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
المساهمون
Bahtiar, Anton., مؤلف
Andrajati, Retnosari., مؤلف
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
الموضوع
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
المجموعة
URL المصدر
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.
الداخليين المصابين بمرض القلب التاجي الذين تعرضوا من قبل لنوبة واحدة من ذلك المرض.
قالب العنصر
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