Karthikeyan Kavya, Sunil Vinayak B, Alex Soumya M, Cs Madhu
Department of Pharmacy Practice, St. Joseph's College of Pharmacy, Cherthala, India.
Department of Oncology, Lourdes Hospital, Ernakulam, India.
J Oncol Pharm Pract. 2022 Apr;28(3):588-597. doi: 10.1177/10781552211005003. Epub 2021 Apr 1.
Clinical pharmacist can enthusiastically involve in oncology department through utilizing the skills and knowledge to support wide variety of functions in patient care. The impact of pharmaceutical care services in oncology department were analysed through various approaches including the analysis of knowledge level of patients towards the disease and its management through patient counselling, monitoring of performance status, observing of ADR and drug safety. Incidence of cancer was scrutinized during the study.Methodology: A Prospective interventional study was conducted from November 2019 to March 2020 with the support of institutional ethical approval at oncology department of Lourdes hospital, Ernakulam. 133 patients were included with all type of cancer. Data collected through Performa with KAP questionnaire and direct interview was conducted. Statistical significance was evaluated through p value of <0.001 Result: 123 patients were completed both questionnaire. Among this 69.91% were females and most of the patients belonged to 50 - 65yeras age group and carcinoma was frequently reported type. End of the study showed significant change in the knowledge level of patients after interaction with the clinical pharmacist. 26 ADRs were reported including solitary and multiple ADRs. Recommendations associated with drug reconstitution, administration were frequently given to the nurses. Most of the interventions to improve therapeutic outcome of the patients were accepted by the oncologist.
Clinical pharmacist can actively participate in all aspects of the oncology department in association with physician and other health care providers to improve the therapeutic outcome and quality of life of patients.
临床药师可以通过运用自身技能和知识积极参与肿瘤科工作,以支持患者护理中的多种职能。通过多种方法分析了肿瘤科药学服务的影响,包括通过患者咨询分析患者对疾病及其管理的知识水平、监测患者的身体状况、观察药物不良反应(ADR)和药物安全性。在研究期间对癌症发病率进行了详细审查。
2019年11月至2020年3月,在埃尔讷古勒姆卢尔德医院肿瘤科进行了一项前瞻性干预研究,并获得了机构伦理批准。纳入了133例患有各种癌症的患者。通过预先设计的包含知识、态度和实践(KAP)问卷的表格收集数据,并进行直接访谈。通过p值<0.001评估统计学意义。
123例患者完成了两份问卷。其中69.91%为女性,大多数患者年龄在50 - 65岁之间,最常见的癌症类型为癌。研究结束时显示,与临床药师交流后患者的知识水平有显著变化。共报告了26例药物不良反应,包括单独和多种不良反应。经常向护士提供与药物复溶、给药相关的建议。大多数改善患者治疗效果的干预措施得到了肿瘤学家的认可。
临床药师可以与医生和其他医疗服务提供者合作,积极参与肿瘤科的各个方面,以改善患者的治疗效果和生活质量。