Self-medication in chronic kidney disease patients on hemodialysis

Detalhes bibliográficos
Autor(a) principal: Lemos, Lucas Brasileiro
Data de Publicação: 2020
Outros Autores: Moraes, Gabriela Silva, Lemos, Gisele da Silveira, Nery, Adriana Alves
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
DOI: 10.5020/18061230.2020.9906
Texto Completo: https://ojs.unifor.br/RBPS/article/view/9906
Resumo: Objective: To analyze self-medication in chronic kidney disease patients on hemodialysis. Methods: A quantitative descriptive cross-sectional study was conducted at a hemodialysis center in Southwestern Bahia in March 2015 using a form to collect sociodemographic, clinical and drug therapy data from 170 patients in March 2015. The sample comprised patients undergoing chronic hemodialysis treatment for over one year aged 18 years or older. Epidata 3.1 was used as a database. Descriptive analysis was performed and binary logistic regression was used to check for associations between self-medication and independent variables using the SPSS software version 21.0. Results: In all, 64.1% (109) of the participants were men and the mean age was 50.5 years (±14.9). 57% (98) of the participants earned less than one minimum wage, 20% (34) had never studied, 48.2% (82) had been on dialysis for one to five years, and 92.9% (158) had no health insurance. We confirmed self-medication of 104 drugs, particularly calcitriol (9.6%) and clonidine (6.7%). Patients with higher levels of education (OR=1.32; 95%CI=1.32-28.72) and those who use leftover drugs at home (OR=22.48; 95%CI=6.53-77.38) were more likely to self-medicate. Conclusion: The rate of self-medication in chronic kidney disease patients is low and it is associated with the use of drugs stored at home and low levels of education.
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spelling Self-medication in chronic kidney disease patients on hemodialysisAutomedicación de pacientes renales crónicos en hemodiálisisAutomedicação em pacientes renais crônicos hemodialíticosRenal DialysisPharmacoepidemiologyNonprescription DrugsDrug UtilizationOutpatientsRenal InsufficiencyChronicDiálisis RenalFarmacoepidemiologíaMedicamentos sin PrescripciónUtilización de MedicamentosPacientes AmbulatoriosInsuficiencia Renal CrónicaDiálise RenalFarmacoepidemiologiaMedicamentos Sem PrescriçãoUso de MedicamentosPacientes AmbulatoriaisInsuficiência Renal CrônicaObjective: To analyze self-medication in chronic kidney disease patients on hemodialysis. Methods: A quantitative descriptive cross-sectional study was conducted at a hemodialysis center in Southwestern Bahia in March 2015 using a form to collect sociodemographic, clinical and drug therapy data from 170 patients in March 2015. The sample comprised patients undergoing chronic hemodialysis treatment for over one year aged 18 years or older. Epidata 3.1 was used as a database. Descriptive analysis was performed and binary logistic regression was used to check for associations between self-medication and independent variables using the SPSS software version 21.0. Results: In all, 64.1% (109) of the participants were men and the mean age was 50.5 years (±14.9). 57% (98) of the participants earned less than one minimum wage, 20% (34) had never studied, 48.2% (82) had been on dialysis for one to five years, and 92.9% (158) had no health insurance. We confirmed self-medication of 104 drugs, particularly calcitriol (9.6%) and clonidine (6.7%). Patients with higher levels of education (OR=1.32; 95%CI=1.32-28.72) and those who use leftover drugs at home (OR=22.48; 95%CI=6.53-77.38) were more likely to self-medicate. Conclusion: The rate of self-medication in chronic kidney disease patients is low and it is associated with the use of drugs stored at home and low levels of education.Objetivo: Analizar el uso de medicamentos por automedicación de pacientes renales crónicos en hemodiálisis. Métodos: Estudio cuantitativo, descriptivo y transversal realizado en un centro de tratamiento de hemodiálisis de la región Sudoeste de Bahía en marzo de 2015 a través de la aplicación de un formulario con variables sociodemográficas, clínicas y de tratamiento farmacológico de 170 pacientes. La muestra ha sido de pacientes en tratamiento de hemodiálisis desde hace más de un año con edad mayor o igual a 18 años. Se utilizó el Epidata 3.1 para el banco de datos. Se realizó un análisis descriptivo y se utilizó el método de regresión logística binaria para evaluar la asociación entre la automedicación y las variables independientes con el programa SPSS, versión 21.0. Resultados: Entre los participantes, el 64,1% (109) era hombres con edad media de 50,5 años (± 14,9); el 57% (98) tenía renta de menos de un sueldo mínimo; el 20% (34) nunca ha estudiado; el 48,2% (82) realizaba la hemodiálisis desde el periodo entre uno y cinco años y el 92,9% (158) no tenía seguro de salud. Se ha contabilizado 104 medicamentos utilizados por la automedicación con énfasis para el calcitriol (9,6%) y la clonidina (6,7%). Se verificó que los pacientes con mayor escolaridad (OR=1,32; IC95%=1,32-28,72) y los que usan lo que queda de los medicamentos que tienen en casa (OR=22,48; IC95%=6,53-77,38) tienen más oportunidades para la automedicación. Conclusión: Hay baja frecuencia de automedicación en la población de renales crónicos investigados y la misma se asoció con el uso de medicamentos almacenados en casa y las personas de baja escolaridad.Objetivo: Analisar o uso de medicamentos por automedicação em pacientes renais crônicos hemodialíticos. Métodos: Estudo quantitativo, descritivo e transversal, realizado em um centro de tratamento hemodialítico, na região Sudoeste da Bahia, em março de 2015, por meio da aplicação de formulário contendo variáveis sociodemográficas, clínicas e farmacoterapêuticas de 170 pacientes. A amostra compôs-se de pacientes em tratamento hemodialítico crônico há mais de um ano, com idade maior ou igual a 18 anos. Utilizou-se o Epidata 3.1 como banco de dados. Realizou-se análise descritiva e empregou-se o método de regressão logística binária, usado para avaliar a associação entre automedicação e variáveis independentes, utilizando o programa SPSS, versão 21.0. Resultados: Dos participantes, 64,1% (109) eram homens, com idade média de 50,5 anos (± 14,9); 57% (98) possuíam renda menor que um salário mínimo; 20% (34) nunca estudaram; 48,2% (82) estavam dialisando em período de um a cinco anos e 92,9% (158) não possuíam plano de saúde. Contabilizaram-se 104 medicamentos utilizados por automedicação, com destaque para o calcitriol (9,6%) e a clonidina (6,7%). Verificou-se que pacientes com maior escolaridade (OR=1,32; IC95%=1,32-28,72) e que usam sobra de medicamentos em casa (OR=22,48; IC95%=6,53-77,38) têm mais chances de se automedicar. Conclusão: Há baixa frequência de automedicação na população de renais crônicos investigada, sendo associada ao uso de medicamentos guardados em casa e à baixa escolaridade.Universidade de Fortaleza2020-05-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/990610.5020/18061230.2020.9906Brazilian Journal in Health Promotion; Vol. 33 (2020)Revista Brasileña en Promoción de la Salud; Vol. 33 (2020)Revista Brasileira em Promoção da Saúde; v. 33 (2020)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/9906/pdfhttps://ojs.unifor.br/RBPS/article/view/9906/pdf_1Copyright (c) 2020 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessLemos, Lucas BrasileiroMoraes, Gabriela SilvaLemos, Gisele da SilveiraNery, Adriana Alves2020-12-09T14:40:29Zoai:ojs.ojs.unifor.br:article/9906Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2020-12-09T14:40:29Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Self-medication in chronic kidney disease patients on hemodialysis
Automedicación de pacientes renales crónicos en hemodiálisis
Automedicação em pacientes renais crônicos hemodialíticos
title Self-medication in chronic kidney disease patients on hemodialysis
spellingShingle Self-medication in chronic kidney disease patients on hemodialysis
Self-medication in chronic kidney disease patients on hemodialysis
Lemos, Lucas Brasileiro
Renal Dialysis
Pharmacoepidemiology
Nonprescription Drugs
Drug Utilization
Outpatients
Renal Insufficiency
Chronic
Diálisis Renal
Farmacoepidemiología
Medicamentos sin Prescripción
Utilización de Medicamentos
Pacientes Ambulatorios
Insuficiencia Renal Crónica
Diálise Renal
Farmacoepidemiologia
Medicamentos Sem Prescrição
Uso de Medicamentos
Pacientes Ambulatoriais
Insuficiência Renal Crônica
Lemos, Lucas Brasileiro
Renal Dialysis
Pharmacoepidemiology
Nonprescription Drugs
Drug Utilization
Outpatients
Renal Insufficiency
Chronic
Diálisis Renal
Farmacoepidemiología
Medicamentos sin Prescripción
Utilización de Medicamentos
Pacientes Ambulatorios
Insuficiencia Renal Crónica
Diálise Renal
Farmacoepidemiologia
Medicamentos Sem Prescrição
Uso de Medicamentos
Pacientes Ambulatoriais
Insuficiência Renal Crônica
title_short Self-medication in chronic kidney disease patients on hemodialysis
title_full Self-medication in chronic kidney disease patients on hemodialysis
title_fullStr Self-medication in chronic kidney disease patients on hemodialysis
Self-medication in chronic kidney disease patients on hemodialysis
title_full_unstemmed Self-medication in chronic kidney disease patients on hemodialysis
Self-medication in chronic kidney disease patients on hemodialysis
title_sort Self-medication in chronic kidney disease patients on hemodialysis
author Lemos, Lucas Brasileiro
author_facet Lemos, Lucas Brasileiro
Lemos, Lucas Brasileiro
Moraes, Gabriela Silva
Lemos, Gisele da Silveira
Nery, Adriana Alves
Moraes, Gabriela Silva
Lemos, Gisele da Silveira
Nery, Adriana Alves
author_role author
author2 Moraes, Gabriela Silva
Lemos, Gisele da Silveira
Nery, Adriana Alves
author2_role author
author
author
dc.contributor.author.fl_str_mv Lemos, Lucas Brasileiro
Moraes, Gabriela Silva
Lemos, Gisele da Silveira
Nery, Adriana Alves
dc.subject.por.fl_str_mv Renal Dialysis
Pharmacoepidemiology
Nonprescription Drugs
Drug Utilization
Outpatients
Renal Insufficiency
Chronic
Diálisis Renal
Farmacoepidemiología
Medicamentos sin Prescripción
Utilización de Medicamentos
Pacientes Ambulatorios
Insuficiencia Renal Crónica
Diálise Renal
Farmacoepidemiologia
Medicamentos Sem Prescrição
Uso de Medicamentos
Pacientes Ambulatoriais
Insuficiência Renal Crônica
topic Renal Dialysis
Pharmacoepidemiology
Nonprescription Drugs
Drug Utilization
Outpatients
Renal Insufficiency
Chronic
Diálisis Renal
Farmacoepidemiología
Medicamentos sin Prescripción
Utilización de Medicamentos
Pacientes Ambulatorios
Insuficiencia Renal Crónica
Diálise Renal
Farmacoepidemiologia
Medicamentos Sem Prescrição
Uso de Medicamentos
Pacientes Ambulatoriais
Insuficiência Renal Crônica
description Objective: To analyze self-medication in chronic kidney disease patients on hemodialysis. Methods: A quantitative descriptive cross-sectional study was conducted at a hemodialysis center in Southwestern Bahia in March 2015 using a form to collect sociodemographic, clinical and drug therapy data from 170 patients in March 2015. The sample comprised patients undergoing chronic hemodialysis treatment for over one year aged 18 years or older. Epidata 3.1 was used as a database. Descriptive analysis was performed and binary logistic regression was used to check for associations between self-medication and independent variables using the SPSS software version 21.0. Results: In all, 64.1% (109) of the participants were men and the mean age was 50.5 years (±14.9). 57% (98) of the participants earned less than one minimum wage, 20% (34) had never studied, 48.2% (82) had been on dialysis for one to five years, and 92.9% (158) had no health insurance. We confirmed self-medication of 104 drugs, particularly calcitriol (9.6%) and clonidine (6.7%). Patients with higher levels of education (OR=1.32; 95%CI=1.32-28.72) and those who use leftover drugs at home (OR=22.48; 95%CI=6.53-77.38) were more likely to self-medicate. Conclusion: The rate of self-medication in chronic kidney disease patients is low and it is associated with the use of drugs stored at home and low levels of education.
publishDate 2020
dc.date.none.fl_str_mv 2020-05-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/9906
10.5020/18061230.2020.9906
url https://ojs.unifor.br/RBPS/article/view/9906
identifier_str_mv 10.5020/18061230.2020.9906
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/9906/pdf
https://ojs.unifor.br/RBPS/article/view/9906/pdf_1
dc.rights.driver.fl_str_mv Copyright (c) 2020 Revista Brasileira em Promoção da Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Revista Brasileira em Promoção da Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 33 (2020)
Revista Brasileña en Promoción de la Salud; Vol. 33 (2020)
Revista Brasileira em Promoção da Saúde; v. 33 (2020)
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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dc.identifier.doi.none.fl_str_mv 10.5020/18061230.2020.9906

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