Validação de formulário de notificação de eventos adversos a plantas medicinais e fitoterápicos
Arquivos
Data
2013-05-16
Autores
Costa, Marília Amaral [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Estadual Paulista (Unesp)
Resumo
A utilização de plantas medicinais como forma de tratar doenças é uma prática que ocorre desde os tempos mais antigos. Nos dias atuais, a população idosa traz consigo esta prática e grande parte das pessoas faz uso de plantas medicinais por acreditarem que “por ser natural, não faz mal”. Sabe-se que as plantas medicinais podem levar ao aparecimento de eventos adversos, porém estes são pouco relatados ao profissional da saúde pelo fato do paciente não relacionar o uso da planta medicinal ou medicamento fitoterápico ao evento adverso apresentado. A farmacovigilância relacionada a plantas medicinais, no Brasil, não é totalmente eficaz. A subnotificação de eventos adversos, o não treinamento do profissional de saúde e a não valorização de que plantas medicinais e medicamentos fitoterápicos desencadeiam eventos adversos podem levar ao aparecimento dos mesmos sintomas em outros pacientes. Logo, o presente trabalho visou validar um instrumento de notificação de eventos adversos específico a plantas medicinais e medicamentos fitoterápicos em profissionais de saúde (farmacêuticos, médicos, nutricionistas, enfermeiros e dentistas) através da utilização de dois casos clínicos fictícios, entregues e tempos diferentes, juntamente com uma amostra de planta referente a cada caso clínico e um Guia auxiliar ao preenchimento do formulário no segundo momento. Foi realizada a validação parcial do formulário de notificação, tendo em vista que o entendimento de alguns campos do formulário não foram devidamente preenchidos por falta de compreensão de conceitos ou interpretação dos casos clínicos. Observou-se uma possível não utilização do guia disponível, levando a um preenchimento inadequado ou incompleto da notificação, o que pode acarretar no não entendimento do real evento adverso observado. Todos os itens do...
The use of medicinal plants as a way to treat disease is a practice that occurs from the earliest times. Nowadays, the elderly population carries this practice and most people make use of medicinal plants for believing that as it is natural, will not cause prejudice for their health. It is known that medicinal plants can lead to the onset of adverse events, but these are not reported to health care because the patient does not relate to the use of medicinal plant or herbal medicine to adverse events submitted. Pharmacovigilance related to medicinal plants in Brazil is not fully effective. Underreporting of adverse events, health professionals not trained and not appreciated that medicinal plants and herbal medicines trigger adverse events can lead to the appearance of the same symptoms in other patients. Therefore, this study aimed to validate an instrument for reporting of adverse events specific to medicinal plants and herbal medicines using as volunteer health professionals (pharmacists, physicians, dietitians, nurses, and dentists) using two clinical cases fictitious delivered, at different times, along with a sample of plant for each clinical case and a Guide to help to complete the form on the second time. It was observed that even the Guide was available, it could be not used, which may result in no real understanding of the adverse effects observed. All items on the form were evaluated according to the reliability and completeness of responses, leading to a suggestion of better preparing the notification form and inclusion of auxiliary information in the Guide, to ensure proper notification by the health professional. From the results obtained in this research, the proposed notification form undergoes some modifications to ensure your best fill. The study showed that it is essential to these professional training courses to enhance the... (Complete abstract click electronic access below)
The use of medicinal plants as a way to treat disease is a practice that occurs from the earliest times. Nowadays, the elderly population carries this practice and most people make use of medicinal plants for believing that as it is natural, will not cause prejudice for their health. It is known that medicinal plants can lead to the onset of adverse events, but these are not reported to health care because the patient does not relate to the use of medicinal plant or herbal medicine to adverse events submitted. Pharmacovigilance related to medicinal plants in Brazil is not fully effective. Underreporting of adverse events, health professionals not trained and not appreciated that medicinal plants and herbal medicines trigger adverse events can lead to the appearance of the same symptoms in other patients. Therefore, this study aimed to validate an instrument for reporting of adverse events specific to medicinal plants and herbal medicines using as volunteer health professionals (pharmacists, physicians, dietitians, nurses, and dentists) using two clinical cases fictitious delivered, at different times, along with a sample of plant for each clinical case and a Guide to help to complete the form on the second time. It was observed that even the Guide was available, it could be not used, which may result in no real understanding of the adverse effects observed. All items on the form were evaluated according to the reliability and completeness of responses, leading to a suggestion of better preparing the notification form and inclusion of auxiliary information in the Guide, to ensure proper notification by the health professional. From the results obtained in this research, the proposed notification form undergoes some modifications to ensure your best fill. The study showed that it is essential to these professional training courses to enhance the... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Plantas medicinais - Efeitos colaterias, Matéria médica vegetal, Medicamentos - Equivalência terapêutica, Ervas - Uso terapêutico, Materia medica, Vegetable
Como citar
COSTA, Marília Amaral. Validação de formulário de notificação de eventos adversos a plantas medicinais e fitoterápicos. 2013. 87 f. Dissertação (mestrado) - Universidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Ciências Farmacêuticas de Araraquara, 2013.