Patient’s profile and the context of consultations in which the diagnose of depression was made for the first time in Eiras Health Centre in 2011
DOI:
https://doi.org/10.5712/rbmfc11(38)923Keywords:
Depression. Signs and Symptoms. Pharmaceutical Preparations. AntidepressiveAgents. Anti-AnxietyAgents.Abstract
Objective: This investigation intended to know about aspects about patients and consultations in which depression was diagnosed for the first time. Methods: Observational, cross-sectional and descriptive study. Population obtained through the application of exclusion criteria in patients that during 2011 were in “Evaluation” with the codification “Depressive disturbance”. Through the analysis of the consultation, we studied the variables: age, sex, month, type of consultation, consultation in the presence of the patient/patient not attending, depressive signs/symptoms noted and/or coded, prescription of psychiatric medication, if it was prescribed for the first time/renewed. In case it is prescribed for the first time: group of medication and name of the drug. If antidepressant was prescribed for the first time: therapeutic dosage/not and mention the time of treatment. Results: Population of 105 individuals. The consultations were mainly in the presence of the patient (79%). More encoding of depressive signs/symptoms than annotation only or than annotation and codification. The most coded depressive sign/symptom was “Sensation of depression” (28%). There was prescription of isolated anxiolytics and a case of under-therapeutic prescription of antidepressant. 13.7% of the prescription had the reference that the antidepressive treatment should last at least 6 months. Conclusion: Obtainment of a small population and possible information bias were limitations encountered. It is worthy to mention that the most coded depressive sign/symptom was “Sensation of depression”. We must improve our clinical records and the prescription in depression.
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Isometsä E. Depressão. In: FMUC, Jujitsu e APMCG. Normas de Orientação Clínica. Duodecim Medical Publications; 2009. p. 19-22.
Madeira I. Referenciação por depressão à consulta de saúde mental do centro de saúde de Oeiras. Rev Port Clin Geral Fam. 2001;17(2):101-8.
Saeed SA, Bruce TJ. Seasonal affective disorders. Am Fam Physician. 1998;57(6):1340-6.
Santiago LM, Cobrado NM. Custos directos da terapêutica farmacológica no ambulatório de Clínica Geral. Rev Port Clin Geral Fam. 2002;18(6):351-9.
Falcão IM, Monsanto A, Nunes B, Marau J, Falcão JM. Prescrição de psicofármacos em Medicina Geral e Familiar: um estudo na Rede Médicos-Sentinela. Rev Port Clin Geral Fam. 2007;23(1):17-30.
Portugal. Ordem dos Médicos. Norma da Direcção Geral da Saúde nº 034/2012, de 30 de dezembro de 2012.
Cipriani A, Furukawa TA, Salanti G, Geddes JR, Higgins JP, Churchill R, et al. Comparative efficacy and acceptability of 12 new-generation antidepressants: a multiple-treatments meta-analysis. Lancet. 2009;373(9665):746-58. DOI: http://dx.doi.org/10.1016/S0140-6736(09)60046-5 DOI: https://doi.org/10.1016/S0140-6736(09)60046-5
ACSS, APMCG, WONCA. Classificação Internacional de Cuidados de Saúde Primários Segunda Edição. 2a ed. Oxford: Oxford University Press; 2011.
Marques-Teixeira J. Consensos psiquiátricos: manual prático para clínicos gerais. Linda-a-Velha: Vale & Vale Editores; 2007.
Portugal. Ministério da Saúde. Serviço Nacional de Saúde. INFARMED.Prontuário terapêutico. Lisboa: Ministério da Saúde; 2011.
Braga R. Os registos clínicos e a codificação. Rev Port Med Geral Fam. 2012;28(3):155-6. DOI: https://doi.org/10.32385/rpmgf.v28i3.10935
Martins S. O peso da mente feminina: associação entre obesidade e depressão. Rev Port Clin Geral Fam. 2012;28(3):163-6. DOI: https://doi.org/10.32385/rpmgf.v28i3.10938
Pinto D. Classificar motivos de consulta e procedimentos com a ICPC na prática clínica? Rev Port Med Geral Fam. 2012;28(4):247-8. DOI: https://doi.org/10.32385/rpmgf.v28i4.10952
Melo M. O uso da ICPC nos registos clínicos em Medicina Geral e Familiar. Rev Port Med Geral Fam. 2012;28(4):245-6. DOI: https://doi.org/10.32385/rpmgf.v28i4.10951
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