Acompanhamento farmacêutico com foco na adesão ao tratamento: um estudo piloto

Abstract

Objectives: To determine factors that interfere with pharmacotherapeutic adherence and identify difficulties in implementing pharmaceutical care. Methodology: This is a prospective, longitudinal study. The implementation of pharmacotherapeutic monitoring was based on the Dáder methodology. The study was carried out in a Basic Health Unit, in the city of Barra do Garças - MT, and 10 adult patients of both sexes participated in the research. The target audience included patients with chronic diseases such as diabetes and high blood pressure. Results: 18 Negative Medication Results (NMR) were found, classified according to the Dáder methodology, 40% of which were related to need (untreated health problems) and quantitative effectiveness (quantitative medication ineffectiveness). A total of 30% of MRIs were related to effectiveness (non-quantitative medication ineffectiveness), need (non-necessary drug effect) and safety (quantitative insecurity), while 5% of MRIs were related to (non-quantitative insecurity. In addition, 19 educational interventions were carried out regarding the correct use of medication, guidelines for food, interventions aimed at reducing low pharmacotherapeutic adherence, and finally, the importance of the rational use of medicines was addressed. Conclusion: Socioeconomic factors, the presence of polypharmacy, and low level of education are conditions that are directly related to non-adherence to pharmacotherapeutic treatment. Therefore, it is worth mentioning that the educational interventions carried out during the study were essential for clarifying and a better understanding of patients about the pharmacotherapeutic treatment.