Perceptions of users in conservative renal therapy about self-medication and polypharmacy

Abstract

Introduction: In the context of kidney disease, the use of multiple medications is common. The practice of self-medication can cause serious health problems. The objective of this study was to describe users' perception of self-medication and polymedication in daily monitoring of conservative renal therapy.  Materials and methods: This is a descriptive and exploratory study with a qualitative approach, with 15 patients, of both sexes, followed in the conservative treatment outpatient clinic of a hospital in Rio de Janeiro. Results: 46.6% practice self-medication and health-related practices. Furthermore, problems related to polypharmacy were highlighted: financial costs, lack of perception of clinical improvement, impacts on self-image and lack of knowledge of the objectives of drug therapy. Discussion: These results highlight challenges in the conservative treatment of patients with chronic kidney disease, reinforcing the need for educational actions that promote the rational use of medications, considering adverse effects and nephrotoxicity. Final Considerations: It is concluded that nurses involved in the care of patients with chronic kidney disease undergoing conservative treatment must include strategies to evaluate self-medication and difficulties related to polymedication, providing interventions that improve clinical stages and patients' quality of life.

Keywords:  Polypharmacy; Self-medication; Conservative Renal Therapy; Medication Management.