Abstract:
OBJECTIVE:to identify and summarize studies examining both drug-drug interactions (DDI) and adverse drug reactions (ADR) in older adults polymedicated. METHODS:an integrative review of studies published from January 2008 to December 2013, according to inclusion and exclusion criteria, in MEDLINE and EMBASE electronic databases were performed. RESULTS:forty-seven full-text studies including 14,624,492 older adults (≥ 60 years) were analyzed: 24 (51.1%) concerning ADR, 14 (29.8%) DDI, and 9 studies (19.1%) investigating both DDI and ADR. We found a variety of methodological designs. The reviewed studies reinforced that polypharmacy is a multifactorial process, and predictors and inappropriate prescribing are associated with negative health outcomes, as increasing the frequency and types of ADRs and DDIs involving different drug classes, moreover, some studies show the most successful interventions to optimize prescribing. CONCLUSIONS:DDI and ADR among older adults continue to be a significant issue in the worldwide. The findings from the studies included in this integrative review, added to the previous reviews, can contribute to the improvement of advanced practices in geriatric nursing, to promote the safety of older patients in polypharmacy. However, more research is needed to elucidate gaps. OBJETIVO:identificar e sintetizar estudos que examinam as interações medicamentosas (IM) e reações adversas a medicamentos (RAM) em idosos polimedicados. MÉTODOS:revisão integrativa de estudos publicados de janeiro de 2008 a dezembro de 2013, de acordo com critérios de inclusão e exclusão, nas bases de dados eletrônicas MEDLINE e EMBASE. RESULTADOS:foram analisados 47 estudos de texto completo, incluindo 14,624,492 idosos (≥ 60 anos): 24 (51,1%) sobre RAM, 14 (29,8%) sobre IM e 9 estudos (19,1%) que investigaram tanto IM como RAM. Encontramos uma variedade de desenhos metodológicos. Os estudos revisados reforçaram que a polifarmácia é um processo multifatorial, e os preditores e a prescrição inadequada estão associados a resultados negativos de saúde, como aumento da frequência e tipos de RAM e IM envolvendo diferentes classes de drogas, além disso, alguns estudos mostram as intervenções mais bem-sucedidas para otimizar a prescrição. CONCLUSÕES:IM e RAM entre idosos continuam a ser um problema significativo no mundo todo. Os resultados dos estudos incluídos nesta revisão integrativa, adicionado às revisões anteriores, podem contribuir para a melhoria das práticas avançadas de enfermagem geriátrica, para promover a segurança dos pacientes idosos em polifarmácia. No entanto, são necessárias mais pesquisas para elucidar lacunas. OBJETIVO:identificar y resumir los estudios que analizan tanto las interacciones medicamentosas (IM) como las reacciones adversas a medicamentos (RAM) en los adultos mayores polimedicados. MÉTODOS:revisión integradora de estudios publicados entre enero de 2008 a diciembre de 2013, siguiendo criterios de inclusión y exclusión, en las bases de datos electrónicas MEDLINE y EMBASE. RESULTADOS:cuarenta y siete estudios de texto completo incluidos fueron analizados incluyendo 14,624,492 adultos mayores (≥ 60 años), de ellos 24 (51,1%) en relación con RAM, 14 (29,9%) con IM y 9 estudios (19,1%) que investigaron tanto IM como RAM. Encontramos una gran variedad de diseños metodológicos. Los estudios revisados reforzaron el concepto que la polifarmacia es un proceso multifactorial, y los predictores y la prescripción inadecuada se asocian con resultados negativos para la salud tales como el aumento de la frecuencia y tipos de RAM y IM implicando diferentes clases de fármacos, además que algunos estudios muestran cuales son las intervenciones más exitosas para optimizar la prescripción. CONCLUSIONES:IM y RAM siguen siendo un problema importante en el mundo entero entre los adultos mayores. Los resultados de los estudios incluidos en esta revisión integradora, sumado a las revisiones previas, pueden contribuir a la mejora de las prácticas avanzadas de enfermería geriátrica, para promover la seguridad de los pacientes de mayor edad en la polifarmacia. Sin embargo, se necesita más investigación para esclarecer los vacíos de conocimiento.
journal_name
Rev Lat Am Enfermagemjournal_title
Revista latino-americana de enfermagemauthors
Rodrigues MC,Oliveira Cddoi
10.1590/1518-8345.1316.2800subject
Has Abstractpub_date
2016-09-01 00:00:00pages
e2800eissn
0104-1169issn
1518-8345pii
S0104-11692016000100613journal_volume
24pub_type
杂志文章,评审abstract:OBJECTIVE:to map the available evidence on the main topics investigated in palliative care in primary health care. METHOD:scoping review type study carried out in five databases, including original articles, based on the descriptors palliative care, palliative care at the end of life, terminal care, terminal state, pr...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章,评审
doi:10.1590/1518-8345.3858.3324
更新日期:2020-07-01 00:00:00
abstract::In this experimental study we compared the previous descontamination efficacy of the medical surgical materials by the use of chemical disinfectants and the mechanical cleaning with water and soap, as well as verified the organic material interference in these procedures. To carry out this study, we used surgical pinc...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::Health care teams have followed the National Health System's (SUS) principles to ensure quality improvement in healthcare, and patient satisfaction is one of the instruments used to evaluate quality. This study aimed to evaluate patient satisfaction regarding the assistance to their needs during hospitalization, in a ...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692007000500014
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:analyze the safety culture of multidisciplinary teams from three neonatal intensive care units of public hospitals in Minas Gerais, Brazil. METHOD:a cross-sectional survey conducted with 514 health professionals, using the Hospital Survey on Patient Safety Culture; data were subjected to a descriptive statis...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/1518-8345.2849.3167
更新日期:2019-08-19 00:00:00
abstract::The goal of the study was to evaluate the quality of the services provided by the library at the Nursing School of the University of São Paulo. A questionnaire evaluating users' satisfaction with the service was employed, covering five quality components: tangibles, reliability, responsiveness, assurance and empathy. ...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692008000400017
更新日期:2008-07-01 00:00:00
abstract::This study aimed to characterize the sociodemographic profile of sibling bone marrow donors and to describe how they perceive the donation. This was a descriptive, exploratory and longitudinal study. Participants were 20 related bone marrow donors, between 18 and 42 years of age (mean=30.5 years, sd=7.47). Interviews ...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692010000500011
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVES:to identify the prevalence of smokers between the psychiatric population and the general population; to compare the personal, socio-demographic and clinical profile of smokers and non-smokers in the psychiatric population and the general population; to compare the reasons for smoking of these two population ...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/1518-8345.2976.3149
更新日期:2019-04-29 00:00:00
abstract:OBJECTIVE:to determine the quality of life in the workplace for nursing staff at public institutions in Hermosillo, Sonora, Mexico. METHOD:quantitative, correlational, cross-sectional, and comparative. We used a probabilistic sample of 345 nurses with data collected in 2013 using an instrument created by the authors t...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/1518-8345.1149.2713
更新日期:2016-08-08 00:00:00
abstract:OBJECTIVE:analyze professional implication with the support of humanization and articulators of permanent education in health as a tool of Permanent Education in Health. METHOD:this is an interventional study of qualitative approach, based on the theoretical reference of Institutional Analysis. Thirty-five humanizatio...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/1518-8345.3114.3189
更新日期:2019-10-07 00:00:00
abstract:OBJECTIVE:to evaluate alcohol consumption/dependence and resilience in older adults with high blood pressure and to analyze the factors associated with these variables. METHOD:a descriptive, cross-sectional, quantitative study developed with 300 older adult patients with high blood pressure from Family Health Strategy...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/1518-8345.2466.3024
更新日期:2018-08-09 00:00:00
abstract:Objective:to correlate classification in risk categories with the clinical profiles, outcomes and origins of patients. Method:analytical cross-sectional study conducted with 697 medical forms of adult patients. The variables included: age, sex, origin, signs and symptoms, exams, personal antecedents, classification in...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/1518-8345.1284.2842
更新日期:2016-12-08 00:00:00
abstract::This historical-social study aimed to examine the symbolic elements that express the hierarchizing division between the male and female, contained in newspaper reports published about the return home of the nurses who worked in the Brazilian Expeditionary Force's Health Service, and to discuss the symbolic effects the...
journal_title:Revista latino-americana de enfermagem
pub_type: 历史文章,杂志文章
doi:10.1590/s0104-11692009000600019
更新日期:2009-11-01 00:00:00
abstract:Objective::to perform the cultural adaptation and validation of the Diabetes Management Self-efficacy Scale for Patients with Type 2 Diabetes Mellitus with a Brazilian population sample. Method::cross-sectional methodological study in which the adaptation and validation process included the stages recommended in the l...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/1518-8345.1543.2861
更新日期:2017-05-22 00:00:00
abstract::This study reports the problems and difficulties perceived by parents and teachers of epileptic children, who have been attended in the Neurological ward of a hospital located in a medium-size cite of the state of São Paulo, Brazil. The goals of this work are: 1. To characterize problems and needs detected by parents ...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:
更新日期:1997-05-01 00:00:00
abstract::This study aims to characterize aspects of Primary Health Care in the Amazon Region of Brazil, considered as the main endemic area for malaria in the country. The Ministry of Health recommends the expansion of Primary Health Care in endemic areas for malaria. A survey focusing on patients infected with malaria was con...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692011000600002
更新日期:2011-11-01 00:00:00
abstract::This study aimed to understand the meaning of the experience of families having a child experiencing pain due to Juvenile Rheumatoid Arthritis and to construct a theoretical model representing this experience. Grounded Theory and Symbolic Interactionism were used as methodological framework and theoretical framework, ...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692007000400006
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:to examine the transition of care in families caring for elderly persons who suffered the first episode of a cerebrovascular accident. METHODOLOGY:an instrumental ethnographic case study was used. The sample comprised 20 subjects: 10 caregivers and 10 elderly persons aged 65 or over, of both sexes, with diag...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692013000700027
更新日期:2013-01-01 00:00:00
abstract::This theoretical study results from the observation and problematization of inexperienced nurses' insertion in technological environments, which requires specialized knowledge and practices. We pose the question if the use of this knowledge leads to a fragmented practice. The objective is to discuss the specialized kn...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692008000600017
更新日期:2008-11-01 00:00:00
abstract::This cross-sectional study, based in implementation intention theory, describes action plans developed by women with hypertension (n=49) to add no more than 4g of salt per day to food and to reduce consumption of salty foods, as well as describing the barriers perceived and the coping strategies adopted for putting th...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692012000300009
更新日期:2012-05-01 00:00:00
abstract::With this study, we intended to verify the possibility of settling a time control of the activities developed at the operating room of an University Hospital, which has more than 500 beds, through the introduction of a computer program. The results indicate that this kind of systematic time control, which is used by n...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::This is a quanti-qualitative study that had the purpose to characterize nurses who work in psychiatric institutions at the city of Ribeirão Preto, focussing on their education, identifying nursing actions that those professionals perform daily and finding out about practice and knowledge that they consider specific to...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract::Exploratory study, that is part of a set of data collected through interviews with 10 clients admitted to a pediatric hospital, with the purpose to identify meanings and sources of caring and non caring. Caring encompasses three meanings: professional caring, parental caring and friendly caring. Non caring means the l...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::This study presents a phenomenological reflection on the daily care routine of patients in TB treatment. It aimed to understand the routine of treatment delivered at the primary health care service. Phenomenological interviews were carried out with patients infected with TB and health professionals at Primary Care Uni...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692009000200007
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:estimate the prevalence and identify factors associated with the use of health services by men between 20 and 59 years of age. METHOD:population-based, cross-sectional domestic survey undertaken with 421 adult men, selected through systematic random sampling. The data were collected through a structured inst...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/1518-8345.0296.2685
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:To assess attitudes and the influence of emotional intelligence is the objective of this work. METHOD:Nursing professionals answered a questionnaire that assessed the attitude towards suicide and emotional intelligence. RESULTS:The results show a general adverse attitude towards suicidal behavior. The moral...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692012000600019
更新日期:2012-11-01 00:00:00
abstract::In this article, the authors discuss the value of international health in advancing the nursing profession through the development of strong leadership in the area of drug demand reduction. Paradigms for nursing leadership are briefly reviewed and linked to the development of the "International Nursing Leadership Inst...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692005000800003
更新日期:2005-11-01 00:00:00
abstract::In spite of the extensive available literature on surgery patients' preparation and on the performance of surgeries, the focus given to the cancellation of the surgical act has been quite restricted. This study aims at identifying the number of scheduled and cancelled surgeries as well as the services that are mostly ...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692000000400009
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:to analyze the prevalence of pregnancy complications and sociodemographic profile of puerperal patients with complications, according to the form of financing of the childbirth service. METHOD:cross-sectional study with interview of 928 puerperal women whose childbirth was financed by the Unified Health Syst...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/1518-8345.2156.2949
更新日期:2018-01-08 00:00:00
abstract:OBJECTIVES:The introduction of non-technical skills during nursing education is crucial to prepare nurses for the clinical context and increase patient safety. We found no instrument developed for this purpose. to construct, develop and validate a non-technical skills assessment scale in nursing. METHOD:methodological...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/1518-8345.2383.3042
更新日期:2018-09-06 00:00:00
abstract::This qualitative study aimed at identifying how obstetrical nurses perceive the humanization of delivery care, as well as evidencing, based on their discourse, the actions they develop during the birth process and factors that complicate the implementation of this care. Study participants were 16 nurses from a materni...
journal_title:Revista latino-americana de enfermagem
pub_type: 杂志文章
doi:10.1590/s0104-11692005000600007
更新日期:2005-11-01 00:00:00