Examinando por Materia "Servicios de Salud Mental"

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Acceso abierto
Factores que influyen en la adherencia al tratamiento antidepresivo en pacientes atendidos en el Centro de Salud Mental Comunitario Nuevo Perú – San Juan de Lurigancho. Lima 2022
(Universidad Privada Norbert Wiener, 2022-09-16) Gamarra Manuelo, Elizabeth Veronica; Caldas Herrera, Emma
The research aimed to analyze the factors influencing adherence to antidepressant treatment in patients treated at the Nuevo Perú Community Mental Health Center. Method: Observational, cross-sectional, non-experimental type. The study included 200 patients with depression. The technique used was a questionnaire and the Morisky Green test. Results: 73% had low adherence; 95% live with their families; 52% are unemployed, and 55% have no income; 95% receive all their medications; 35% have been in treatment for 6 to 12 months; 48% take two medications; 48% experienced adverse reactions; 84% are aware of their diagnosis; 81% believe their attitude is good; 41% are between 30 and 49 years old; 72% are women; 54% stop taking their medication because they felt better; 91% consider the treatments effective; 96% trust healthcare professionals, and 89% believe the care is good. Conclusions: Non-adherence to antidepressant treatments is influenced by various interconnected factors, including socioeconomic aspects, treatment characteristics, the patient, the illness, and the medical team. Currently, there is no effective strategy to prevent non-adherence.
Acceso abierto
Interacciones medicamentosas relacionadas a la polifarmacia psiquiátrica en usuarios adultos del Instituto Nacional de Salud Mental de Lima 2021
(Universidad Privada Norbert Wiener, 2022-10-07) Oropeza Garay, Shulen Liuva; Guerrero García, Esther Doris; Alvarado Chávez, Britt
Objective: "To determine the relationship between psychiatric polypharmacy and drug interactions in adult users of the National Institute of Mental Health in Lima, 2021." Method: Deductive with a quantitative approach, basic study, non-experimental, descriptive, correlational, retrospective, and cross-sectional. The technique used was observation, and the instrument was a data collection form. Results: The study evaluated 300 medical prescriptions. Of the patients, 51% were aged 18 to 39 years, and 40% were aged 40 to 59 years; 56% were male, and 44% female. Regarding the number of psychotropic drugs prescribed, 86% were prescribed 4 to 5 psychotropic drugs, and 11% were prescribed between 6 and 7. Additionally, 42.3% had indications every 12 hours, and 57.3% had treatments lasting 1 to 2 months. The most prevalent type of polypharmacy was adjuvant polypharmacy (72.7%), followed by total polypharmacy (10.3%) and multiclass polypharmacy (7.7%). The most frequent therapeutic groups were antidepressants (37.7%) and antipsychotics (33.7%). Regarding drug interactions, 51% had 1 to 3 interactions, 35% had 4 to 6 interactions, and 3.3% had more than 10 interactions. Of these, 52.3% were synergistic drug interactions, and 45.7% were pharmacokinetic interactions affecting metabolism. Severe drug interactions were observed in 81% of cases, while 18% were moderate. Regarding documentation, 75.7% presented suspicious or fair evidence, while 12.7% had probable or good evidence. Conclusion: It was determined that there is a significant relationship between psychiatric polypharmacy and drug interactions in adult users of the National Institute of Mental Health in Lima, 2021.