Pharmacotherapy of patients in substitutive renal therapy: an adherence approach

Authors

  • CRISTINA SANCHES GIRAUD
  • NATHÁLIA VITAL GUILARDUCCI
  • KEILA BATISTA ALVES
  • THIAGO DOS REIS SANTOS
  • ANDRÉ DE OLIVEIRA BALDONI

Keywords:

perfil farmacoterapêutico; adesão medicamentosa; insuficiência renal crônica.

Abstract

To  evaluate  the  pharmacotherapeutic  profile  and  adherence  in  patients  with  chronic  renal  failure   undergoing dialysis from a large hospital in the Midwest of Minas Gerais, Brazil. This is a cross-sectional study  carried  out  in  a  philanthropic  hospital  during  the  dialitic  session.  The  Morisky  Medication  Adherence Scale - 4 items (MMAS-4) and Brief Medication Questionnaire (BMQ) were used to analyze the patient adherence additionally the presence of polypharmacy and the therapeutic complexity index were  assessed.  219  patients  were  include,  characterized  by  predominantly  male,  white,  married  and  mean age of 56.5 years old (SD:13.2). The main classes of medications in use were antihypertensive and phosphorus binders and 66% of participants presented polypharmacy and therapeutic complexity was considered high. Neither polypharmacy or adherence are influenced by social factors (gender, ethnicity, retirement or health care insurance). Adherence profile by MMAS-4 corresponded to high adherence in 50.5% while by the BMQ corresponded to likely poor adherence in 80.6%. Both tests agreed concerning low adherence profile). The pharmacotherapy of patients with chronic renal failure undergoing dialysis is complex and adherence may variety according to the test used.

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Published

2019-03-11

How to Cite

1.
GIRAUD CS, GUILARDUCCI NV, ALVES KB, SANTOS TDR, BALDONI ADO. Pharmacotherapy of patients in substitutive renal therapy: an adherence approach. Rev Bras Farm Hosp Serv Saude [Internet]. 2019Mar.11 [cited 2022Sep.30];7(3). Available from: https://rbfhss.org.br/sbrafh/article/view/260

Issue

Section

ARTIGOS PUBLICADOS

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