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DEVELOPMENT OF THE PHARMACIST'S ROLE AS PART OF A MULTIDISCIPLINARY TEAM PROVIDING HOME PAIN MANAGEMENT TREATMENT TO ADVANCED-STAGE CANCER PATIENTS - NONGSUA HOSPITAL, PATHUMTHANI |
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| รหัสดีโอไอ | |
| Creator | Thipsukon Jaroenpan |
| Title | DEVELOPMENT OF THE PHARMACIST'S ROLE AS PART OF A MULTIDISCIPLINARY TEAM PROVIDING HOME PAIN MANAGEMENT TREATMENT TO ADVANCED-STAGE CANCER PATIENTS - NONGSUA HOSPITAL, PATHUMTHANI |
| Contributor | Chanthonrat Sitthiworanan |
| Publisher | Faculty of pharmacy, Silpakorn University |
| Publication Year | 2565 |
| Journal Title | Thai Bulletin of Pharmaceutical Sciences |
| Journal Vol. | 17 |
| Journal No. | 2(July-December)2022 |
| Page no. | '1-21 |
| Keyword | pharmaceutical care, pain management, advanced cancer, pharmacist role, home health care, multidisciplinary team |
| URL Website | https://li01.tci-thaijo.org/index.php/TBPS |
| ISSN | 2586-8659 |
| Abstract | The objective of this research project was to expand the role of pharmacists working as part of a multidisciplinary team who were providing pain management treatment, through the administration of opioids, to advanced-stage cancer patients in their homes. The participants were divided into 2 groups made up of 14 medical staff and 38 advanced-stage cancer patients who were using opioids to control pain. They were selected through purposive sampling. After the patients were recruited into the study, each patient was provided home pain management by pharmacists in a multidisciplinary team during a home visit 3 times. The data was collected between May and October 2020. Analysis of the effect of the development of the pharmacist's role in pain management was compared before a home visit, after a home visit for 1 and 2 weeks, showed that the median pain scores were reduced by a statistically significant amount to 6, 4, and 4 (out of 10), respectively. The medication adherence measurements showed median percentages of 75.00, 93.75, and 92.86, respectively. Medication taking behaviour as measured by the Thai (MTB-Thai) questionnaire was shown to improve, with a statistically significant increase in the median score to 19.5, 23, and 23 (out of 24), respectively. In addition, the results of the enhanced pharmacist's role in pain management before and after the interventions showed a statistically significant increase in the median patient's knowledge scores from 5 to 8 (out of 10) and the mean of patient's quality of life from 53.09 to 74.57 (out of 108). Furthermore, the median score pertaining to drug-related problems was reduced by a statistically significant amount to 1 and 0, respectively. A statistically significant increase in the score for overall satisfaction from 3.24 to 4.50 (out of 5) was seen in the patient group, and from 3.00 to 4.60 in the team group. This research shows that pharmacists can play a role as part of a multidisciplinary team providing pain management treatment to advanced-stage cancer patients in their homes, as the results in better outcomes of pain management, quality of life, knowledge, medication adherence and satisfaction of patients and the multidisciplinary teams demonstrate. |
