Uso racional de medicamentos entre indivíduos com diabetes mellitus e hipertensão arterial no município do Rio de Janeiro, Brasil / Rational use of medicines by individuals with diabetes mellitus and arterial hypertension in the municipality of Rio de Janeiro, Brazil

Este estudo tem como objetivo o uso racional de medicamentos (URM) entre indivíduos com Hipertensão Arterial (HA) e/ou Diabetes Mellitus (DM) atendidos em unidades básicas de saúde no município do Rio de Janeiro. Trata-se de estudo transversal utilizando os dados de inquérito domiciliar realizado de janeiro a fevereiro de 2010. Foram elaborados indicadores para mensurar a taxa de adesão ao tratamento, automedicação e cuidados domiciliares relacionados aos medicamentos. O tratamento dos dados incluiu análise uni e multivariada. Dos 547 pacientes entrevistados, 77,5% relataram não costumar deixar sobrar medicamentos e 80,3% relataram não costumar esquecer de tomá-los. Quase a totalidade dos entrevistados relataram apenas tomar medicamentos prescritos por prescritores. Metade dos pacientes não tinham medicamentos com validade vencida ou embalagem danificada no domicílio. Os testes estatísticos mostraram que houve maior uso racional entre hipertensos, indivíduos casados, que trabalham, que referem receber orientações de seu médico sobre dieta e exercício físico e que não faltaram a consultas na unidade básica de saúde nos 6 meses anteriores à pesquisa. O achados reforçam a importância da atenção primária em saúde para a promoção do URM.

This study focuses on the rational use of medicines (RUM) by hypertensive and/or diabetic patients treated in primary health care units in the city of Rio de Janeiro. It involves a cross-sectional study conducted between January and February 2010. Indicators were created considering the following aspects: adherence to prescribed medicine, self-medication and how patients store medicines within their households. Univariate and multivariate data analysis was performed. Of the 547 patients studied, 77.5% reported that they usually take the entire course of medicines and 80.3% reported that they tend not to forget to take them. Almost all respondents reported that they only take medications prescribed by authorized health professionals. Half of the patients had no expired medicines or damaged medicine packages in the home. Statistical tests revealed that RUM is higher among hypertensive individuals who are married and working, who mention receiving medical guidance about diet and physical exercise, and who have not missed any scheduled medical appointments at the primary health care unit within the 6 months before this research was conducted. The findings emphasize the importance of primary health care in promoting the rational use of medicines.

Observation the short term therapeutic effects in treating UAP with drugs and interventional method / 中国介入心脏病学杂志

Objective To inspect the therapeutic effect and prognosis of treating Unstabled Angina Pectoris (UAP) with drugs and interventional methods.Methods 40 patients were treated randomly with PTCA and stenting or traditional drugs: Beta blockers, Calcium resistants, Ester nitrates, Asprin, Heparin and so on.Compared degrees of angin pectoris, cases of AMI, mortality arising from heart disease or no heart disease before and 8 months after the treatment. Results Happening of AMI and mortality in interventional group were less than those of drugs group. Distinctly improving rate of clinical effect of the former was much more than that of the later.Conclusion In short term interventional treatment (PTCA and stenting) were piror to drugs in therapeutic effects and improving prognosis.