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Case Report



Evaluation of adherence by patients treated in a psychosocial ambulatory care setting in northeastern Brazil

Carlos E Oliveira, Wellington B Silva, Chiara Rocha, Juliane C Silva, Jackson RGS Almeida, Lucindo J Quintans-Júnior.




Abstract

In the treatment of the mental disorders, the not adhesion to the pharmacotherapy is observed in about 50% of people and is responsible for countless damage, besides being the main cause of psychiatric morbidity and rehospitalization. In this work, among other objectives, it sought to evaluate the adhesion to the medical treatment in patients attended in a Primary Health Care Center in the municipal district of Aracaju – Sergipe. For that, it was accomplished an exploratory, descriptive and observational study, with transversal design, in the period from August 2011 to November 2011, accomplished through interviews application. From this research, it was possible to infer that more than 55% of the sample owned low education; 41,4% were single and 42,8% presented other health problems, besides the mental disorder. Regarding to the knowledge level on the used medications, this variable presented good results, since 60% of the patients were classified in the category “know well”. Likewise, the results revealed that 49,3% of the investigated patients did not adhere to treatment, having as main causes of not adhesion the forgetfulness (53%), the medication lack in the units of health (47%) or the lack of financial resources for the acquisition of the same (45%) – all these considered not intentional causes of not adhesion. By the case it is an unpublished study in the outpatient attention context in Mental Health in the State, it expects that the results contribute for the evaluation and planning actions in the component specialized of the Pharmaceutical Assistance and in the precepts invigoration perspective of the psychiatric reform, having as focus the integral approach of the attention to the mental health and the rational use of psychotropic medicines.

Key words: Mental Health, Drug Utilization Studies, Treatment Adherence, Pharmacotherapy






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