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Effectiveness of family pharmacist intervention on drug use problems,quality of life and cardiovascular risk factors in patientswith diabetic kidney disease at a primary care unit:A randomized controlled trial |
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รหัสดีโอไอ | |
Creator | 1. Wiwat Thavornwattanayong 2. Papassara Wannathong |
Title | Effectiveness of family pharmacist intervention on drug use problems,quality of life and cardiovascular risk factors in patientswith diabetic kidney disease at a primary care unit:A randomized controlled trial |
Publisher | Research and Development Office, Prince of Songkla University |
Publication Year | 2565 |
Journal Title | Songklanakarin Journal of Science an Technology (SJST) |
Journal Vol. | 44 |
Journal No. | 5 |
Page no. | 1323-1330 |
Keyword | family pharmacist intervention, cardiovascular risk, drug-related problems, drug-related suffering, primary care |
URL Website | https://sjst.psu.ac.th/ |
ISSN | 0125-3395 |
Abstract | Patients with diabetic kidney disease have high cardiovascular risk (CV risk). Many patients also have drug-relatedproblems (DRP) leading to negative quality of life (QOL). Family pharmacist intervention (FPI) is a family medicine conceptthat emphasizes patient-centered care with effective communication. This study assessed the effectiveness of FPI compared withusual care (UC) on outcomes of drug use, QOL and CV risk factors. This randomized controlled trial was conducted with 48patients in each group in a primary care unit. Results showed that 157 DRP were found in the FPI group (75.8% were resolved)with 43 in the UC group (41.9% were resolved). There were 84 incidents of drug-related suffering (DRS) and 34 drug systemproblems (DSP) in primary care in the FPI group. For QOL, the FPI group had significantly different utility scores than the UCgroup. Clinical outcomes, blood pressure and total cholesterol were significantly different between the two groups, while CV riskof the FPI group decreased. FPI proved to be effective for pharmacists to resolve problems with patients and multidisciplinaryteams. FPI was also more effective than UC for patient QOL and some CV risk factors. |