Related Factors to the Use of Psychotropic Medicines in Primary Health Care Units

2.50
Hdl Handle:
http://hdl.handle.net/10755/602540
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Related Factors to the Use of Psychotropic Medicines in Primary Health Care Units
Author(s):
Miasso, Adriana Inocenti; Miguel, Tatiana Longo Borges; Hegadoren, Kathleen Mary; Miguel, Tatiana Longo Borges; Hegadoren, Kathleen Mary
Lead Author STTI Affiliation:
Rho Upsilon
Author Details:
Adriana Inocenti Miasso, PhD, amiasso@hotmail.com; Tatiana Longo Borges Miguel, RN; Kathleen Mary Hegadoren
Abstract:
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Purpose: Not always psychotropic drugs are used for specific mental disorders. Sometimes the doctor who prescribed the psychotropic can not point accurately the reason for its utilization. There is a gap in the literature to investigate in primary health care the factors related to the psychotropic drugs consumption; and, if people using psychotropic medicines without a defined psychiatric diagnosis are positive to Mental Common Disorders.This study aims to identify psychotropic medicines use in patient visiting the units; and, its association with: the presence of Mental Common Disorders, socio-demographic profile, use of other pharmacotherapy and presence of clinical comorbidities.   Methods: This study was performed with a quantitative approach, cross-sectional and descriptive correlational character. A stratified sample of 430 patients was interviewed in five primary health care units at Ribeirao Preto city, Brazil. Data collection included questionnaires with socio-demographic information, medication history and the SRQ-20 ( Self-Reporting Questionnaire - to assess Mental Common Disorders). The health records were also examined. To assess those associations was used chi-square test, with accepted association when p is less than or equal to 0.05; and, logistic regression models.   Results: The prevalence of psychotropics use was 25,8% (N=111). The most prevalent prescribed psychotropic were antidepressants (73% - N=81). Chi-square test indicated association between psychotropics use and SRQ-20 result (the prevalence of CMD:41,4% - N=178), other medicines use, number of prescribed medicines, number of pills prescribed per day, clinical comorbidities, age and education. However, according to multivariate analysis the predictor factors were: Mental Common Disorders (OR=3,9; IC95% 2,36-6,55), clinical comorbidities (OR=5,4, IC95% 2,84-10,2) and lower level of education (OR=1,7; IC95% 1,02-2,92). This study is the first in Brazil to have contemplated the question of the presence of CMD and use of psychotropic medication at Basic Health Units.     Conclusion: Considering the association between use of psychotropic medicines and socio-demographic factors, the results highlight the need for an assessment focused on psychosocial aspects so that patients would have their symptoms seen by health professionals and be attended in their needs.
Keywords:
Mental Disorders; Primary Health Care; Psychotropic Drugs
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15CL2.56
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleRelated Factors to the Use of Psychotropic Medicines in Primary Health Care Unitsen
dc.contributor.authorMiasso, Adriana Inocentien
dc.contributor.authorMiguel, Tatiana Longo Borgesen
dc.contributor.authorHegadoren, Kathleen Maryen
dc.contributor.authorMiguel, Tatiana Longo Borgesen
dc.contributor.authorHegadoren, Kathleen Maryen
dc.contributor.departmentRho Upsilonen
dc.author.detailsAdriana Inocenti Miasso, PhD, amiasso@hotmail.com; Tatiana Longo Borges Miguel, RN; Kathleen Mary Hegadorenen
dc.identifier.urihttp://hdl.handle.net/10755/602540en
dc.description.abstractSession presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Purpose: Not always psychotropic drugs are used for specific mental disorders. Sometimes the doctor who prescribed the psychotropic can not point accurately the reason for its utilization. There is a gap in the literature to investigate in primary health care the factors related to the psychotropic drugs consumption; and, if people using psychotropic medicines without a defined psychiatric diagnosis are positive to Mental Common Disorders.This study aims to identify psychotropic medicines use in patient visiting the units; and, its association with: the presence of Mental Common Disorders, socio-demographic profile, use of other pharmacotherapy and presence of clinical comorbidities.   Methods: This study was performed with a quantitative approach, cross-sectional and descriptive correlational character. A stratified sample of 430 patients was interviewed in five primary health care units at Ribeirao Preto city, Brazil. Data collection included questionnaires with socio-demographic information, medication history and the SRQ-20 ( Self-Reporting Questionnaire - to assess Mental Common Disorders). The health records were also examined. To assess those associations was used chi-square test, with accepted association when p is less than or equal to 0.05; and, logistic regression models.   Results: The prevalence of psychotropics use was 25,8% (N=111). The most prevalent prescribed psychotropic were antidepressants (73% - N=81). Chi-square test indicated association between psychotropics use and SRQ-20 result (the prevalence of CMD:41,4% - N=178), other medicines use, number of prescribed medicines, number of pills prescribed per day, clinical comorbidities, age and education. However, according to multivariate analysis the predictor factors were: Mental Common Disorders (OR=3,9; IC95% 2,36-6,55), clinical comorbidities (OR=5,4, IC95% 2,84-10,2) and lower level of education (OR=1,7; IC95% 1,02-2,92). This study is the first in Brazil to have contemplated the question of the presence of CMD and use of psychotropic medication at Basic Health Units.     Conclusion: Considering the association between use of psychotropic medicines and socio-demographic factors, the results highlight the need for an assessment focused on psychosocial aspects so that patients would have their symptoms seen by health professionals and be attended in their needs.en
dc.subjectMental Disordersen
dc.subjectPrimary Health Careen
dc.subjectPsychotropic Drugsen
dc.date.available2016-03-21T16:31:17Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:31:17Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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