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Authors
Abstract(s)
Introdução: As patologias agudas, crónicas e a farmacoterapia são elementos significativos
na vida dos residentes em Estruturas Residenciais para Pessoas Idosas (ERPI’s). Estas
condições de saúde são prevalentes nesta população e requerem uma abordagem
abrangente de tratamento e cuidados, envolvendo, muitas vezes, o uso de medicamentos. A
farmacoterapia desempenha um papel crucial no controlo e gestão destas patologias,
visando melhorar a qualidade de vida dos idosos. No entanto, desafios como a
polimedicação e as interações medicamentosas precisam de ser considerados. É necessário,
por isso, compreender melhor as patologias agudas, crónicas e a farmacoterapia em idosos
institucionalizados, visando aprimorar o cuidado e a qualidade de vida desta população. A
população do interior do país, por ser uma população muito envelhecida e também
acometida pela multimorbilidade e pela polimedicação necessita de uma especial atenção.
Materiais e métodos: Trata-se de um estudo observacional descritivo desenvolvido nas
ERPIs do concelho do Sabugal (n=21), no qual participaram 350 idosos, selecionados de
forma aleatória. Foi realizada a caracterização sociodemográfica e clínica, a aplicação de
escalas de avaliação geriátrica e a realização de exame objetivo sumário. Os resultados
obtidos foram analisados quantitativamente com recurso a software estatístico adequado
(SPSS).
Resultados: A população deste estudo era composta maioritariamente por mulheres e a
média de idades era de 87,08 anos. Os participantes apresentavam em média 4,6 patologias
(DP=2,489) e os principais sistemas de órgãos afetados eram o cardiovascular, o endócrino
e o nervoso. Em média tomavam 9 fármacos por dia (DP=3,557) e 85,71% apresentavam-se
em processo de polimedicação. Dos idosos estudados 57,70% (n=162) apresentavam
pontuação compatível com défice cognitivo. O número de fármacos tomados revelou estar
relacionado com o MMSE (p=0,030), bem como com o número de idas ao SU no último ano
(p=0,003). O resultado do MMSE revelou ser influenciado tanto pela existência de
patologia no sistema cardiovascular (p=0,046) como no sistema nervoso (p=0,010). A
existência de patologia no sistema endócrino demonstrou influenciar o número de idas ao
SU (p=0,049). A existência de patologia no sistema nervoso revelou-se associada à
mobilidade (p=0,034).
Conclusão: Os resultados alertam para que seja dada uma maior atenção às condições
de saúde dos idosos institucionalizados, bem como ao seu tratamento. Recomenda-se, assim uma avaliação e gestão interdisciplinar, monitorização regular e ajustes de
medicamentos, bem como a formação contínua dos profissionais que trabalham nas ERPIs.
Introduction: Acute and chronic pathologies, along with pharmacotherapy, are significant elements in the lives of residents in Long-Term Care Facilities (LTCF). These health conditions are prevalent in this population and require a comprehensive approach to treatment and care, often involving medication use. Pharmacotherapy plays a crucial role in controlling and managing these pathologies, aiming to improve the quality of life of the elderly. However, challenges such as polypharmacy and drug interactions need to be considered. Therefore, a better understanding of acute and chronic pathologies and pharmacotherapy in institutionalized elderly individuals is necessary to enhance care and quality of life for this population. The population of the interior of the country, being a very aged population and affected by multimorbidity and polypharmacy, requires special attention. Methods: This is a descriptive observational study conducted in the LTCF of the Sabugal municipality (n=21), with the participation of 350 elderly individuals randomly selected. Sociodemographic and clinical characterization, application of geriatric assessment scales and summary objective examination were carried out. The obtained results were quantitatively analyzed using appropriate statistical software (SPSS). Results: The population of this study was predominantly composed of women, with an average age of 87,08 years. Participants presented an average of 4.6 pathologies (SD=2.489), with the cardiovascular, endocrine, and nervous systems being the main affected organ systems. On average, they took 9 medications per day (SD=3.557), with 85.71% being in a state of polypharmacy. Of the elderly studied, 57,70% (n=162) had a cognitive deficit-compatible score. The number of medications taken was found to be related to MMSE (p=0.030) as well as the number of visits to the Emergency Department in the last year (p=0.003). MMSE result was influenced by the presence of pathology in the cardiovascular system (p=0.046) as well as in the nervous system (p=0.010). The presence of pathology in the endocrine system was shown to influence the number of visits to the Emergency Department (p=0.049). The presence of pathology in the nervous system was associated with mobility (p=0.034). Conclusion: The results highlight the need for greater attention to the health conditions of institutionalized elderly individuals, as well as their treatment. Therefore, interdisciplinary assessment and management, regular monitoring, medication adjustments, and continuous training of professionals working in LTCF are recommended.
Introduction: Acute and chronic pathologies, along with pharmacotherapy, are significant elements in the lives of residents in Long-Term Care Facilities (LTCF). These health conditions are prevalent in this population and require a comprehensive approach to treatment and care, often involving medication use. Pharmacotherapy plays a crucial role in controlling and managing these pathologies, aiming to improve the quality of life of the elderly. However, challenges such as polypharmacy and drug interactions need to be considered. Therefore, a better understanding of acute and chronic pathologies and pharmacotherapy in institutionalized elderly individuals is necessary to enhance care and quality of life for this population. The population of the interior of the country, being a very aged population and affected by multimorbidity and polypharmacy, requires special attention. Methods: This is a descriptive observational study conducted in the LTCF of the Sabugal municipality (n=21), with the participation of 350 elderly individuals randomly selected. Sociodemographic and clinical characterization, application of geriatric assessment scales and summary objective examination were carried out. The obtained results were quantitatively analyzed using appropriate statistical software (SPSS). Results: The population of this study was predominantly composed of women, with an average age of 87,08 years. Participants presented an average of 4.6 pathologies (SD=2.489), with the cardiovascular, endocrine, and nervous systems being the main affected organ systems. On average, they took 9 medications per day (SD=3.557), with 85.71% being in a state of polypharmacy. Of the elderly studied, 57,70% (n=162) had a cognitive deficit-compatible score. The number of medications taken was found to be related to MMSE (p=0.030) as well as the number of visits to the Emergency Department in the last year (p=0.003). MMSE result was influenced by the presence of pathology in the cardiovascular system (p=0.046) as well as in the nervous system (p=0.010). The presence of pathology in the endocrine system was shown to influence the number of visits to the Emergency Department (p=0.049). The presence of pathology in the nervous system was associated with mobility (p=0.034). Conclusion: The results highlight the need for greater attention to the health conditions of institutionalized elderly individuals, as well as their treatment. Therefore, interdisciplinary assessment and management, regular monitoring, medication adjustments, and continuous training of professionals working in LTCF are recommended.
Description
Keywords
Adulto Idoso Erpi Farmacoterapia Institucionalização Patologias Polimedicação