syndrome of multiple etiology and a major public health problem in Brazil. The control of this disease in basic services is crucial because of its growing magnitude, transcendence, and complex vulnerability. This retrospective study aimed to evaluate the treatment and monitoring of diabetic patients according to the Brazilian Diabetes Society guidelines in two basic health units (UBESFs) in the city of Goiânia/GO. Data were collected by review of medical records from January 2007 to December 2009, resulting in 250 records, consolidated in the Epi InfoTM software. There was a higher frequency of diabetes mellitus type 2 (96.65%) compared to type 1. In 78% of the records, arterial hypertension had been detected and of these, 77.4% had a prescription for ACE inhibitors. In 30.4% of the records, aspirin had been prescribed. On average, a small percentage of the medical records met the recommendations of the Brazilian Diabetes Society: almost 50% of the patients had controlled blood pressure in UBESF unit “A” and over 35% in UBESF unit “B”; about 25% had LDL less than 100mg/dL in both units, and approximately 25% had HbA1c below 7% in UBESF unit “B” and 18% in UBESF unit “A”. As to the study of medication use, 41.1% of the records had prescriptions for metformin and a secretagogue, and only 20.4% of the patients with HbA1c >9% had an insulin prescription.Item Efeito da suspensão do controle de antimicrobianos sobre o consumo e os custos com esses medicamentos em um hospital universitário(2002) Provin, Mércia Pandolfo; Diogo Filho, AugustoItem Farmacogenoma do fluorouracil: análise de polimorfismo no gene da diidropirimidina desidrogenase(2005) Provin, Mércia Pandolfo; Araújo, Rogério Agenor; Nascimento, Lorraine Lemes; Goulart Filho, Luiz RicardoItem Intervenção farmacêutica no processo de cuidado farmacêutico: uma revisão(Marize Campos Valadares, 2008-04) Amaral, Mônica Franco Zannini Junqueira; Amaral, Rita Goreti; Provin, Mércia PandolfoPharmaceutical care appears in Brazilian and international scene as a new professional practice where the pharmacist takes responsibility to ensure that the patient compliance whit your drug therapy and the plan of assistance to achieve positive outcome. In modern pharmacist is essential knowledge, attitudes and skill to allow even integrate to the team of health and interact more with patients and the community, contributing to improved quality of life regarding the optimization of pharmacotherapy and rational use of medicines. Shares of pharmacist, in the model of pharmaceutical care, in their vast majority, are clinical individual acts. But the systematization of pharmaceutical interventions and exchange of information within an information system composed of other health care professionals can contribute to an impact on collective level and promote the safe and rational use of medicines.Item Medicamento na mídia brasileira(Flávio Marques Lopes, 2014-03) Cavalcante, Isadora de Sousa; Moraes, Priscila Cássia Santos de; Souza Neto, Amador José de; Provin, Mércia Pandolfo; Lima, Dione MarçalThe use of drugs is subject to the influence of the media, which often does not publish impartial information about drugs. The aim of this study was analyze the content of reports about drugs spread in five magazines and an electronic portal for the general public, from April 2012 to August 2012. Were analyzed newspaper articles published as news, headlines and editorials that had as focus, the drug and / or the disease and its pharmacological treatment. Were collected 69 reports, which 36.6% were directed to the drugs still under study. The pharmacological group most often cited in the reports was the vaccines. Drugs that require a prescription were subject in 42,02% of the reports. Most of the material collected (72.46%) broached only on the benefits of the drugs. The trade name of the drug was cited in 34.78% of the reports. Conclusions: It was given more attention to medications in study and new uses for drugs already on the market. Most reports have addressed the benefits of drugs without citing its possible side effects and adverse reactions. Advertising language was found in many reports.Item Percepção do paciente como última barreira para evitar erros de medicação(Universidade Federal de Goiás, 2019-12-09) Bomfim, Amanda; Provin, Mércia Pandolfo; Provin, Mércia Pandolfo; Macedo, Stefane Arruda; Silva, Paula Beatriz Medrado ePatient safety is a cause of concern worldwide because itis a global public health problem. The use of medication in hospital settings is indispensable, but has been a cause for much concern as a result of the increased incidence of errors. A strategy to reduce adverse events is preparing the patient to be an active and empowered member during the hospitalization by participating in the decisions and care. This study aimed to describe the perceptions of patients admitted to a hospital as the last barrier to avoid medication errors, identifying the importance perceived by the patient about the need to know his medications and describe his perception as a protagonist in his safety. The present study is a exploratory research, primary and descriptive nature with qualitative approach with content analysis by the Bardin method, developed from the research problem proposed in a Focal Group of Patients admitted to a Rehabilitation Hospital in Goiás. Based on the perception of the participants in this study, it can be seen that there were few who were active in care at the time of drug administration, and no one understood what it means to be active during the administration of the drug. A determining factor for patient involvement not to occur is the lack of understanding of very technical terms, therefore it is necessary that the professional uses simple and easily understood language, in addition to encouraging co-responsibility and participation in decision-making in drug treatment. The patient knows little about the medicines they receive in the hospital, trust the prescriber and administrator of the medicine, but is afraid to question the health professional. Health professionals, when understanding the need and importance of patient involvement in medicine administration, should act encouraging them to be more active and participative in their care, so that errors in medication administration are minimized.Item Pharmaceutical care for hypertensive patients provided within the family health strategy in Goiânia, Goiás, Brazil(2013-09) Martins, Bárbara Posse Reis; Aquino, Aline Teixeira de; Provin, Mércia Pandolfo; Lima, Dione Marçal; Dewulf, Nathalie de Lourdes Souza; Amaral, Rita GoretiThe aim of Pharmaceutical Care programs is to improve patients’ quality of life, and such programs are particularly effective in the case of chronic diseases such as hypertension. The objective of this longitudinal study was to analyze a Pharmaceutical Care model for hypertensive patients receiving care within the Family Health Strategy (FHS). All patients were being seen by an FHS team affiliated to a primary healthcare unit in Goiânia, Goiás, Brazil. Fourteen patients participated in the study, with each patient receiving six home visits during the Pharmaceutical Care. Overall, 142 drug-related problems were reported, the most common concerning the ineffectiveness of treatment (33.8%). A total of 135 pharmaceutical interventions were performed, 92.6% of which involved pharmacist-patient communication, with 48.8% of these interventions being implemented. Cardiovascular risk decreased in three patients and remained unchanged in nine. In hypertensive patients with diabetes, fasting glucose levels were reduced in six out of nine cases. The Pharmaceutical Care model proposed here was effective in detecting drug-related problems and in proposing interventions to resolve or prevent these problems. Consequently, this may have contributed towards improving clinical parameters, such as fasting glucose levels and cardiovascular risk in hypertensive patients receiving care within the FHS.Item Pharmaceutical care for hypertensive patients provided within the family health strategy in Goiânia, Goiás, Brazil(2013-09) Martins, Bárbara Posse Reis; Aquino, Aline Teixeira de; Provin, Mércia Pandolfo; Lima, Dione Marçal; Dewulf, Nathalie de Lourdes Souza; Amaral, Rita GoretiThe aim of Pharmaceutical Care programs is to improve patients’ quality of life, and such programs are particularly effective in the case of chronic diseases such as hypertension. The objective of this longitudinal study was to analyze a Pharmaceutical Care model for hypertensive patients receiving care within the Family Health Strategy (FHS). All patients were being seen by an FHS team affiliated to a primary healthcare unit in Goiânia, Goiás, Brazil. Fourteen patients participated in the study, with each patient receiving six home visits during the Pharmaceutical Care. Overall, 142 drug-related problems were reported, the most common concerning the ineffectiveness of treatment (33.8%). A total of 135 pharmaceutical interventions were performed, 92.6% of which involved pharmacist-patient communication, with 48.8% of these interventions being implemented. Cardiovascular risk decreased in three patients and remained unchanged in nine. In hypertensive patients with diabetes, fasting glucose levels were reduced in six out of nine cases. The Pharmaceutical Care model proposed here was effective in detecting drug-related problems and in proposing interventions to resolve or prevent these problems. Consequently, this may have contributed towards improving clinical parameters, such as fasting glucose levels and cardiovascular risk in hypertensive patients receiving care within the FHS.Item Social inequalities in lawsuits for drugs(2013-09) Provin, Mércia Pandolfo; Leite, Silvana Nair; Amaral, Rita GoretiThe aim of this study was to characterize the lawsuits requesting drugs considering the economic profile of their petitioners. All lawsuits (1378) accepted against Goiânia, GO from 2003 to 2007 were analyzed. Petitioners’ demographic characteristics, reported diseases, requested drugs, origin of healthcare service, and lawsuit agent were described. Complainants’ addresses were georeferenced and distributed into 4 regional groups classified in accordance with the population’s average income. Dwellers of wealthier regions filed court actions requesting drugs more frequently, with an average rate of 1.7 lawsuits/1000 inhabitants versus 0.55/1000 in the poorer region. Lawsuit costs were 4-fold higher in wealthier regions compared with the poorest region. Chronic diseases were involved in most lawsuits, where acute and low complexity diseases predominated among complainants living in poorer regions. Thus, social differences were reflected in the granting of health rights.Item Social inequalities in lawsuits for drugs(2013-09) Provin, Mércia Pandolfo; Leite, Silvana Nair; Amaral, Rita GoretiThe aim of this study was to characterize the lawsuits requesting drugs considering the economic profile of their petitioners. All lawsuits (1378) accepted against Goiânia, GO from 2003 to 2007 were analyzed. Petitioners’ demographic characteristics, reported diseases, requested drugs, origin of healthcare service, and lawsuit agent were described. Complainants’ addresses were georeferenced and distributed into 4 regional groups classified in accordance with the population’s average income. Dwellers of wealthier regions filed court actions requesting drugs more frequently, with an average rate of 1.7 lawsuits/1000 inhabitants versus 0.55/1000 in the poorer region. Lawsuit costs were 4-fold higher in wealthier regions compared with the poorest region. Chronic diseases were involved in most lawsuits, where acute and low complexity diseases predominated among complainants living in poorer regions. Thus, social differences were reflected in the granting of health rights.Item A via administrativa como mecanismo de efetivação do acesso a medicamentos essenciais(2013-12) Soares, Amanda Queiroz; Silva, Pedro Ivo da; Provin, Mércia Pandolfo