Estudo de utilização de medicamentos no ambulatório de saúde mental de uma unidade básica de saúde do município de Aracaju

Abstract

In the treatment of the mental disorders (MD), 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 determine the psychoactive medicinal product utilization profile, as well as to evaluate the adhesion degree to the medical treatment in patients attended in an Ambulatory of Mental Health in Aracaju s Municipal district SE. For that, it was accomplished an exploratory, descriptive observational study with transversal delineation, within the period from August 2011 to November 2011 and conceived in two distinct stages medical records and interviews analysis. In the study first stage were evaluated medical records of 244 patient, of which 69.67% belonged to the feminine gender; 79.10% owned age superior to 35 years (average = 47,4 }13,8 years), and 36.64% of the patients used antidepressant; 27.22% anticonvulsants; 26.30% antipsychotics and 10.40% anxiolytics. In the second research stage, 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 MD. 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. However, when the analyzed variable was the adhesion, the results revealed that 49,3 % of the investigated patients did not adhere to the 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 By the case it is an unpublished study in the outpatient attention context in Mental Health in the State, it expects that the results contribute for the evaluation and planning actions in the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 pharmacons.