The effects of medication counseling on peritoneal dialysis patient’s compliance at peritoneal dialysis clinic in Nopparat Rajathanee Hospital, Bangkok

Abstract

Introduction: The purposes of this study were to evaluate the effects of medication counseling on peritoneal dialysis  patient’s compliance and to identify the relationship between demographic factors and patient’s compliance. Method: A quasi-experimental study was performed in patients with chronic kidney disease at peritoneal dialysis clinic in Nopparat Rajathanee Hospital.  Patient’s compliance was checked by pill count method and by patient interview questionnaires. Result: 60 patients  were included. The majority was 60 years old or more. Average number of drug taken was 9 items. At least, half of them (51.67%) had received medication counseling by pharmacist. Assessed by pill count, patient’s compliance after counseling was significantly higher than before counseling (before:  75.64+15.19 %; after: 87.99+9.36%; p <0.001). Assessed by questionnaires, patient’s compliance for not using less medication than prescribed significantly increased after counseling (before: 87.59+13.56 %; after: 96.83+5.28%; p <0.001). All demographic factors such as, gender, age, religion, educational level, number of comorbidities, number of drug taken, and having received medication counseling beforetime, did not affect to patient’s compliance. Conclusion: The medication counseling by pharmacist for peritoneal dialysis patients could enhance patient’s compliance.