Petkova Valentina B
Department of Social Pharmacy, Faculty of Pharmacy, Medical University-Sofia . ( Bulgaria ).
Pharm Pract (Granada). 2009 Apr;7(2):88-93. doi: 10.4321/s1886-36552009000200004. Epub 2009 Mar 15.
There are different kinds of arthritis, widely spread among the population, that make them a clinical problem with social, psychological and economic burden. Different education programs have been developed in order to improve patients' disease management, medication compliance and from there patients' quality of life.
To develop and implement a community pharmacy-based educational program for patients with arthritis. Improvements in pain, medication compliance, decrease in general practitioner's visits and hospitalizations are expected.
Prospective, randomized, controlled trial. The sample consisted of 43 individuals, with different stages of arthritis (aged 15 - 71), attending pharmacies - intervention group; and 43 individuals - control group. A 4-month education was conducted on the following topics: what causes arthritis and what are the factors that can intensify it; pain management and physical activities; self-management and prevention; pharmacotherapy and possible adverse drug reactions. Patient's health-related quality of life was assessed in the beginning and at the end of the survey.
PARAMETERS ASSESSED DURING THE FOUR STAGES OF THE PROGRAM WERE: frequency of severe pain, frequency of general practitioner's visits, frequency of urgent medical aid calls, compliance with therapy, satisfaction with pharmacy services. Improvement in patients' health-related quality of life was observed and also: decrease in the severity of patients' pain, decrease in the physician's visits, and increase in satisfaction overall care.
Positive results from the educational approach in pharmacy conditions were demonstrated. These consequences have a potential to increase arthritis patient's quality of life.
有多种类型的关节炎在人群中广泛传播,使其成为一个具有社会、心理和经济负担的临床问题。为了改善患者的疾病管理、药物依从性以及由此提高患者的生活质量,已经制定了不同的教育项目。
为关节炎患者制定并实施一项基于社区药房的教育项目。预期疼痛会减轻、药物依从性会提高、全科医生就诊次数和住院次数会减少。
前瞻性、随机、对照试验。样本包括43名处于不同关节炎阶段(年龄15 - 71岁)到药房就诊的个体——干预组;以及43名个体——对照组。就以下主题进行了为期4个月的教育:关节炎的病因以及可能加重它的因素;疼痛管理和体育活动;自我管理和预防;药物治疗以及可能的药物不良反应。在调查开始和结束时评估患者与健康相关的生活质量。
在项目的四个阶段评估的参数有:严重疼痛的频率、全科医生就诊的频率、紧急医疗求助电话的频率、治疗依从性、对药房服务的满意度。观察到患者与健康相关的生活质量有所改善,并且:患者疼痛的严重程度降低、医生就诊次数减少、对整体护理的满意度提高。
证明了在药房环境中教育方法取得了积极成果。这些结果有可能提高关节炎患者的生活质量。