Cuidado interprofissional em saúde mental via teleatendimento em farmácia universitária frente à pandemia da COVID-19

Abstract

As a result of the COVID-19 pandemic, many services underwent adaptations, as this study seeks to report the adaptation of an interprofessional mental health care center located in a university pharmacy in the face of the pandemic. To this end, a survey of data from the medical records of patients who already had links with the pharmaceutical care clinic was carried out, as well as new patients who were treated in the initial period of the COVID-19 pandemic (between April and June 2020) . The epidemiological profile, pharmacotherapeutic, methodology used for care and types of interventions were analyzed. N=81 patients, 67% female, prevalent age group 18 to 29 years. The most prevalent mental disorder among patients was Anxiety Disorder (76%), followed by Depressive Disorder (54%), Bipolar Affective Disorder (13%) and Panic Disorder (3%). Regarding the pharmacotherapeutic profile, the most prescribed drug class among the analyzed records was the Selective Serotonin Reuptake Inhibitors (SSRI) present in 54% of the records, with Sertraline being the most used in this class, corresponding to 62% of the SSRIs prescribed. As for the Selective Serotonin and Noradrenaline Reuptake Inhibitors (SNRI), Desvenlafaxine (82%) was the most prescribed drug. The use of Benzodiazepines anxiolytics was found to be reduced, appearing in only 12% of patients followed up during the period. As for the use of mood stabilizing drugs, Valproic Acid (46%) was the most commonly prescribed drug. With regard to the use of Antipsychotics, the most used was Quetiapine (90%), followed by Risperidone (7%) and Olanzapine (3%). About teleservices and telemonitoring, 93% were carried out by the case manager pharmacist and/or extension workers. Regarding interprofessional consultations, 68% related to the suggestion of medical prescription renewal. In this sense, the relevance of the interprofessional service in mental health becomes evident, as well as the role of the Pharmacist and his adaptation in times of health emergencies.