Abordagem ao usuário de psicotrópicos na atenção básica sob a perspectiva do usuário.

Abstract

The conscious use of psychotropic medications must be part of the patient care in the Primary Health Care. With the psychiatric reform, we have a reorganization of the assistance services and a new patient care model in the basic attention, focusing on the rational prescription of these drugs and the monitoring of their use. This research aimed at investigating the mental health care provided to patients who were in a continuous use of psychotropic drugs in LastroPB city. This is a descriptive and exploratory study with quantitative and qualitative approach. According to the list prepared by the Community Health Agents, 170 people assisted at the Basic Health Unit were on a continuous use of psychotropic drugs for more than two years. Based in this population, a sample of 50 patients randomly selected, answered the questionnaire with subjective and objective questions. The collected data were statistically categorized and tabulated. In accordance with the results, we concluded that women are the main consumers of psychotropic drugs (64%) and the elderly had the highest rate of use. The most commonly used drugs were benzodiazepines, specially Diazepam. The general practitioner was responsible for 48% of the prescribing, and the highest number of prescriptions were made at the basic health unit. Regard to the monitoring, 74% of patients reported that were not accompanied, however, when they were asked about the satisfaction with the care services, 64% reported being satisfied and 36% said they were dissatisfied and would like to be better accompanied by the health professionals. Thus, we noted that the most patients seem to be satisfied only with the medical recipe. So, this study pointed to the need for a monitoring to reduce the number of dependents of these medications, and also the creating of strategies to education on health, focusing the quality of life and the active search for the patients that have to be accompanied. More studies should be developed aiming to change this reality about the indiscriminate use of psychotropic, and the accompaniment is the first step to build this model of care, guided not only by the pharmacological prescription.