Pharmaceutical Care in Outpatients with Dementia at Nakhon Ratchasima Rajanagarinda Psychiatric Hospital
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Abstract
Introduction : The objective of this study was to compare the outcomes before and after pharmaceutical care in demented patients and caregivers in an intervention group and a control group in the following aspects fnding and management of drug related problems (DRPs), score of MMSE-Thai 2002, knowledge related to drug use, satisfaction of caregivers with pharmaceutical care and cost saving from the provider prospective. Materials and Method : The study was an experimental design with a comparison group. The samples were outpatients with dementia and their caregivers at Nakhon Ratchasima Rajanagarindra Psychiatric Hospital. The study was conducted during 6 th January – 12 nd March 2010. The samples were divided into 2 groups ; the intervention group (pharmaceutical care) with 25 cases and control group (regular work) with 20 cases. Results : Baseline characteristic of patients and caregivers were not different between group (p> 0.05). DRPs in the intervention group after pharmaceutical care were decreased from 13 problems to 2 problems and when compared between the intervention group and control group were not different (p> 0.05). The mean score of MMSE-Thai 2002 divide education level, when compared within group and between groups before and after pharmaceutical care were not different (p> 0.05). The mean score of knowledge related to drug use after pharmaceutical care of the intervention group signifcantly increased and was more than in the to controlled group (6.0 ± 1.06 to 7.0 ± 0.68, p< 0.001 and 7.0 ± 0.68 with 6.4 ± 0.75, p=0.004, respectively). The mean score of satisfaction of the caregivers with the pharmaceutical care in the intervention group was the highest level (4.6±0.44). The total mean of cost saving due to intervention was 92.2 ± 254.80 Baht. Conclusion : Pharmaceutical care in demented patients and caregivers could reduce DRPs, increase the knowledge related drug use of caregivers and save expenditure of hospitals.
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