FATORES DETERMINANTES DA PRESCRIÇÃO DE BENZODIAZEPÍNICOS POR MÉDICOS DA ATENÇÃO PRIMÁRIA NO SISTEMA ÚNICO DE SAÚDE (SUS) DE OURO PRETO E MARIANA

Paulo Cezar Corraide Santos; Claudia Sabioni De Batistti Ribeiro; Cristiane de Paula Rezende; Elza Conceição de Oliveira Sebastião

FATORES DETERMINANTES DA PRESCRIÇÃO DE BENZODIAZEPÍNICOS POR MÉDICOS DA ATENÇÃO PRIMÁRIA NO SISTEMA ÚNICO DE SAÚDE (SUS) DE OURO PRETO E MARIANA

Autores

Paulo Cezar Corraide Santos
Claudia Sabioni De Batistti Ribeiro
Cristiane de Paula Rezende
Elza Conceição de Oliveira Sebastião

Palavras-chave:

Psicotrópicos, Benzodiazepinas, Ansiolíticos, Uso de Medicamentos. Educação Médica

Resumo

Introdução: A elevada utilização de benzodiazepínicos (BZD) tanto em Ouro Preto quanto em Mariana suscitou a necessidade de estudos sobre os fatores que propiciam sua prescrição médica, bem como a promoção do seu uso adequado por meio de medidas educativas. Objetivo: Elencar os fatores determinantes da prescrição de BZD no tratamento de transtornos de ansiedade e elaborar material educativo para os prescritores. Material e métodos: O estudo transversal descritivo foi realizado em outubro e novembro de 2019, utilizando-se questionário eletrônico via Google Forms com questões relacionadas à percepção de médicos da atenção primária no SUS de Ouro Preto e Mariana sobre o uso de BZD. Os resultados dessa primeira etapa direcionaram a elaboração de uma cartilha. Este estudo foi aprovado por um Comitê de Ética. Resultados: Dentre os dezoito médicos que participaram da pesquisa, a maioria assumiu a responsabilidade (61,1%) e a capacidade (55,6%) de tratar e diagnosticar transtorno de saúde mental (TSM). Grande parte deles admitiu conhecer (88,2%) e saber (58,8%) manejar somente as principais reações adversas aos medicamentos (RAM) que prescreve. Foram elencados como fatores determinantes da prescrição: necessidade/indicação, boa efetividade e pressão dos pacientes. Paralelamente, alguns fatores ligados aos pacientes são limitantes para o tratamento adequado de TSM, tais como: preocupação com RAM; relutância em consultar; tomar adequadamente os BZD; estigmatização do diagnóstico. Ainda, os participantes apontaram que a falta de recursos terapêuticos alternativos disponibilizados no SUS dos municípios contribui para aumentar a prescrição de BZD. Acupuntura e fitoterapia foram práticas integrativas complementares (PIC) com ótima aceitação entre os respondentes. Baseando-se em evidências científicas idôneas nacionais e internacionais, foi elaborada uma cartilha educativa abordando o uso adequado de BZD, bem como sua desprescrição segura, além de detalhes sobre o uso das PIC como opção terapêutica no tratamento de ansiedade. Conclusão: Apesar de conhecerem sobre a farmacoterapia e manejo de RAM, incluindo dependência e tolerância, os participantes demonstraram vivenciar uma angústia profissional entre a necessidade dos pacientes e a relação benefício/risco da prescrição de BZD. A cartilha busca sensibilizar os prescritores quanto à adequabilidade da prescrição de BZD, bem como inserir as PIC como tratamentos alternativos para ansiedade.

Publicado

2020-09-01

Como Citar

Santos, P. C. C., Ribeiro, C. S. D. B., Rezende, C. de P., & Sebastião, E. C. de O. (2020). FATORES DETERMINANTES DA PRESCRIÇÃO DE BENZODIAZEPÍNICOS POR MÉDICOS DA ATENÇÃO PRIMÁRIA NO SISTEMA ÚNICO DE SAÚDE (SUS) DE OURO PRETO E MARIANA. Revista Multidisciplinar Em Saúde, 1(3), 10. Recuperado de http://editoraime.com.br/revistas/rems/article/view/318

Baixar Citação

Edição

v. 1 n. 3 (2020): Edição Especial: Anais do I Congresso Brasileiro de Saúde On-line

Seção

Anais de Evento

Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

                                                                  ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2]) % line  132, file: DAO.inc.php
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600) % line   91, file: ArticleSearchDAO.inc.php
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line  201, file: SubmissionSearch.inc.php
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php