Search

Objectives. To describe patients' suggestions on improving the management of antiretroviral therapy (ART) and to identify the roles that key stakeholders should play in taking responsibility for those recommendations. Methods. This research was embedded within a national cross-sectional study on patient adherence to ART and the associated factors. A subsample of the study patients were asked to offer suggestions on how to improve daily management of ART, and their answers were analyzed using a content analysis approach. The recommendations were then interpreted in terms of who should be responsible for them, and the suggestions were organized into three levels: micro (patient), meso (health care team), and macro (researchers, policymakers, family, friends, and the general public). Results. Of the 552 participants from the subsample, 60% were male, their average age was 44.1 years, and 62% were nonadherent in at least at one of three dimensions (missing doses, improper timing, or improper dosing). The categories underlying the micro level were "believing in treatment efficacy," "being motivated," "accepting HIV status," and "sharing experiences with other patients." At the meso level the suggestion categories were "more information from health care providers" and "humanization of care." The macro level categories were "social support and actions against stigma," "research proposals," and "improvement of health care services." Conclusions. Patients are influenced by the health policies, care, and support offered by health care providers, organizations, policymakers, and communities. In turn, these stakeholders develop the policies and deliver their care and support based on the responses and actions of patients. All stakeholders should work together to engage, educate, and support patients in addressing ART management. [ABSTRACT FROM AUTHOR]

Pesquisa metodológica, que objetivou verificar a validade de uma tecnologia educacional (TE) na forma de jogo educativo de administração de medicamentos, segundo juízes e público-alvo, utilizando a etapa teórica do modelo de Pasquali. Os dados foram coletados entre setembro de 2011 a maio de 2012, em dois momentos: 1) aplicação e validação da TE por quarenta estudantes do 4º período do Curso de Enfermagem da Universidade Federal Fluminense (público-alvo); 2) observação e validação da TE por 8 docentes (juízes). Os questionários foram organizados em escala Likert, com itens distribuídos em blocos e analisados quantitativamente. O jogo foi validado, pois obteve mais de 80% de aprovação pelos dois grupos, podendo, portanto, ser utilizado como TE na disciplina de Fundamentos de Enfermagem. Os resultados foram positivos, demonstrando que alunos e professores se interessam mais por conteúdos ministrados quando são utilizadas tecnologias mais dinâmicas em sala de aula.

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A descrição do consumo e da oferta de psicofármacos nos Centros de Atenção Psicossocial (CAPS) é relevante para a efetividade da assistência dos serviços de saúde mental. Objetivou-se descrever o consumo e a oferta destes em CAPS dos tipos I e II na Região Sul do Brasil. Trata-se de um estudo de delineamento transversal, no qual foram pesquisados, em maio e junho de 2006, aspectos estruturais desse serviço, através dos prontuários de 1.162 usuários e de questionários respondidos por 30 coordenadores dos CAPS em que esses usuários encontram-se em acompanhamento. Identificaram-se usuários predominantemente do sexo feminino, adultos de meia-idade, de baixa condição econômica, majoritariamente com o diagnóstico de depressão maior e o consumo de antidepressivos. Constatou-se também que pode haver carência de distribuição e fornecimento de psicofármacos na rede do SUS, o que prejudica a terapia medicamentosa desse serviço especializado de saúde mental, diante das condições socioeconômicas dos usuários.

Objective: To analyze the contents the scientific production of Latin American nurses regarding on preparation and administration of medical drugs from 2005 to 2011 using Latin American and Caribbean Center Information the Health Sciences (LILACS) y Electronics Scientific Library (SciELO) databases. Methodology: The following research was an integrative review. Data collection was performed in the month of October 2012 and according to the inclusion criteria, were selected eight articles. Results: The articles were analyzed in terms of objectives, methodological path, main results and suggestions for improvement. The analysis indicates exclusive production of Brazil, descriptive studies, conducted in hospitals and general suggestions as continuing education, error reporting and implementation of a safety culture. Conclusions: Considering that aspects emphasized by the World Health Organization (OMS) to achieve safer care are: to find causes, to propose solutions and to evaluate the impact, it is concluded that production need of knowledge that effectively improve professional practice. Looking to the system, promoting researches with analytical studies will allow effective responses according to reality. [ABSTRACT FROM AUTHOR]

Objective: To determine the frequency of simultaneous prescription of β-blockers and calcium channel blockers, notify the cardiovascular risk of these patients to the health care professionals in charge of them, and achieve a reduction in the number of those who use them., Methods: Quasi-experimental, prospective study by developing an intervention on medical prescriptions of patients older than 65 years treated between January 1 and July 30, 2014, affiliated to the Health System in 101 cities in Colombia. A total of 43,180 patients received a β-blocker each month, and 14,560 receiving a calcium channel blocker were identified. Educational interventions were performed and an evaluation was made, using sociodemographic and pharmacological variables, on the number of patients that stopped taking any of the two drugs in the following three months., Results: A total of 535 patients, with a mean age 75.8±6.7 years received concomitant β-blockers plus calcium channel blockers. Modification of therapy was achieved in 235 patients (43.9% of users) after 66 educational interventions. In 209 cases (88.9%) one of the two drugs was suspended, and 11.1% changed to other antihypertensive drugs. The variable of being more than 85 years old (OR: 1.93; 95% CI: 1.07-3.50), and receiving concomitant medication with inhibitors of the renin-angiotensin system (OR: 2.16; 95% CI: 1.28-3.65) were associated with increased risk of their doctor changing or stopping the prescription., Conclusions: An improved adherence to recommendations for appropriate use of β-blockers and calcium channel blockers by health service providers was achieved. Intervention programs that reduce potentially inappropriate prescriptions for patients treated for cardiovascular disease should be used more frequently., (Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.)