OLDER ADULTS' PERCEPTION OF IATROGENESIS: A SOCIOLOGICAL PHENOMENOLOGICAL APPROACH

Authors

DOI:

https://doi.org/10.36489/nursing.2026v32i341p22512-22523

Keywords:

Health of Older Adults, Polypharmacy, Adverse drug reactions, Primary health care, Qualitative research

Abstract

Objective: This study aimed to understand older adults' perceptions of adverse drug reactions and other iatrogenic events associated with polypharmacy. Methods: This qualitative study adopted a phenomenological approach and was conducted with older adults registered with three Family Health Strategy teams in northern Espírito Santo, Brazil. Data were collected through home visits, during which participants completed a semi-structured questionnaire. Results: Sixteen older adults participated in the study; 75% were women, 76% self-identified as Black or mixed-race, 43.75% were married, and 62.5% lived with their spouses or other family members. Four categories emerged: knowledge about iatrogenesis; perceptions regarding the use of multiple medications; the impact of iatrogenesis; and follow-up provided by primary health care. Conclusion: Older adults' lack of knowledge about iatrogenic events contributes to the occurrence of adverse outcomes, highlighting the need for appropriate education and guidance to promote better quality of life.

Author Biographies

Alaianne Moreira de Souza, Universidade Federal do Espirito Santo - CEUNES, São Mateus - ES, Brasil

Acadêmica de Enfermagem, Universidade Federal do Espírito Santo – CEUNES, São Mateus-ES, Brasil.

Adriana Nunes Morais Partelli , Universidade Federal do Espirito Santo - CEUNES, São Mateus - ES, Brasil

Enfermeira. Doutora em Enfermagem. Docente na Universidade Federal do Espírito Santo – CEUNES, São Mateus-ES, Brasil

Bruno De-Bruym Ferrarine, Universidade Federal do Espirito Santo - CEUNES, São Mateus - ES, Brasil

Acadêmico de Enfermagem. Universidade Federal do Espírito Santo – CEUNES, São Mateus-ES, Brasil.

Marta Pereira Coelho, Universidade Federal do Espirito Santo - CEUNES, São Mateus - ES, Brasil

Enfermeira. Doutora em Enfermagem. Docente na Universidade Federal do Espírito Santo –  CEUNES, São Mateus-ES, Brasil

Milânia Effgen Caran, Universidade Federal do Espirito Santo - CEUNES, São Mateus - ES, Brasil

Enfermeira. Mestre em Ciência, Tecnologia e Educação e Especialista em Enfermagem em Estomaterapia, Feridas e Incontinências. Docente na Universidade Federal do Espírito Santo – CEUNES, São Mateus-ES, Brasil.

Murilo Soares Costa, Universidade Federal do Espirito Santo - CEUNES, São Mateus - ES, Brasil

Enfermeiro. Doutor em Infectologia e Medicina Tropical. Docente na Universidade Federal do Espírito Santo – CEUNES, São Mateus-ES, Brasil.

Roberta Coelho De Marco, Secretária Municipal de Saúde de Governador Valadares, MG - Brasil

Especialista em Medicina de Família e Comunidade. Secretária Municipal de Saúde de Governador Valadares-MG, Brasil.

Valquíria Camin de Bortoli , Universidade Federal do Espirito Santo - CEUNES, São Mateus - ES, Brasil

Farmacêutica. Doutora em Farmacologia. Docente na Universidade Federal do Espírito Santo – CEUNES, São Mateus-ES, Brasil.

References

Vitorino LM, Lopes Mendes JH, de Souza Santos G, Oliveira C, José H, Sousa L. Prevalence of polypharmacy of older people in a large brazilian urban center and its associated factors. Int J Environ Res Public Health [Internet]. 2023 [cited 2025 May 30]; 20(9):5730. Available from: https://doi.org/10.3390/ijerph20095730

Brasil. Ministério da Saúde. Envelhecimento e saúde da pessoa idosa. Brasília: Ministério da Saúde, 2006. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/evelhecimento_saude_pessoa_idosa.pd

Doumat G, Daher D, Itani M, Abdouni L, Asmar KE, Assaf G. The effect of polypharmacy on healthcare services utilization in older adults with comorbidities: a retrospective cohort study. BMC Prim Care [Internet]. 2023 [cited 2025 May 30]; 24(120):1-9. Available from: https://doi.org/10.1186/s12875-023-02070-0

Rasool MF, Rehman Au, Khan I, Latif M, Ahmad I, Shakeel S, et al. Assessment of risk factors associated with potential drug-drug interactions among patients suffering from chronic disorders. PLoS One [Internet]. 2023 [cited 2025 May 30];18(1):e0276277. Available from: https://doi.org/10.1371/journal.pone.0276277

Hermes GB, Lange C, Lemões MAM, Castro DSP, Peters CW, Braga JNR. Demographic and socioeconomic analysis of medication use by elderly people living in rural areas. Mundo Saúde [Internet]. 2022 [cited 2025 May 30]; 46: 434–441. Available from: 10.15343/0104-7809.202246434441

Hoel RW, Connolly RMG, Takahashi PY. Polypharmacy management in older patients. Mayo Clin Proc [Internet]. 2021 [cited 2025 May 31]; 96(1):242-256. Available from: https://doi.org/10.1016/j.mayocp.2020.06.012

Bégaud B, Germay S, Noize P. Drugs and the elderly: A complex interaction. Therapies [Internet]. 2023, [cited 2025 Jun 8]; 78(5):559-563. Available from: https://doi.org/10.1016/j.therap.2023.01.003

Schütz A. Sobre a fenomenologia e relações sociais. 2 ed. Rio de Janeiro: Vozes; 2018.

Fontanella BJB, Ricas J, Turato ER. Amostragem por saturação em pesquisas qualitativas em saúde: contribuições teóricas. Cad Saúde Pública [Internet]. 2008 [cited 2025 June 06]; 24:17-27. Available from: https://www.scielo.br/j/csp/a/Zbfsr8DcW5YNWVkymVByhrN/?format=pdf&lang=pt

Jesus MCP, Capalbo C, Merighi MAB, Oliveira DM, Tocantins FR, Rodrigues BMRD, et al. A fenomenologia social de Alfred Schütz e sua contribuição para a enfermagem. Rev Esc Enferm USP [Internet]. 2013 [cited 2025 June 06]; 47(3):736-741. Available from: 10.1590/S0080-623420130000300030

Malta DC, Bernal RTI, Lima MG, Silva AG, Szwarcwald CL, Barros MBA. Socioeconomic inequalities related to noncommunicable diseases and their limitations: National Health Survey, 2019. Rev Bras Epidemiol [Internet]. 2021 [cited 2025 June 07]; 24(Suppl 2):e210011. Available from: https://doi.org/10.1590/1980-549720210011.supl.2

Sales WB, Oliveira ASC, Paiva TA, Pereira LEA. Relação da iatrogenia e polifarmácia em idosos: uma revisão integrativa. Rev Ar Cient [Internet]. 2023 [cited 2025 June 07]; 6(1):1-8. Available from: https://arqcientificosimmes.emnuvens.com.br/abi/article/view/561

Marques VGPS, Santos AGP, Santos MP, Martins TM, Alves IT, Neca CSM, et al. A importância da promoção da saúde no âmbito da saúde pública. Rev Cient Saúde Tecnol [Internet]. 2022 [cited 2025 June 07]; 2(7):e27168. Available from: https://doi.org/10.53612/recisatec.v2i7.168

Assunção RFI, Alessandretti M, Pires GB, Morais DV de, Faria EA de, et al. Impact of polypharmacy on the health of elderly people: assessment and intervention strategies EJHR [Internet]. 2024 Aug. 21 [cited 2025 Jun. 27]; 5(2):e5235. Available from: https://ojs.europubpublications.com/ojs/index.php/ejhr/article/view/5235

Conti MSB, Sañudo A, Ramos LR. Prescription of medicines for the aged: quality indicators, their instruments and measures as indispensable strategies in the health system. Res Soc Dev [Internet]. 2022 [cited 2025 June 07]; 11(2):e55311225942. Available from: https://doi.org/10.33448/rsd-v11i2.25942

Negrão JADS. Os malefícios da automedicação na terceira idade. Rev Saude Multidiscip [Internet]. 2020 [cited 2025 June 08]; 5(1):5-14. Available from: http://revistas.famp.edu.br/revistasaudemultidisciplinar/article/view/61/58

Silva AF, Silva JP. Polifarmácia, automedicação e uso de medicamentos potencialmente inapropriados: causa de intoxicações em idosos. Rev Med Minas Gerais [Internet]. 2022 [cited 2025 June 08]; 32:e-32101. Available from: 10.5935/2238-3182.2022e32101

Cardoso G, Pereira JG. Prescrição (in)apropriada no idoso em cuidados de saúde primários. Gaz Med [Internet]. 2022 [cited 2025 June 08]; 9(3):215-220. Available from: https://www.gazetamedica.pt/index.php/gazeta/article/view/598/383

Coronado-Vázquez V, Gómez-Salgado J, Monteros JCE, Ayuso-Murillo D, Ruiz-Frutos C. Shared Decision-Making in Chronic Patients with Polypharmacy: An Interventional Study for Assessing Medication Appropriateness. J Clin Med [Internet]. 2019 [cited 2025 June 08]; 8(6):904. Available from: 10.3390/jcm8060904

Rodrigues DA, Plácido AI, Mateos-Campos R, Figueiras A, Herdeiro MT, Roque F. Effectiveness of interventions to reduce potentially inappropriate medication in older patients: a systematic review. Front Pharmacol [Internet]. 2022 [cited 2025 June 08]; 12:777655. Available from: https://doi.org/10.3389/fphar.2021.777655

Published

2026-09-24

How to Cite

Moreira de Souza, A., Nunes Morais Partelli , A., De-Bruym Ferrarine, B., Pereira Coelho, M., Effgen Caran, M., Soares Costa, M., Coelho De Marco, R., & Camin de Bortoli , V. (2026). OLDER ADULTS’ PERCEPTION OF IATROGENESIS: A SOCIOLOGICAL PHENOMENOLOGICAL APPROACH. Nursing Edição Brasileira, 32(341), 22512–22523. https://doi.org/10.36489/nursing.2026v32i341p22512-22523

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