Atencion primaria · 2000
[Home chronic illness and consumption of psychopharmaceuticals].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Segura Noguera J M, Barreiro Montaña M C, Bastida Bastús N, Collado Gastalver D, González Solanellas M, Linares Juan de Sentmenat C, Martí Guadaño N, Riba Romeva M
Аннотация
OBJECTIVE: To assess the consumption of psychiatric drugs by chronic homebound patients.
DESIGN: Descriptive, longitudinal study.
SETTING: Raval Nord Health District, Barcelona.
PATIENTS AND OTHER PARTICIPANTS: All 243 chronically ill homebound patients registered on the home care programme in May 1996. After three years 16% had gone into a home, 9% had moved residence, 38% had died, and 37% remained active.
MEASUREMENTS AND MAIN RESULTS: Of the 90 patients still active, 40% took some psychiatric drug in May 1999. 8% of the patients who said they had taken psychiatric drugs did so by self-medication. The most commonly consumed pharmacological group of the psychiatric drugs were benzodiazepines at 64%. Women took more psychiatric drugs (45%), as did persons living alone or who had been bereaved (50%). The proportion of patients taking psychiatric drugs was greater when there was worse autonomy according to the Katz index (67%), a cognitive deficit on the Short Portable Mental Status Questionnaire (SPMSQ) of Pfeiffer (62%), and in the presence of comorbidity (56%) (p < 0.01).
CONCLUSIONS: There is high consumption of psychiatric drugs by chronic homebound patients, especially when there is physical-cognitive deterioration and presence of comorbidity.
DESIGN: Descriptive, longitudinal study.
SETTING: Raval Nord Health District, Barcelona.
PATIENTS AND OTHER PARTICIPANTS: All 243 chronically ill homebound patients registered on the home care programme in May 1996. After three years 16% had gone into a home, 9% had moved residence, 38% had died, and 37% remained active.
MEASUREMENTS AND MAIN RESULTS: Of the 90 patients still active, 40% took some psychiatric drug in May 1999. 8% of the patients who said they had taken psychiatric drugs did so by self-medication. The most commonly consumed pharmacological group of the psychiatric drugs were benzodiazepines at 64%. Women took more psychiatric drugs (45%), as did persons living alone or who had been bereaved (50%). The proportion of patients taking psychiatric drugs was greater when there was worse autonomy according to the Katz index (67%), a cognitive deficit on the Short Portable Mental Status Questionnaire (SPMSQ) of Pfeiffer (62%), and in the presence of comorbidity (56%) (p < 0.01).
CONCLUSIONS: There is high consumption of psychiatric drugs by chronic homebound patients, especially when there is physical-cognitive deterioration and presence of comorbidity.