Percepção dos farmacêuticos sobre evento adverso e efeito colateral de medicamentos usados na saúde mental infanto-juvenil

Abstract

This Course Completion Project aims to answer the following question: What are the concepts about adverse drug events and side effects supported by pharmacists working in psychosocial care centers for children? The objective is to know the concepts about adverse drug events and side effects that are sustained by pharmacists working in children's psychosocial care centers. This is a descriptive study with a qualitative approach, carried out with professionals working in the Children's Psychosocial Care Centers in the municipality Fortaleza-Ceará, in the period between December 2019 and August 2020. Pharmacists who had worked for at least six months in these centers participated in the study. The analysis of the results was based on three analytical categories: I) Pharmacist's activities; II) Work routine, work hours, employment relationship, activities developed, types of care, and length of time pharmacists have worked; III) Adverse events and side effects of medications. The study was developed based on legal and ethical principles, as recommended by Resolution 466/2012, of the National Health Council. The results obtained were from semi-structured interviews of two pharmacists who work in the children's psychosocial care service that perform pharmaceutical assistance activities such as the dispensation of medicines in the field of mental health, in addition to offering support for children and youth patients with mental disorders and they exercise these activities with an average of two years in the centers. It was evidenced that the pharmacists perceive the term adverse event as an unexpected occurrence that may or may not happen, and medication side effect as an undesirable effect that the medication may cause and that is expected to happen. The centers do not have an adverse event or adverse drug reaction reporting program. Thus, when pharmacists report adverse events, they individually try to present some solution based on the report of the occurrence, and most of the time the event is reported to the physician of the service. Finally, the study revealed that knowing the perceptions of pharmacists about adverse events and side effects to medications allows the identification of weaknesses and potentialities in the work processes, but also makes it possible to identify prevention strategies.