Pharmaceutical care to patients at a home assistance program from the Universitary Hospital of the Sao Paulo University / Atenção farmacêutica para pacientes do Programa de Assistência Domiciliária (PAD) do Hospital Universitário da Universidade de São Paulo

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Introduction. The concept of Pharmaceutical Care is specifically succeeded when the pharmacist can identify, prevent and resolve negative outcomes associated with medication (NOM). According to the Third Consensus of Granada, these outcomes are related to patient health outcomes that are not consistent with the objectives of pharmacotherapy, associated with use or errors in the use of medicines. The classification of NOM is done according to the categories of the necessity, effectiveness and safety of pharmacotherapy. The incidence of NOM increases with quantity of drugs, age and number of comorbities. Thus, the pharmacist can provide the correct use of the medicines to patients who are attended at home. Purpose. Describe the profile of the population included in the home assistance program (PAD) of the Universitary Hospital of the USP and achieve the recognition, qualification and quantification of NOM related to the pharmaceutical care services for these patients during the period the study. Method. Descriptive and prospective study. The pharmacotherapy plan was completed during the interview with the patient or caregiver. The data were evaluated by a situational analysis that provide to identify, resolve or prevent NOM. The classification of NOM is based in the Third Consensus of Granada. The data were released in EPI Info and statistically analyzed by the SAS 8.0 software. Results. The study included 87 patients with a mean age of 66 years. The patients were mostly adults (89%), female (58%), retired (62%), and 86% of attendances are dedicated to population lives in who Butantã Sub-District. They are mostly married (41%) or widowed (35%). A large part of them (48%) are caring for the daughter or son. The level of education (39% is first degree incomplete). Among patients 33% had a single NOM and 29% had more than one, with an average of 1.13 NOM per patient. The NOM more incidents in the sample are non-quantitative ineffectiveness (35%) and untreated health problem (21%). Conclusion. For this population it was concluded that there are several factors related to the occurrence of NOM of the effectiveness group. They are: age (p = 0.0199), education (p = 0.0266), number of comorbidities (p = 0.0461), use of medicines for the digestive tract and metabolism (p = 0.0475) and use medicines for the blood and blood forming organs (p = 0.0466). The pharmacist has an important role in the prevention, identification and resolution of NOM for Home Assistance Program.

ASSUNTO(S)

utilização de fármacos universitary hospital negative outocomes associated with medication (nom) programa de assistência domiciliária serviços farmacêuticos cuidados domiciliares de saúde atenção farmacêutica home assistance program pharmaceutical care hospitais universitários resultados negativos associados aos medicamentos

ACESSO AO ARTIGO

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