Family Pharmacist’s Management of Drug Related Problems for Chronic Diseases at Patient’s in Home, Kranuan District Health Network
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Abstract
Objective: This study was a descriptive research to identify types of drug related problems (DRPs), causes, interventions and outcomes of interventions among patients who received a home care service from family pharmacists of Kranuan Crown Prince Hospital and to synthesize interventions that were effective. Methods: Data were collected between the fiscal year 2013-2014 using a home care record. Family pharmacists investigated DRPs and evaluated outcomes of provided interventions by interviewing and observing patients. DRPs, causes, interventions and outcomes of intervention were categorized based on the Pharmaceutical Care Network Europe (PCNE) guideline. Descriptive statistic was used to analyse data. Results: A total of 109 records were completed and usable. The majority were female (65.14%) with average age 65.21±12.74 years. Three most common chronic diseases were diabetes (77.98%), hypertension (62.39%) and cardiovascular disease (28.44%). On average the patients were visited at home 2.11±1.92 times (max=14, min=1). The most prevalent DRP was partial or complete medication noncompliance (53.06%). Concomitant use of other health products was a common cause (18.87%). Frequently employed interventions were verbal medication counselling (30.77%) and other techniques (30.03%) such as empowering caregivers, providing additional equipment for medication use. However, some DRPs were not completely solved because of factors relevant to individual patients and caregivers. Conclusion: A high proportion of DRPs among patients with chronic health problems exists in community. A home care service provided by family pharmacists is potential to resolve this problem.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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