RESUMO
Current evidence shows that the prevalence of self-medication in healthcare professionals and their students is troublingly high despite them knowing the risks involved. There is limited research on self-medication in dermatology, and there are even fewer studies on this practice among nurses and nursing students, despite the potential mucocutaneous health problems that may affect them. The aims of our study were to examine the prevalence of self-medication mainly in the field of dermatology among nurses and nursing students as well as to explore if age or years of professional/academic practice influenced such behaviour. This multicentre cross-sectional study was conducted in 2021. In total, 120 nurses from the University Hospital of Pontevedra and 303 nursing students from the Universities of Vigo and Santiago de Compostela (N-W Spain) participated in this study (n = 423). An ad hoc questionnaire was used to evaluate self-medication decision-making. Self-medication for dermatological diseases was reported by 58.39% (n = 247) of participants. Among our respondents, 44.44% of nurses and 42.68% of students would recommend treatment for skin diseases to a third party. We found a higher prevalence of medication without prescription in nurses than in students (p < 0.001). More experience (p = 0.01) and older age (p < 0.001) were associated with more self-medication in the case of nurses and students, respectively. The prevalence of self-medication and treatment recommendation to a third party are cause for concern. Identifying these situations and associated factors may help to implement evidence-based strategies and education.
RESUMO
Se realizó un estudio de serie de casos, en el Servicio de Urgencias del Hospital Lenin, en pacientes afectos con fibrilación atrial. El universo estuvo constituido por 256 casos, de ellos fueron seleccionados 80 pacientes controlados en observaciones, teniendo como objetivo profundizar en el comportamiento de algunas variables clínicas, epidemiológicas y terapéuticas. Los principales resultados fueron: el patrón clínico más frecuente fue el permanente, después de los 60 años; las principales causas fueron la cardiopatía isquémica, las neumonías y la diabetes mellitus; hubo asociación entre los factores de riesgo y las formas de reciente diagnóstico y persistente; la variedad de reciente diagnóstico tiene mayores posibilidades de desarrollar un ictus y no se cumplen los objetivos de tratamiento según las guías clínicas cubanas. Se concluyó entonces que tiene un comportamiento heterogéneo y que existen dificultades en la prevención, diagnóstico, tratamiento y seguimiento de la misma. Recomendamos insistir en la aplicación de protocolos de actuación(AU)
