Plínio Tadeu Istilli

Antidepressants: knowledge and use among nursing students

This study examined the knowledge of nursing students in regard to using antidepressant medication and proposes actions such that nurses contribute to a safe and effective antidepressant therapy. This cross-sectional and descriptive study was conducted in a public nursing school in the state of São Paulo, Brazil, between March and November 2008. Fifty-two (19%) out of the 273 participants were using or had used antidepressants. Instruction concerning the use of antidepressants was provided by physicians. Even after receiving instruction concerning the antidepressant treatment before its administration, the majority of users (chi(1)2=0.07, p> 0.05) still had doubts about its use. Fluoxetine was the most prevalent antidepressant. Actions to improve knowledge concerning the use of antidepressant medications, their side and therapeutic effects, seem to be necessary and relevant.Este estudo teve como objetivos analisar o nivel de conhecimento de estudantes universitarios de enfermagem que usam antidepressivos e propor acoes para que os enfermeiros contribuam para a farmacoterapia antidepressiva segura e efetiva. Trata-se de estudo transversal e descritivo, realizado em uma Escola de Enfermagem publica do Estado de Sao Paulo, entre marco e novembro de 2008. Dos 273 estudantes entrevistados, 52 (19%) participantes utilizam ou ja utilizaram antidepressivos. A orientacao do uso dessa classe medicamentosa foi realizada majoritariamente pelo medico. Mesmo com a orientacao pre-administracao do antidepressivo, a maioria dos usuarios (cII1=0,07; p>;0,05) tem duvida a respeito do uso de antidepressivos. A fluoxetina foi o medicamento antidepressivo mais utilizado. Acoes para produzir maior conhecimento quanto ao uso, efeitos colaterais e terapeuticos dos antidepressivos, por parte dos enfermeiros, parecem ser necessarias e oportunas.

Antidepressivos: uso e conhecimento entre estudantes de enfermagem

This study examined the knowledge of nursing students in regard to using antidepressant medication and proposes actions such that nurses contribute to a safe and effective antidepressant therapy. This cross-sectional and descriptive study was conducted in a public nursing school in the state of São Paulo, Brazil, between March and November 2008. Fifty-two (19%) out of the 273 participants were using or had used antidepressants. Instruction concerning the use of antidepressants was provided by physicians. Even after receiving instruction concerning the antidepressant treatment before its administration, the majority of users (chi(1)2=0.07, p> 0.05) still had doubts about its use. Fluoxetine was the most prevalent antidepressant. Actions to improve knowledge concerning the use of antidepressant medications, their side and therapeutic effects, seem to be necessary and relevant.Este estudo teve como objetivos analisar o nivel de conhecimento de estudantes universitarios de enfermagem que usam antidepressivos e propor acoes para que os enfermeiros contribuam para a farmacoterapia antidepressiva segura e efetiva. Trata-se de estudo transversal e descritivo, realizado em uma Escola de Enfermagem publica do Estado de Sao Paulo, entre marco e novembro de 2008. Dos 273 estudantes entrevistados, 52 (19%) participantes utilizam ou ja utilizaram antidepressivos. A orientacao do uso dessa classe medicamentosa foi realizada majoritariamente pelo medico. Mesmo com a orientacao pre-administracao do antidepressivo, a maioria dos usuarios (cII1=0,07; p>;0,05) tem duvida a respeito do uso de antidepressivos. A fluoxetina foi o medicamento antidepressivo mais utilizado. Acoes para produzir maior conhecimento quanto ao uso, efeitos colaterais e terapeuticos dos antidepressivos, por parte dos enfermeiros, parecem ser necessarias e oportunas.

JUDICIALIZAÇÃO DA SAÚDE: ACESSO AO TRATAMENTO DE USUÁRIOS COM DIABETES MELLITUS

Objective: to analyze the procedural elements and individual lawsuits filed by users with diabetes mellitus for the supply of drugs, supplies or materials to treat the disease. Method: an exploratory documentary type quantitative study, where 636 lawsuits were analyzed in a region of São Paulo State, from 2004 to 2013. Results: it was found that the number of cases increased from three in 2004 to 111 in 2012. In 2013 administrative measures were instituted with the aim of reducing the number of cases. In 457 (71.9%) cases the lawsuits were filed through prescription of private medical practices. Most of the lawsuits were requests for medicine that were not included on the free funding lists supplied by the Unified Health System. Conclusion: health judicialization favors reflection on health rights and access to information on the restructuring of health services for users with diabetes mellitus. DESCRIPTORS: Nursing. Diabetes mellitus. Patient rights. Public policy. Bioethics. http://dx.doi.org/10.1590/0104-070720180000800016

Processos judiciais para aquisição de bomba de insulina em Ribeirão Preto

This exploratory, descriptive, documental and statistical article, with a quantitative approach, aims to analyze individual legal cases for the supply of insulin pump by users of the Sistema Único de Saúde (unified health system) in a municipality in the state of São Paulo, Brazil. We identified 40 (6.2%) cases demanding insulin pumps. Most of the cases were filed by men in the age group of 11 to 20 years. We also identified cases for the acquisition of drugs and other products such as glucometers and infusion sets, and insulin reservoirs. This study promotes discussions about the rights and integral care of people with diabetes mellitus. Thus, one hopes that it contributes to the understanding of how the process of judicialization can assist users in the search of new perspectives for the care of diabetes mellitus.This exploratory, descriptive, documental and statistical article, with a quantitative approach, aims to analyze individual legal cases for the supply of insulin pump by users of the Sistema Unico de Saude (unified health system) in a municipality in the state of Sao Paulo, Brazil. We identified 40 (6.2%) cases demanding insulin pumps. Most of the cases were filed by men in the age group of 11 to 20 years. We also identified cases for the acquisition of drugs and other products such as glucometers and infusion sets, and insulin reservoirs. This study promotes discussions about the rights and integral care of people with diabetes mellitus. Thus, one hopes that it contributes to the understanding of how the process of judicialization can assist users in the search of new perspectives for the care of diabetes mellitus.

Antidepresivos: uso y conocimiento entre estudiantes de enfermería

This study examined the knowledge of nursing students in regard to using antidepressant medication and proposes actions such that nurses contribute to a safe and effective antidepressant therapy. This cross-sectional and descriptive study was conducted in a public nursing school in the state of São Paulo, Brazil, between March and November 2008. Fifty-two (19%) out of the 273 participants were using or had used antidepressants. Instruction concerning the use of antidepressants was provided by physicians. Even after receiving instruction concerning the antidepressant treatment before its administration, the majority of users (chi(1)2=0.07, p> 0.05) still had doubts about its use. Fluoxetine was the most prevalent antidepressant. Actions to improve knowledge concerning the use of antidepressant medications, their side and therapeutic effects, seem to be necessary and relevant.Este estudo teve como objetivos analisar o nivel de conhecimento de estudantes universitarios de enfermagem que usam antidepressivos e propor acoes para que os enfermeiros contribuam para a farmacoterapia antidepressiva segura e efetiva. Trata-se de estudo transversal e descritivo, realizado em uma Escola de Enfermagem publica do Estado de Sao Paulo, entre marco e novembro de 2008. Dos 273 estudantes entrevistados, 52 (19%) participantes utilizam ou ja utilizaram antidepressivos. A orientacao do uso dessa classe medicamentosa foi realizada majoritariamente pelo medico. Mesmo com a orientacao pre-administracao do antidepressivo, a maioria dos usuarios (cII1=0,07; p>;0,05) tem duvida a respeito do uso de antidepressivos. A fluoxetina foi o medicamento antidepressivo mais utilizado. Acoes para produzir maior conhecimento quanto ao uso, efeitos colaterais e terapeuticos dos antidepressivos, por parte dos enfermeiros, parecem ser necessarias e oportunas.