Introduction: pharmaceutical care is the direct interaction of the pharmacist and the user in order to achieve rational drug therapy and to obtain defined measurable results aimed at improving the life quality of the patient. Depression is considered one of the ten main causes of disability worldwide since it restricts the physical, social and personal functioning of the individual. However, few people having these health problems receive proper treatment and directions about their disease and therapy. Objective: to evaluate the pharmaceutical care service through counseling on the effectiveness of and adherence to drug therapy. Methods: nineteen patients were selected, aged 15 to 82 years and with mood disorders. They were all seen at the Psychosocial and Outpatient Care Center of UNIFENAS in Brazil. They were visited at home to give instructions to them about their disease, adverse reactions, and drug interactions, length of treatment and importance of adherence to therapy. Beck depression inventory and Morisky´s test were used to evaluate adherence to treatment before and after the pharmacist counseling. Results: most of patients were Catholic women, who had been under study for up to 9 years. When comparing the results of the application of the Beck depression inventory before and after the pharmacist counseling, there was observed an statistically significant difference ((p= 0.0354), with a reduction of roughly 6 point in Beck´s score (24,22 for 18). The adherence to treatment rate increased since the number of patients who showed high rate of adherence to therapy rose from 21.06 % to 42.10 %. Conclusions: the results suggest that the pharmacist counseling could be a useful method to achieve better outcomes in adherence to and effectiveness of treatment.

Introducción: la atención farmacéutica consiste en la interacción directa del farmacéutico con el usuario a fin de lograr una farmacoterapia racional y obtener resultados definidos y mensurables, encaminados a la mejoría de la calidad de vida del paciente. La depresión es considerada una de las diez principales causas de incapacidad en el mundo, la cual limita el funcionamiento físico, personal y social. Sin embargo, pocas personas afligidas con estos problemas de salud reciben el tratamiento adecuado y orientaciones acerca de la enfermedad y tratamiento. Objetivo: evaluar el servicio de la atención farmacéutica mediante consejo farmacéutico sobre la efectividad y adhesión a la farmacoterapia. Métodos: se seleccionaron 19 pacientes, con edad entre 15 y 82 años, con trastornos de humor, atendidos en el Centro de Atención Psicosocial y Ambulatorio de UNIFENAS, Brasil. Se realizaron citas domiciliares, durante las cuales se les dieron a los pacientes orientaciones acerca de la enfermedad, reacciones adversas, interacciones medicamentosas, duración del tratamiento e importancia de adhesión a este. El inventario de depresión de Beck y la prueba de Morisky para evaluar la adhesión fueron aplicados antes y después del consejo farmacéutico. Resultados: la mayoría fueron mujeres, católicas, con hasta nueve años de estudio. Al comparar los resultados de la aplicación del inventario de depresión de Beck antes y después del consejo del farmacéutico, hubo una diferencia estadísticamente significativa (p= 0,0354), con reducción de aproximadamente 6 puntos en el escore de Beck (24,22 para 18). El nivel de adhesión entre los pacientes aumentó, pues el número de pacientes con alta adhesión pasó de 21,06 % a 42,10 %. Conclusiones: los resultados sugieren que el consejo farmacéutico puede ser útil para lograr mejores resultados de adhesión y efectividad al tratamiento.

Introduction: Freitas & Marques proposed a sheet of pharmacotherapeutical history (SPH) in 2008: the Dáder adaptation (DA). Objective: this study was aimed at evaluating the applicability of DA compared with Dáder. Methods: the sheets of pharmacotherapeutical history (SPH) were applied to chronic users of drugs by pharmacy students. At the end, interviewers attributed scores ranged from 0 to 5 points to various aspects of their applicability. The completeness or not of the collected data was also evaluated. Results: the two SPH were equivalent, because there was no statistically significant difference for the three questions about the applicability. Conclusions: In the context of pharmaceutical care, this new sheet of pharmacotherapeutical history offers possibilities to choose the one that best fits the needs of the pharmacist.

Introducción: en 2008, Freitas & Marques propusieron una hoja de historia farmacoterapéutica: el Dáder modificado. Objetivo: evaluar la aplicabilidad del Dáder modificado comparándolo con el Dáder. Métodos: las hojas de historia farmacoterapéutica fueron aplicadas a usuarios crónicos de medicamentos por estudiantes de Farmacia. Al final de la aplicación, los entrevistadores atribuyeron notas de 0 a 5 para varios aspectos de su aplicabilidad. También se evaluaron si los datos recogidos estaban completos. Resultados: las dos hojas de historia farmacoterapéutica se mostraron equivalentes, pues no hubo diferencia significativa para las tres preguntas acerca de la aplicabilidad. Conclusiones: En el contexto de la Atención Farmacéutica, la existencia de una nueva hoja de historia farmacoterapéutica ofrece la posibilidad de elegir la que mejor se adapte a las necesidades del farmacéutico.

Em 2006, o Ministério da Saúde criou a Política Nacional de Terapias Integrativas e Complementares no SUS. O objetivo do estudo foi investigar o conhecimento e a aceitação das terapias integrativas e complementares e atenção farmacêutica por parte dos usuários do SUS. O estudo foi realizado na farmácia da Unidade Básica de Saúde da cidade de São João da Mata, Minas Gerais, Brasil. Um estudo transversal descritivo qualitativo e quantitativo foi realizado com três médicos e 35 usuários do serviço. Destes, 100% não conheciam as terapias integrativas e complementares. Após explicação clara e simples pelo pesquisador, 31,42% disseram que aceitariam o uso de fitoterapia, 51,42% aceitariam a acupuntura, 37,14% aceitariam a homeopatia e nenhum utilizaria a crenoterapia. Quando questionados sobre a atenção farmacêutica, 45,71% disseram já ter ouvido falar neste assunto, 22,85% sabem do que se trata e 31,42% nunca tinham ouvido falar em atenção farmacêutica. Quando os três médicos que atendem na unidade de saúde foram questionados, observou-se indiferença, não-aceitação e aceitação, respectivamente. Em conclusão, este estudo demonstrou que a grande maioria dos pesquisados aceitaria as terapias integrativas e complementares se estas fossem oferecidas pela unidade de saúde. Além disso, os usuários acham importante uma maior atuação do farmacêutico. É necessária a implantação de programas de divulgação para os pacientes e principalmente para os médicos prescritores de práticas integrativas e complementares.

In 2006, the Ministry of Health created the National Policy on Integrative and Complementary Therapies in the Unified Health System. This study aimed to investigate the knowledge and acceptance of complementary and integrative therapies and pharmaceutical care by SUS users. The study was conducted in the pharmacy of a primary healthcare unit in São João da Mata city , Minas Gerais state, Brazil. A cross sectional study was performed qualitatively and quantitatively with three doctors and 35 service users. Of these, 100% did not know the complementary and integrative therapies. After clear and simple explanation by the researcher, 31.42% said they would accept the use of herbal medicine, 51.42% accepted acupuncture, 37.14% would use homeopathy and none would use crenotherapy. When asked about the pharmaceutical care, 45.71% said they had heard of this matter, 22.85% know what it is and 31.42% had never heard of it. When the three doctors who at the clinic were questioned, there was indifference, non-acceptance and acceptance, respectively. In conclusion, this study showed that the vast majority of respondents would accept the complementary and integrative therapies if they were offered by the health unit. In addition, users find important a greater role of the pharmacist. One need to implement outreach programs for patients and especially for prescribers of complementary and integrative practices.

Em 2006, o Ministério da Saúde criou a Política Nacional de Terapias Integrativas e Complementares no SUS. O objetivo do estudo foi investigar o conhecimento e a aceitação das terapias integrativas e complementares e atenção farmacêutica por parte dos usuários do SUS. O estudo foi realizado na farmácia da Unidade Básica de Saúde da cidade de São João da Mata, Minas Gerais, Brasil. Um estudo transversal descritivo qualitativo e quantitativo foi realizado com três médicos e 35 usuários do serviço. Destes, 100% não conheciam as terapias integrativas e complementares. Após explicação clara e simples pelo pesquisador, 31,42% disseram que aceitariam o uso de fitoterapia, 51,42% aceitariam a acupuntura, 37,14% aceitariam a homeopatia e nenhum utilizaria a crenoterapia. Quando questionados sobre a atenção farmacêutica, 45,71% disseram já ter ouvido falar neste assunto, 22,85% sabem do que se trata e 31,42% nunca tinham ouvido falar em atenção farmacêutica. Quando os três médicos que atendem na unidade de saúde foram questionados, observou-se indiferença, não-aceitação e aceitação, respectivamente. Em conclusão, este estudo demonstrou que a grande maioria dos pesquisados aceitaria as terapias integrativas e complementares se estas fossem oferecidas pela unidade de saúde. Além disso, os usuários acham importante uma maior atuação do farmacêutico. É necessária a implantação de programas de divulgação para os pacientes e principalmente para os médicos prescritores de práticas integrativas e complementares.

In 2006, the Ministry of Health created the National Policy on Integrative and Complementary Therapies in the Unified Health System. This study aimed to investigate the knowledge and acceptance of complementary and integrative therapies and pharmaceutical care by SUS users. The study was conducted in the pharmacy of a primary healthcare unit in São João da Mata city , Minas Gerais state, Brazil. A cross sectional study was performed qualitatively and quantitatively with three doctors and 35 service users. Of these, 100% did not know the complementary and integrative therapies. After clear and simple explanation by the researcher, 31.42% said they would accept the use of herbal medicine, 51.42% accepted acupuncture, 37.14% would use homeopathy and none would use crenotherapy. When asked about the pharmaceutical care, 45.71% said they had heard of this matter, 22.85% know what it is and 31.42% had never heard of it. When the three doctors who at the clinic were questioned, there was indifference, non-acceptance and acceptance, respectively. In conclusion, this study showed that the vast majority of respondents would accept the complementary and integrative therapies if they were offered by the health unit. In addition, users find important a greater role of the pharmacist. One need to implement outreach programs for patients and especially for prescribers of complementary and integrative practices.