인공신장실 환자 복약지도에 의한 환자 인식도 변화

Abstract

The end-stage renal disease patients have chronic disease status since they are accompanied by various complication such as diabetes mellitus and hypertension etc., and also they have low recognition degree for medicine since they take lots of medicine. This decreases patient compliance and also increases the reduction of the treatment effect and the risk of complication. To be against the one time patient consultation having only verbally conducted in prior, we have recorded information for patients, monitored clinical laboratory data and recorded patient consultation contents. Subsequently, we have provided doctors with the matters which discovered in the patient consultation as a problem. We have estimated the change of patient cognizance degree for patient consultation by comparing and analyzing first questionnaire survey (2004.3) before educating and next questionnaire survey (2004.7) after educating for 5 months. After education, patients have improved in the expectation degree of pharmacotherapy for medicine, increased in the understanding degree for name, effect and reason for one's taking medicine, and kept in dosing method and dosing time, and thereby, we were able to know that patient compliance is improved. In survey, the reply to conduct dietary therapy was increased from 28% to 48%, and the reply to obtain any information for medicines from pharmacist was increased from 20% to 45%, therefore we were able to know which patients naturally cognized the patient consultation of pharmacists.