Caracterização do acompanhamento profissional de utilizadores de ansiolíticos e antidepressivos
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2024
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Com a crescente prevalência dos índices de depressão e ansiedade no mundo, que acompanham proporcionalmente, o aumento constante do consumo de antidepressivos e ansiolíticos, torna-se cada vez mais necessário abordar estes dois transtornos mentais, como um problema de saúde publica, uma vez que estas doenças, condicionam negativamente os indivíduos que sofrem com estas patologias. Portugal apresenta valores consideráveis, relativamente à carga de doenças mentais e ao seu impacto, na sociedade, face à Europa. Por esta razões, é então necessário, compreender que fatores estão associados à gestão da saúde mental dos doentes que sofrem destes dois tipos de transtornos psiquiátricos, e que lacunas podem ser preenchidas, relativamente ao acesso a cuidados especializados em saúde mental. Para um melhor entendimento do papel que o farmacêutico comunitário, na gestão da saúde mental, no acompanhamento e o aconselhamento farmacoterapêutico, feito a utentes consumidores de medicação ansiolítica e antidepressiva e o possível envolvimento de outros profissionais de saúde, na gestão da saúde mental destes utentes, procedemos à implementação de estudo observacional ao longo de 3 meses, em farmácia comunitária, localizada em Agualva Cacém, para que pudéssemos responder às questões de investigação. Foram estabelecidos critérios de inclusão específicos, e foi definido um número para a dimensão da amostra em estudo. O tratamento de dados, foi efetuado com o recurso as seguintes plataformas: Google Forms, e Software Jamovi versão 2.3.28 e MS Excel. Relativamente aos resultados obtidos, foram realizados 80 inquéritos. 77,5% da amostra pertencia ao sexo feminino e a maioria dos participantes, tinha mais de 65 anos. Cerca de 40% dos participantes, não tem médico de família e 56,3% não tem acompanhamento especializado, feito por um psiquiatra/psicólogo. Uma grande parte dos participantes realçou a falta de auxílio do farmacêutico, fazendo ainda referência ao facto do farmacêutico preocupar-se somente com a dispensa da medicação em causa. Relativamente ao recurso a medicinas alternativas, embora cerca de 90% dos participantes não tenha profissionais qualificados em medicinas alternativas envolvidas na gestão da sua saúde mental, dos que têm, a acupuntura e o reiki, são medicinas alternativas mais praticadas pelos participantes. Em suma, com este tipo de estudos observacionais na comunidade, é possível destacar, especificamente que problemas devem ser contornados, para que sejam concretizados mais projetos, com uma maior frequência e uma maior taxa de sucesso, tanto para os utentes, como para os farmacêuticos, para alem de acrescentar imenso valor, ao papel do farmacêutico na comunidade. Palavras - Chave Ansiolíticos; antidepressivos; farmácia comunitária; cuidados especializados; gestão de saúde mental
With the growing prevalence of depression and anxiety in the world, which proportionally accompanies the constant increase in the consumption of antidepressants and anxiolytics, it is becoming increasingly necessary to address these two mental disorders as a public health problem, since these illnesses negatively affect the individuals who suffer from them. Portugal has considerable figures in relation to the burden of mental illness and its impact on society, compared to Europe. For this reason, it is therefore necessary to understand what factors are associated with the mental health management of patients suffering from these two types of psychiatric disorders, and what gaps can be filled regarding access to specialized mental health care. In order to gain a better understanding of the role of the community pharmacist in mental health management, in the monitoring and pharmacotherapeutic counseling of users of anxiolytic and antidepressant medication and the possible involvement of other health professionals in the mental health management of these users, we carried out an observational study over three months in a community pharmacy located in Agualva-Cacém, so that we could answer the research questions. Specific inclusion criteria were established and a number was set for the size of the study sample. The data was processed using the following platforms: Google Forms, Jamovi software version 2.3.28 and MS Excel. Regarding the results obtained, 80 surveys were carried out. 77.5% of the sample was female and most of the participants were over 65. Around 40% of the participants did not have a family doctor and 56.3% did not have specialized follow-up by a psychiatrist/psychologist. A large proportion of the participants highlighted the lack of help from the pharmacist and also referred to the fact that the pharmacist was only concerned with dispensing the medication in question. Regarding the use of alternative medicines, although around 90% of the participants do not have professionals qualified in alternative medicines involved in the management of their mental health, of those who do, acupuncture and reiki are the alternative medicines most practiced by the participants. In short, with this type of observational study in the community, it is possible to highlight specifically which problems need to be overcome, so that more projects can be carried out, with greater frequency and a higher success rate, both for users and for pharmacists, as well as adding immense value to the role of the pharmacist in the community. Key words Anxiolytics; antidepressants; community pharmacy; specialized care; mental health management
With the growing prevalence of depression and anxiety in the world, which proportionally accompanies the constant increase in the consumption of antidepressants and anxiolytics, it is becoming increasingly necessary to address these two mental disorders as a public health problem, since these illnesses negatively affect the individuals who suffer from them. Portugal has considerable figures in relation to the burden of mental illness and its impact on society, compared to Europe. For this reason, it is therefore necessary to understand what factors are associated with the mental health management of patients suffering from these two types of psychiatric disorders, and what gaps can be filled regarding access to specialized mental health care. In order to gain a better understanding of the role of the community pharmacist in mental health management, in the monitoring and pharmacotherapeutic counseling of users of anxiolytic and antidepressant medication and the possible involvement of other health professionals in the mental health management of these users, we carried out an observational study over three months in a community pharmacy located in Agualva-Cacém, so that we could answer the research questions. Specific inclusion criteria were established and a number was set for the size of the study sample. The data was processed using the following platforms: Google Forms, Jamovi software version 2.3.28 and MS Excel. Regarding the results obtained, 80 surveys were carried out. 77.5% of the sample was female and most of the participants were over 65. Around 40% of the participants did not have a family doctor and 56.3% did not have specialized follow-up by a psychiatrist/psychologist. A large proportion of the participants highlighted the lack of help from the pharmacist and also referred to the fact that the pharmacist was only concerned with dispensing the medication in question. Regarding the use of alternative medicines, although around 90% of the participants do not have professionals qualified in alternative medicines involved in the management of their mental health, of those who do, acupuncture and reiki are the alternative medicines most practiced by the participants. In short, with this type of observational study in the community, it is possible to highlight specifically which problems need to be overcome, so that more projects can be carried out, with greater frequency and a higher success rate, both for users and for pharmacists, as well as adding immense value to the role of the pharmacist in the community. Key words Anxiolytics; antidepressants; community pharmacy; specialized care; mental health management
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PHARMACEUTICAL SCIENCES, ANXIOLYTICS, ANTIDEPRESSANTS, COMMUNITY PHARMACIES, MENTAL HEALTH, PUBLIC HEALTH, PHARMACISTS, MESTRADO INTEGRADO EM CIÊNCIAS FARMACÊUTICAS, CIÊNCIAS FARMACÊUTICAS, ANSIOLÍTICOS, ANTIDEPRESSIVOS, FARMÁCIAS COMUNITÁRIAS, SAÚDE MENTAL, SAÚDE PÚBLICA, FARMACÊUTICOS, Mestrado Integrado em Ciências Farmacêuticas