Outcomes of drug problem-solving of chronic disease patients from home visits by pharmacists In Chiang Khwan district Roi Et Province.

Abstract

Purpose: To study drug-related problems of chronic patients and the outcomes of drug use management by pharmacists in chronic disease patients in Chiang Khwan district Roi Et Province.

Design:  Descriptive research

Methods: Was visited by 39 multidisciplinary teams from October 2018 to March 2019, in which pharmacists searched for problems and causes of drug-related problems by inquiring, observing, comparing drug use information from various sources Both from patients, relatives, carers of patients' books. And related medical records to assess drug-related problems. Pharmacists record information and methods of medication correction in each patient. Drug problem classification is based on the definition of Helper and Strand.

Main findings: The results show that There were 39 patients visiting home, 30 from drug use problems (76.92%) found a total of 84 problems. The top 3 most common problems were non-prescription 24 problems (28.57%). Undesirable drugs from 21 problems (25%) and 12 unidentified drugs (14.28%). Pharmacists design and manage drug use problems for each patient. Found that 113 solutions were used, with an average of 3.76 times per patient, which found that the most commonly used method was to recommend the same medication to the hospital every 30 times (26.55%), followed by Came as a review of medication intake with patients and relatives, 19 times (16.81%) and education to patients about disease and medication use, 15 times (13.27%). The result from Troubleshooting The use of drugs in patients with the problem of drug use in this study, all 30 patients found to have been searching for a way to fix the problem, and by all pharmacists.

Conclusion and recommendations: The conclusion of the study shows that the pharmacists in the home visiting team play a role in helping to solve medication problems for patients with chronic diseases. Which will benefit the treatment further.