COMPLEXITY OF PHARMACOTHERAPY IN ELDERLY ATTENDED ON A BASIC PHARMACY IN SOUTHERN BRAZIL
Abstract
The complexity of a pharmacological treatment can lead to a lack of adherence to the proposed treatment and consequently damage the recovery of the patient’s health. The objective was to evaluate the complexity of the treatment regimen used by elderly patients attended in Basic Pharmacy of Santa Cruz do Sul, RS, and associated factors. I was done a cross-sectional study with data collection in the period from August to September 2014, through individual interviews with a semi-structured questionnaire containing sociodemographic variables, behavioral, health and pharmacotherapy variables. The therapeutic complexity index (TCI) was obtained by direct measurement of the necessary actions to administer the medicine. 300 elderly were interviewed; 76.7% were female, 70% aged 60-69 (± 6) years, and 77% had physician consultation in the last six months. The most cited diseases were hypertension (44.3%), depression (43%), high cholesterol (32%), diabetes (21%) and osteoporosis (20.7%). In the 15 days preceding the interview, the interviewers took a total of 1088 medicines (mean = 3.6 (± 1.74)). The TCI ranged from 1 to 30 (mean = 6.67 (± 5.35)) with statistically significant association (p < 0.05) with the female, referred diseases (diabetes, high cholesterol, osteoporosis, bronchitis, hypertension), take several medications at the same time and non-adherence to treatment. The evaluation of the complexity of pharmacotherapy is necessary and important for the restoration and maintenance of elderly’s health. Simplifying treatment regimens can improve medication adherence and benefit on the outcome of therapy, allowing an understanding and a more accurate approximation of the elderly with their treatment.
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PDF (Português (Brasil))DOI: http://dx.doi.org/10.14450/2318-9312.v27.e4.a2015.pp239-247
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Copyright (c) 2016 LISONI MULLER MORSCH
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Infarma - Ciências Farmacêuticas
ISSN - 2318-9312 (Versão eletrônica)
ISSN - 0104-0219 (Versão impressa)
Conselho Federal de Farmácia - CFF
SHIS QI 15 Lote "L" - Lago Sul - Brasília - DF
CEP: 71635-615 - Fone: (61)3878-8751
e-mail:infarma@cff.org.br
Diretoria
Walter da Silva Jorge João, Presidente do Conselho Federal de Farmácia
Lenira da Silva Costa, Vice-Presidente do Conselho Federal de Farmácia
João Samuel de Morais Meira, Tesoureiro do Conselho Federal de Farmácia
Luiz Gustavo de Freitas Pires, Secretário-Geral do Conselho Federal de Farmácia