<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1645-0086</journal-id>
<journal-title><![CDATA[Psicologia, Saúde & Doenças]]></journal-title>
<abbrev-journal-title><![CDATA[Psic., Saúde & Doenças]]></abbrev-journal-title>
<issn>1645-0086</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Psicologia da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1645-00862020000300935</article-id>
<article-id pub-id-type="doi">10.15309/20psd210332</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Uso indevido de medicamentos por pessoas com lesão medular: uma revisão integrativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Misuse of medication by people with spinal cord injury: an integrative review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Jéssyka]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coura]]></surname>
<given-names><![CDATA[Alexsandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Nalva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moraes]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[França]]></surname>
<given-names><![CDATA[Inacia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Estadual da Paraíba Universidade de Pernambuco Programa Associado de Pós-graduação em Enfermagem]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>21</volume>
<numero>3</numero>
<fpage>935</fpage>
<lpage>943</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1645-00862020000300935&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1645-00862020000300935&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1645-00862020000300935&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A Lesão Medular (LM) caracteriza-se pela falta de funcionamento total ou parcial da medula espinhal em consequência de uma lesão abrupta, ferimentos, luxações, doenças autoimunes entre outras causas. O estudo teve por objetivo investigar o uso indevido de medicamentos por pessoas com lesão medular, de acordo com a literatura. Realizou-se uma revisão integrativa, em junho de 2019, seguindo as recomendações do PRISMA. Buscaram-se estudos publicados nas bases de dados MedLine, Scopus, Bdenf, Lilacs e Web of Science por meio de dois cruzamentos realizados com os termos &#8220;Analgesics, Opioid and Spinal Cord Injuries&#8221; e &#8220;Drug Misuseand Spinal Cord Injuries&#8221;, bem como estudos encontrados nas referências dos artigos selecionados. Identificaram-se 187 artigos, sendo selecionados dez. Nove estudos foram realizados nos Estados Unidos e um no Canadá, e todos foram publicados na língua inglesa, de 2014 a 2018. O uso indevido foi constatado nas pesquisas e esteve relacionado com os seguintes fatores: dor, raça não branca, utilização frequente de opióides, tabagismo, alcoolismo, consumo de maconha, dependência, eventos adversos, depressão, lesões lombares/sacrais, faixa etária jovem, baixa escolaridade, polifarmácia, erro na prescrição, automedicação e falhas na dispensação, mesmo com prescrição por profissionais de saúde. As pessoas com LM fazem uso indevido de medicamentos, sobretudo com excesso de analgésicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Spinal cord Injury (SCI) is characterized by total or partial spinal cord malfunction due to an abrupt lesion, injury, dislocation, auto-immune diseases among other things. The objective of this study was to investigate the improper use of medications bypersons with spinal cord injury, according to the literature. A literature review was conducted, in June 2019, following the recommendations of PRISMA. Sought studies published in Medline, Scopus, Bdenf, Lilacs and Web of Science databases by crossing the terms &#8220;Analgesics, Opioid and Spinal Cord Injuries&#8221; and &#8220;Drug Misuse and Spinal Cord Injuries&#8221;, and studies found in references of the selected articles. Had been identified 187 articles, and selected ten. Nine studies were performed in USA and one in Canadá and all researches selected had been performed in USA and published in English, between 2014 and 2018. Misuse was found in research and was related to the following factors: pain, black race, frequent use of opioids, smoking, alcoholism, cannabis use, addiction, adverse events, depression, lumbar/sacral injury, young age group, low education, polypharmacy, prescription errors, self-medication and dispensation failures, even with prescription by health professionals. People with SCI make misuse of medicines, especially with excess painkillers.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Analgésicos]]></kwd>
<kwd lng="pt"><![CDATA[opióides]]></kwd>
<kwd lng="pt"><![CDATA[traumatismos da medula espinal]]></kwd>
<kwd lng="pt"><![CDATA[uso indevido de medicamentos]]></kwd>
<kwd lng="en"><![CDATA[Analgesics]]></kwd>
<kwd lng="en"><![CDATA[opioid]]></kwd>
<kwd lng="en"><![CDATA[spinal cord injuries]]></kwd>
<kwd lng="en"><![CDATA[drug misuse]]></kwd>
</kwd-group>
</article-meta>
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