وثيقة

Evaluation of a clinical pharmacist intervention on clinical and drug-related problems among coronary heart disease inpatients : a pre-experimental prospective study at a general hospital in Indonesia.

المعرف
doi: 10.18295/squmj.2018.18.01.013
مؤلف
المساهمون
عناوين أخرى
تقويم فعالية تدخل الصيدلاني السريري لحل المشاكل السريرية والدوائية عندالمرضى الداخليين المصابين بمرض القلب التاجي : دراسة استباقية قبل-تجريبية في مستشفى عام بإندونيسيا
الناشر
College of Medicine, Sultan Qaboos University.
ميلادي
2018-02
اللغة
الأنجليزية
الملخص الإنجليزي
This study aimed to evaluate the role of a clinical pharmacist intervention in decreasing subsequent clinical and drug-related problems (DRPs) among coronary heart disease (CHD) inpatients with at least one previous DRP. Methods: This pre-experimental study with a pre-post design was carried out from January to April 2017 among inpatients with at least one previous DRP at a general hospital in Tangerang District, Banten, Indonesia. Clinical and DRPs were documented prospectively by a clinical pharmacist, with DRPs classified using Version 6.2 of the DRP classification scheme of the Pharmaceutical Care Network Europe Foundation. The intervention consisted of a discussion of identified DRPs with physicians, patients, pharmaceutical logistics clerks, nurses and nutritionists. Following this, any subsequent clinical and DRPs were re-identified and further interventions were conducted as necessary. Results: A total of 75 inpatients were included in the study. Pre-intervention, there were 443 DRPs and 202 clinical problems. The most frequent DRPs were adverse drug reactions (52.6%), followed by drug effects (41.8%). Most DRPs were of moderate severity and would have resulted in moderate consequences had the pharmacist not intervened. The interventions resulted in a significant reduction in the number of DRPs, type of DRPs and number of clinical problems (P <0.05 each). Patients with complications were 26.047 times more likely to have no reduction or an increased number of clinical problems compared to patients without complications (P <0.05). Conclusion: Clinical pharmacist interventions were found to reduce subsequent DRPs and clinical problems among CHD patients with at least one previous DRP
الملخص العربي
الهدف: تهدف هذه الدراسة لتقويم دور الصيدلاني السريري في التدخل لتقليل المشاكل السريرية والدوائية اللاحقة عند المرضى
الداخليين المصابين بمرض القلب التاجي الذين تعرضوا من قبل لنوبة واحدة من ذلك المرض.
قالب العنصر
مقالات الدوريات

مواد أخرى لنفس الموضوع

مقالات الدوريات
0
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Al-Maqbali, Ali.
College of Medicine, Sultan Qaboos University.
2017-10
مقالات الدوريات
0
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Nzeako, Basil C.
College of Medicine, Sultan Qaboos University.
2006-12