Programa de Pós-Graduação em Assistência Farmacêutica - PPGAF/ICS

URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/15126

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Agora exibindo 1 - 4 de 4

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Acompanhamento farmacoterapêutico de pacientes pediátricos submetidos à sedoanalgesia em um hospital de alta complexidade em Belém-Pa
(Universidade Federal do Pará, 2022-12-06) ELMESCANY, Sâmella Benoliel; RIBEIRO, Carolina Heitmann Mares Azevedo; http://lattes.cnpq.br/3848996822163999; https://orcid.org/0000-0002-9457-2733; FONTES JÚNIOR, Enéas de Andrade; http://lattes.cnpq.br/7056265073849866; https://orcid.org/0000-0002-6186-9581
Introduction: The Intensive Care Unit (ICU) is a hospitalization unit for critically ill patients, whomostly use sedatives and analgesics. Seeking tominimize undesirable events, clinical follow-up of patients, especially pediatric patients, is necessary. Objective: To propose an instrument for pharmacotherapeutic monitoring of patients undergoing sedoanalgesia in the pediatric ICU. Method: Retrospective study, with data collected from medical records of patients aged 0 to 14 years, admitted to the pediatric ICU during the study period, who used sedoanalgesics. Results and discussion: In 326 prescriptions in the 90-day period involving 96 children, the age group of07-09 years predominated, with 49.2% underweight and predominantly male. Among the drugs prescribed were antimicrobials, sedoanalgesics, antipyretics and proton pump inhibitors. The average length of hospital stay was 18.5 days and approximately 32.7% of the patients had Withdrawal Syndrome (AS), corroborating the literature, where it is postulated that the longer thetime of use of these drugs, the greater the risk of SA. In 25% of the patients, 42.5% used antidotesother than those recommended by the Pediatrics and Pediatric & Neonatal Dosage Handbook. Asa product, a Manual for the Use of Sedoanalgesics was prepared to guide the multidisciplinary team in the care of patients during therapy. Conclusion: The data from this research indicated anunderweight public, the occurrence of medication errors and withdrawal syndrome, among otherfactors that reinforce the need for the elaboration of an institutionalized protocol for the administration of sedoanalgesics, aiming to guarantee patient safety, prevent the occurrence of adverse events related to its use and direct the multidisciplinary team on the care to be adopted.
Acesso aberto (Open Access)
Análise da adesão medicamentosa de pacientes hansenianos em uma Unidade Básica de Saúde
(Universidade Federal do Pará, 2023-06-16) PINHEIRO, Alcivaldo Mendes; MELLO, Amanda Gabryelle Nunes Cardoso; http://lattes.cnpq.br/8951750304102610; https://orcid.org/0000-0001-7661-1615
Introduction: Leprosy is a chronic transmissible infectious disease that still persists as a public health problem in Brazil. However, through the analysis of polychemotherapy medication adherence, a better quality of life is sought for diagnosed leprosy patients, with the pharmacist playing an important role in promoting early diagnosis and rational use of medication. Objective: To analyze the therapeutic adherence of patients undergoing treatment for leprosy treated at a basic health unit in Belém. Methodology: It is a prospective observational study to characterize the sociodemographic profile of patients undergoing polychemotherapy drug treatment at the Basic Health Unit located in the Guamá neighborhood, in Belém do Pará. Results: The study had the participation of 75 patients, 60 were undergoing treatment and 15 had already been discharged, in which the latter were consulted only to assess the dermatological quality of life. For the demographic and economic survey of patients, those who did not have confirmed diagnoses or had not started treatment were excluded. Final considerations: The predominant age group was between 50 and 59 years old, approximately (11.25%), male (41.25%), self-declared black patients (18.75%), married (21, 0%), high school (15.75%) and who had a formal contract with an income of up to one minimum wage (11.25%). Most patients adhered positively to the treatment, and at the end of the research a Therapeutic Adherence Manual was prepared for the follow-up of patients with leprosy, aiming at updating pharmaceutical practices with an exclusive focus on the care of patients with leprosy.
Acesso aberto (Open Access)
Proposta de intervenção para sensibilização dos gestores municipais quanto à implementação do serviço de acupuntura na saúde mental do municípo Castanhal, Pará
(Universidade Federal do Pará, 2023-05-10) SILVA, Jessé Jerônimo Fernandes e; SILVA, Marcos Valério Santos da; http://lattes.cnpq.br/0379783635000306; https://orcid.org/0000-0002-7824-0042; COSTA, Russany Silva da; http://lattes.cnpq.br/0435018266499256; https://orcid.org/0000-0002-2705-1591
Introduction: Depression encompasses biopsychosocial imbalances and is potentiated by stressful events. The progression of this, restricting quality of life through the exacerbation of negative symptoms and escape and avoidance behavior. Among the treatment approaches, acupuncture has proven effective for therapeutic success Objective: Application of the acupuncture technique in patients with depression disorder as an intervention proposal to sensitize municipal managers regarding the implementation of the mental health service in the municipality of Castanhal, Pará. Method: This was a quasi-experimental study with a quanti-qualitative approach, without a control group, with 17 participants. The data collection used a sociodemographic questionnaire, acupuncture form, Hamilton Scale, SF-12 Quality of Life questionnaire and field diary, the latter categorized into three domains, "quality of sleep", "quality of life" and "anxiety". Nine sessions were performed with a maximum use of 20 needles in each session. The data obtained were analyzed by descriptive statistics with the aid of SPSS software, using the chi-square test and the Student's t-test. Results: The majority of participants were female, in the age range 31 to 40 years, married, high school education, no fixed income, practice evangelism, perform household labor activities, have no children, smoker, sedentary, with unstable relationship in childhood and sexual abuse. The results showed improvement in the signs and symptoms associated with depression with a reduction in the Hamilton score from 19.3 ± 3.77 to 13.13 ± 2.43, student's t=5.6830, p=0.001, besides the improvement in the perception of general health status from the SF-12 from 4.06 ± 1.09 to 1.86 ± 0.83, p=0.001. Conclusion: The intervention with systemic acupuncture showed effective results in patients with depression, besides reducing complaints of anxiety crisis, improvement in sleep quality and concentration of the participants.
Acesso aberto (Open Access)
Segurança no uso de medicamentos: ações de melhoria em um hospital em Belém, Pará, Amazônia
(Universidade Federal do Pará, 2022-11-29) OLIVEIRA, Thais Castro; SANTOS, Valéria Regina Cavalcante dos; http://lattes.cnpq.br/0213999310674716; https://orcid.org/0000-0002-1264-8125
Introduction: Health services, especially hospital institutions, are complex systems that involve several risks, which can be exemplified by drug therapy. Investigation and knowledge of the factors that determine the occurrence of medication errors allow for actions that strengthen safety in the medication chain and the patient. Objective: Implement actions to improve safety, prescription, administration and quality use of medicines in a hospital in Belém, Pará, Amazon. Method: The study took place in a philanthropic hospital, located in the city of Belém, Pará. A quantitative study was carried out in the action-research modality, data collection took place from December to January 2022, a semi-structured form was applied to assess patient safety in dispensing, preparation and administration. Results and discussion: 43 collaborators participated in this study, the analysis of the responses to the workers' behavior allowed us to identify that the professionals reported unsatisfactory performance of 4 actions (event notification; multidose recording; recording of temperature and medication by verbal order). From the weaknesses found, strategies were presented to minimize these occurrences, they are: elaboration of the safety protocol, use and administration of medications, standard operating procedure for high-alert medication and protocol for the use of multi-dose medications. Conclusion: It was identified that despite the knowledge of the risks and the need to guarantee patient safety through protocols for health services, it was noticed the need to implement basic and fundamental actions through institutional standards and routines, in accordance with with the local reality. Actions, when systematized, become possible applications in the safety of medication use and contribute to reducing potential risks and promoting safety and quality in the health work process.

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