Pharmacist educational interventions program for outpatients with chronic heart failure
| Autor: | N. Berenguer, J. Comín-Colet, M. Barrantes, A. Carmona, E. Salas, M. Florit, Sonia Luque |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Ejection fraction business.industry Pharmacist medicine.disease Exact test Internal medicine Heart failure medicine Decompensation Observational study cardiovascular diseases Medical emergency General Pharmacology Toxicology and Pharmaceutics Disease management (health) business Adverse effect |
| Zdroj: | European Journal of Hospital Pharmacy. 19:93.1-93 |
| ISSN: | 2047-9964 2047-9956 |
| Popis: | Background Patients with chronic heart failure (CHF) take several medicines and frequently manage their medicines inappropriately. In our hospital, a postdischarge pharmacist educational interventions program (PEIP) has been introduced as a part of a multidisciplinary CHF disease management program. Purpose To describe CHF patient profiles, adherence, treatment knowledge and detection of drug-related problems (DRP) through the PEIP. To analyse the relation between DRPs detected and CHF patient characteristics. Materials and methods Prospective observational study including all CHF patients attending the PEIP from May 2010 to August 2011. Data: demographics; New York Heart Association (NYHA) class; mean ejection fraction (EF); cardiovascular risk factors (CRF); self-administration of medicine (SA); self-reported adherence to diet (AD) and medicine (AM) and motivation (M) (Modified Morisky Scale); knowledge of CHF medicines: %dose (D), frequency (F) and indication (I); contraindicated drugs (CID) and DRP (DRP1: did not use a needed medicine; DRP2: used a medicine not needed; DRP3: ineffective treatment; DRP4: infradose; DRP5: overdose; DRP6: adverse reaction) and cases of acute decompensation. Statistical test: χ2 and Fischer exact test for dichotomous variables and t-test for continuous variables. Results Patients: 75. Patient profile: 54 (72%) male; age: 71.8±1.3; patients/NYHA class: I: 2 (2.7%); II: 58 (77.3%); III: 14 (18.7%); IV: 1 (1.3%), EF Conclusions The PEIP evaluated the adherence and knowledge of the treatment in CHF patients and allowed us to detect DRPs in about 23% of the patients. The presence of any DRP was only correlated with acute decompensation and self-administration of drugs, suggesting the importance of an appropriate CHF treatment self-management. |
| Databáze: | OpenAIRE |
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