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临床药师在提高使用异维A酸患者的知识水平及治疗效果中的作用:一项随机对照研究。

Clinical pharmacist role in improving the knowledge and outcomes in patients using isotretinoin: A randomized, controlled study.

作者信息

Alabadallah Ruba Y, Hijazi Bushra M, Altawalbeh Shoroq M, Oqal Muna, Almomani Basima A

机构信息

Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.

Faculty of Pharmaceutical Sciences, Hashemite University, Zarqa, Jordan.

出版信息

Heliyon. 2023 Sep 13;9(9):e20102. doi: 10.1016/j.heliyon.2023.e20102. eCollection 2023 Sep.

Abstract

OBJECTIVE

To evaluate the role of a clinical pharmacist in improving knowledge and outcomes among isotretinoin users.

METHODS

Patients were randomly assigned to an intervention group (received education about isotretinoin by a clinical pharmacist in addition to the physician) and a control group (received routine education by the physician), then followed for three months. Patients' knowledge about isotretinoin optimal use, and side effects and their management and other outcomes were measured in both groups at baseline and at follow up after three months using a validated questionnaire.

RESULTS

Two-hundred and three patients completed the study; 103 were in the intervention group and 100 in the control group. The knowledge improvement between baseline score and follow-up score was greater in the intervention group (mean = 2.835 ± 1.329) compared to the control group (mean = 0.530 ± 0.784) with mean differences = -2.30495, P < 0.001.

CONCLUSION

Implementing clinical pharmacy services in dermatology clinics can positively increase patients' level of knowledge about isotretinoin, which could reduce the severity of its side effects. Therefore, improving patients' quality of life, and improvement in acne.

PRACTICE IMPLICATIONS

Implementing clinical pharmacist services to patients using isotretinoin is feasible in an outpatient setting. Clinical pharmacist counseling and education improve the medication knowledge among patients who use isotretinoin.

摘要

目的

评估临床药师在提高异维A酸使用者知识水平及改善治疗结果方面的作用。

方法

将患者随机分为干预组(除医生外还接受临床药师关于异维A酸的教育)和对照组(接受医生的常规教育),然后随访三个月。在基线期及三个月随访期,使用经过验证的问卷对两组患者关于异维A酸最佳使用方法、副作用及其处理以及其他治疗结果的知识进行测量。

结果

203名患者完成了研究;干预组103人,对照组100人。与对照组(均值 = 0.530 ± 0.784)相比,干预组基线评分与随访评分之间的知识改善程度更大(均值 = 2.835 ± 1.329),均值差异 = -2.30495,P < 0.001。

结论

在皮肤科诊所实施临床药学服务可积极提高患者对异维A酸的知识水平,这可能减轻其副作用的严重程度。因此,可改善患者生活质量,并改善痤疮病情。

实践意义

在门诊环境中,为使用异维A酸的患者提供临床药师服务是可行的。临床药师的咨询和教育可提高使用异维A酸患者的用药知识。

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