Outcome of development of drug related problem management by participation of pharmacist in multidisciplinary team at hypertension clinic, Soeng Sang Hospital at Nakhon Ratchasima Province.

Abstract

Objective: (1) To compare drug problems and drug problem management before and after the development of a drug problem management system by pharmacist in collaboration with a multidisciplinary team in a hypertensive clinic at Soeng Sang Hospital. And (2) to compare clinical outcomes in hypertensive patients before and after the development of a medication problem management system by pharmacist in collaboration with a multidisciplinary team in a hypertensive clinic at Soeng Sang Hospital.  Study materials and method: The research is an action research format. Data were collected using questionnaires 2 times during the 4-month study period and retrospective data were collected from the HOSxP program 2 times during the 4-month study period, for a total of 8 months. The study was conducted among a sample of patients in disease clinics high blood pressure Soeng Sang Hospital, 380 patients, using Taro Yamane's sample determination equation, which the sample was obtained from simple random sampling using a random number table. Analyze data with descriptive statistics such as frequency, percentage, mean, and standard deviation including comparing blood pressure data, medication problems and problem management before and after system development using paired sample t-test statistics.                                                                                                                        

Result: The study found that after developing a drug problem management system there was a statistically significant increase in medication problems discovered and resolved (p = 0.031). Clinical outcomes were significantly improved, with 380 hypertensive patients having a mean blood pressure of the mean systolic blood pressure decreased by 4.46 mmHg (p < 0.001). The mean diastolic blood pressure decreased by 3.16 mmHg (p < 0.001). and the number of high blood pressure patients (systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg) whose blood pressure cannot be controlled The number decreased after the development of the drug problem management system to 34 cases, accounting for 31.19 percent (p = 0.002).                                                          

Conclusion: The development of a drug problem management system by pharmacist in collaboration with a multidisciplinary team resulted in a statistically significant

increase in drug problems being discovered and resolved (p = 0.031). Patients had clinical outcomes improved with a statistically significant decrease in blood pressure (p < 0.001) and a statistically significant decrease in the number of hypertensive patients who still cannot control their blood pressure (p = 0.002). The development of a drug problem management system by pharmacists in collaboration with a multidisciplinary team increases the initial proactive problem finding by pharmacist, preparing a solution to inform the doctor or propose solutions to problems with the doctor by the pharmacist sharing information on medication problems between doctors, nurses, and pharmacists helps to increase success in managing medication problems in the care of patients with high blood pressure.