약사의 복약상담 및 교육시행이 신장이식 환자의 만족도와 의약품 정보이해도에 미치는 영향
Effect of Pharmacist’s Educational Intervention on Patient Satisfaction and Medication Knowledge after Kidney Transplantation
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Background : It is considered that effective pharmacist services could result in affirmative effects on medication adherence and reduced rejection rate among the post-transplant patients. In this study, we aimed to evaluate the impacts of pharmacist education on post-transplant patients’medication knowledge and the nurses’work burden. Methods : Pharmacist intervention comprised two sessions of medication education. The survey was conducted three times: the first, before the education, and the second and third after the education. The intervention group included 34 kidney transplantation patients who received pharmacist education and the control group included 18 liver transplantation patients who received usual care. Changes in the patients’satisfaction and medication knowledge were investigated using a selfadministered questionnaire. Additionally, changes in perception of nurses in the kidney transplantation unit were evaluated using a self-administered questionnaire. Changes in the patients’parameters were compared by using t-tests, chi-squared or Fisher’s exact tests; whereas, changes in the nurses’parameters were compared by using the paired t-tests. Results : The level of satisfaction in patients on medication counseling was increased after intervention(p=0.004). The levels of appreciation regarding drug efficacy, administration methods, adverse drug effects, and drug/drug interactions were higher in the intervention group than in the control group (p 0.05). The correct answer rate in the question related to blood concentration due to drug/food interaction was also higher in the intervention group than in the control group (p 0.001). The level of nurse satisfaction with medication counseling, and the level of patient satisfaction assessed from the nursing perspective were significantly increased (p≤0.001). However, the pharmacist intervention of the present study resulted in few changes in the medication workload of nurses(p=0.565). Conclusion : Pharmacist education could enhance the patients’in-depth knowledge about medications, such as adverse drug reaction, drug/drug interaction, and food/drug interaction. However, more regular intervention might be helpful to reduce the medication workload of nurses.
Abstract
Background : It is considered that effective pharmacist services could result in affirmative effects on medication adherence and reduced rejection rate among the post-transplant patients. In this study, we aimed to evaluate the impacts of pharmacist education on post-transplant patients’medication knowledge and the nurses’work burden. Methods : Pharmacist intervention comprised two sessions of medication education. The survey was conducted three times: the first, before the education, and the second and third after the education. The intervention group included 34 kidney transplantation patients who received pharmacist education and the control group included 18 liver transplantation patients who received usual care. Changes in the patients’satisfaction and medication knowledge were investigated using a selfadministered questionnaire. Additionally, changes in perception of nurses in the kidney transplantation unit were evaluated using a self-administered questionnaire. Changes in the patients’parameters were compared by using t-tests, chi-squared or Fisher’s exact tests; whereas, changes in the nurses’parameters were compared by using the paired t-tests. Results : The level of satisfaction in patients on medication counseling was increased after intervention(p=0.004). The levels of appreciation regarding drug efficacy, administration methods, adverse drug effects, and drug/drug interactions were higher in the intervention group than in the control group (p 0.05). The correct answer rate in the question related to blood concentration due to drug/food interaction was also higher in the intervention group than in the control group (p 0.001). The level of nurse satisfaction with medication counseling, and the level of patient satisfaction assessed from the nursing perspective were significantly increased (p≤0.001). However, the pharmacist intervention of the present study resulted in few changes in the medication workload of nurses(p=0.565). Conclusion : Pharmacist education could enhance the patients’in-depth knowledge about medications, such as adverse drug reaction, drug/drug interaction, and food/drug interaction. However, more regular intervention might be helpful to reduce the medication workload of nurses.
참고문헌 (15)
- Knoll G, "Trends in Kidney Transplantation over the Past Decade", Drugs, 68(Supple), pp.3~10 (2008)
- Dew M.A, "Early Post-Transplant Medical Compliance and Mental Health Predict Physical Morbidity and Mortality One to Three Years After Heart Transplantation", J Heart Lung Transplant, 18(6), pp.549~562 (1999)
- 오정미, "신이식환자에서 이식과 환자의 생존에 영향을 끼치는 위험요인 분석", 한국임상약학회지, 16(1), pp.14~22 (2006), 한국임상약학회
- Constantiner M, "Barriers to immunosuppressive medication adherence in high-risk adult renal transplant recipients", Dial Transplant, 40(2), pp.60~66 (2011)
- Dew M.A, "Rates and risk factors for nonadherence to the medical regimen after adult solid organ transplantation", Transplantation, 83(7), pp.858~873 (2007)
- Jung J.H, "Medication Adherence in Patients Taking Immunosuppressants after Kidney Transplantation", The Journal of the Korean Society for Transplantation, 24(4), pp.289~297 (2010)
- Griva K, "Non-adherence to immunosuppressive medications in kidney transplantation:intent vs. forgetfulness and clinical markers of medication intake", Ann Behav Med, 44(1), pp.85~93 (2012)
- Ruppar T.M, "Medication adherence in successful kidney transplant recipients", Progress in Transplantation, 19(2), pp.167~172 (2009)
- Lee S.Y, "Survey on Comprehension and Compliance of Immunosuppressant Medications in Kidney Transplant Recipients", J Kor Soc Hosp Pharm, 15(1), pp.87~96 (1998)
- 김소희, "간이식 환자의 면역억제제 복용이행 관련 중재에 관한 체계적 문헌고찰", Journal of korean biological nursing science, 18(1), pp.17~26 (2016), 기초간호학회
- Monnier G, "Evaluation of drug therapy knowledge in liver transplant patients after pharmacy counseling", Therapie, 58(4), pp.305~311 (2003)
- Partovi N, "Evaluation of a patient education program for solid organ transplant patients", Can J Hosp Pharm, 48(2), pp.72~78 (1995)
- Chisholm M.A, "Impact of clinical pharmacy services on renal transplant patients' compliance with immunosuppressive medications", Clin Transplant, 15(5), pp.330~336 (2001)
- Makowsky M.J, "Collaboration between pharmacists, physicians and nurse practitioners : a qualitative investigation of working relationships in the inpatient medical setting", J Interprof Care, 23(2), pp.169~184 (2009)
- Chisholm-Burns M.A, "Nonmodifiable characteristics associated with nonadherence to immunosuppressant therapy in renal transplant recipients", Am J Health Syst Pharm, 65(13), pp.1242~1247 (2008)