Mendes Luiz Villarinho Pereira, Luiza Vera Lucia, Campos Mônica Rodrigues
Cien Saude Colet. 2014 Jun;19(6):1673-84. doi: 10.1590/1413-81232014196.20372013.
This study focuses on the rational use of medicines (RUM) by hypertensive and/or diabetic patients treated in primary health care units in the city of Rio de Janeiro. It involves a cross-sectional study conducted between January and February 2010. Indicators were created considering the following aspects: adherence to prescribed medicine, self-medication and how patients store medicines within their households. Univariate and multivariate data analysis was performed. Of the 547 patients studied, 77.5% reported that they usually take the entire course of medicines and 80.3% reported that they tend not to forget to take them. Almost all respondents reported that they only take medications prescribed by authorized health professionals. Half of the patients had no expired medicines or damaged medicine packages in the home. Statistical tests revealed that RUM is higher among hypertensive individuals who are married and working, who mention receiving medical guidance about diet and physical exercise, and who have not missed any scheduled medical appointments at the primary health care unit within the 6 months before this research was conducted. The findings emphasize the importance of primary health care in promoting the rational use of medicines.
本研究聚焦于里约热内卢市初级卫生保健单位中接受治疗的高血压和/或糖尿病患者的合理用药情况。该研究为2010年1月至2月间开展的一项横断面研究。制定指标时考虑了以下方面：对处方药的依从性、自我用药情况以及患者在家中储存药品的方式。进行了单变量和多变量数据分析。在所研究的547名患者中，77.5%的患者报告他们通常会服完整个疗程的药物，80.3%的患者报告他们往往不会忘记服药。几乎所有受访者都表示他们只服用经授权的卫生专业人员开的药。一半的患者家中没有过期药品或药品包装损坏的情况。统计测试表明，在已婚且有工作的高血压患者中，合理用药情况更佳，这些患者提到接受过有关饮食和体育锻炼的医疗指导，并且在本研究开展前的6个月内没有错过在初级卫生保健单位的任何预定医疗预约。研究结果强调了初级卫生保健在促进合理用药方面的重要性。
