정신건강의학과 외래 환자에 대한 복약상담 업무 개발 및 만족도 평가
Development and Evaluation of a Pharmacist-led Medication Counseling Service for Psychiatric Outpatients
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background : Recent studies have shown that pharmacists have a role in improving psychiatric medication adherence. However, pharmacist interventions for psychiatric patients have not been implemented in Korea because pharmacists’access to these patients is limited. The purpose of this study was to develop a pharmacist-led medication counseling service for psychiatric patients and to evaluate the patients’satisfaction with the service. Methods : Between August 27, 2013 and January 28, 2014, 251 psychiatric outpatients were referred to a pharmacist for medication counseling. 60 patients were referred again to answer the questionnaire for the evaluation of the service. This study was approved by the Institutional Review Board of Seoul National University Hospital. Results : Of the 60 patients referred for the satisfaction survey, 21 patients responded to the questionnaire( 35%). Most patients were satisfied with the counseling and stated that they needed pharmacist- led medication counseling because the pharmacist could provide easy explanations(47.6%). They indicated that information about the name and effects of their medication was most helpful (57.1%). Conclusion : This study suggests the necessity of a pharmacist-led medication counseling service for psychiatric patients. This can be the basis for further studies about pharmacist’s role to improve adherence to psychiatric medications.
Abstract
Background : Recent studies have shown that pharmacists have a role in improving psychiatric medication adherence. However, pharmacist interventions for psychiatric patients have not been implemented in Korea because pharmacists’access to these patients is limited. The purpose of this study was to develop a pharmacist-led medication counseling service for psychiatric patients and to evaluate the patients’satisfaction with the service. Methods : Between August 27, 2013 and January 28, 2014, 251 psychiatric outpatients were referred to a pharmacist for medication counseling. 60 patients were referred again to answer the questionnaire for the evaluation of the service. This study was approved by the Institutional Review Board of Seoul National University Hospital. Results : Of the 60 patients referred for the satisfaction survey, 21 patients responded to the questionnaire( 35%). Most patients were satisfied with the counseling and stated that they needed pharmacist- led medication counseling because the pharmacist could provide easy explanations(47.6%). They indicated that information about the name and effects of their medication was most helpful (57.1%). Conclusion : This study suggests the necessity of a pharmacist-led medication counseling service for psychiatric patients. This can be the basis for further studies about pharmacist’s role to improve adherence to psychiatric medications.
참고문헌 (16)
- Viguera A. C., "Clinical risk following abrupt and gradual withdrawl of maintenance neuroleptic treatment", Arch Gen Psychiatry, 54(1), pp.49~55 (1997)
- Cramer J. A., "Compliance with medication regimens for mental and physical disorders", Psychiatr Serv, 49(2), pp.196~201 (1998)
- Blackwell B., "Drug therapy: patient compliance", N Engl J Med, 289(5), pp.249~252 (1973)
- ALage M. J., "The relationship between antipsychotic medication adherence and patient outcomes among individuals diagnosed with bipolar disorder: a retrospective study", Ann Gen Psychiatry, 8(7), pp.1186~1744 (2009)
- 권준수, "Medication compliance in psychiatric outpatients of a university hospital", J Korean Neuropsychiatric Association, 36(3), pp.523~529 (1997)
- 유지희, "일 대학병원 정신과 외래 환자의 약물 순응도에 영향을 미치는 요인", 대한정신약물학회지, 21(1), pp.29~34 (2010), 대한정신약물학회
- 김정은, "정신교육 프로그램이 정신분열병, 정신분열형 장애, 분열정동장애 환자의 병식과 치료태도에 미치는 영향", 대한정신약물학회지, 21(2), pp.87~94 (2010), 대한정신약물학회
- Kim S. W., "Survey of medication adherence in patients with schizophrenia-Korean ADHES data", Hum Psychopharmacol, 21(8), pp.533~537 (2006)
- 손경희, "교육을 받은 경험이 있는외래정신질환자의 질병 및 약물에 대한 지식도", 정신간호학회지, 10(4), pp.699~713 (2001)
- 서미아, "‘온라인 교육 컨텐츠를 활용한 통합적 약물순응도 강화 프로그램’이 정신분열병 환자의 약물순응도에 미치는 영향", 대한정신약물학회지, 20(1), pp.22~31 (2009), 대한정신약물학회
- Zygmunt, Annette, "Interventions to improve medication adherence in schizophrenia", Am J Psychiatry, 159(10), pp.1653~1664 (2002)
- 이정은, "만성신부전 환자의 Ca 및 P 농도와 복약상담의효과.", J. Kor. Soc. Hosp. Pharm, 16(4), pp.489~494 (1999)
- Jennifer E. Thomas, "Impact of pharmacists in mental health over the past decade", Ment Health Clin, 1(10), pp.252~260 (2012)
- 류윤미, "신경과 파킨슨씨병 환자에 대한 복약지도", J. Kor. Soc. Hosp. Pharm, 10(2), pp.95~99 (1993)
- Mitsi H. Lizer, "The impact of a pharmacist assisted clinic upon medication adherence and quality of life in mental health patients", Pharmacy practice, 9(3), pp.122~127 (2011)
- 임옥정, "Major Depressive Disorder 질환성 노인 환자들의 치료제 평가", 약 학 회 지, 57(2), pp.101~109 (2013), 대한약학회