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Analisar o perfil das intervenções farmacêuticas providas pelos farmacêuticos clínicos por meio da análise de prescrições médicas em uma Unidade de Terapia Intensiva (UTI) adulto generalista. Metodologia: Trata-se de um estudo transversal, prospectivo e observacional, com abordagem quantitativa, realizado na UTI de um hospital público referência em urgência e trauma do estado de Goiás. Os dados foram coletados no período de junho a agosto do ano de 2022, por meio da análise diária das prescrições. Resultados: A população estudada compreendeu 74 pacientes, em sua maioria do sexo masculino (68,92%), hipertensos (27,03%), e diabéticos (14,86%). Foram analisadas 568 prescrições, e identificados 489 problemas relacionados a medicamentos, sendo os mais prevalentes: medicamento inapropriado/desnecessário ou contraindicado (30,67%) e necessidade de medicamento adicional (24,34%). As classes de medicamentos mais envolvidas nos problemas foram: anti-infecciosos gerais para uso sistêmico (23,72%), e agentes do sistema nervoso (23,11%). Das intervenções farmacêuticas promovidas, 84,25% foram aceitas, com maior frequência: suspender medicamento (30,67%) e iniciar terapia medicamentosa (23,72%). Conclusão: Diante dos resultados apresentados, nota-se a boa taxa de aceitabilidade das intervenções, destacando a importância da atuação do farmacêutico clínico dentro da UTI na prevenção de problemas relacionados à farmacoterapia, bem como na melhoria dos desfechos terapêuticos
To analyze the profile of pharmaceutical interventions provided by clinical pharmacists through the analysis of medical prescriptions in a generalist adult Intensive Care Unit (ICU). Methodology: This is a cross-sectional, prospective and observational study, with a quantitative approach, conducted in the ICU of a public hospital that is a reference in emergency and trauma in the state of Goiás. Data were collected from June to August of 2022, through the daily analysis of prescriptions. Results: The population being studied comprised 74 patients, mostly male (68.92%), hypertensive (27.03%), and diabetic (14.86%). 568 prescriptions were analyzed, and 489 problems related to medication were identified, the most prevalent being: inappropriate/unnecessary or contraindicated medication (30.67%) and need for additional medication (24.34%). The drug classes most involved in the problems were: general anti-infectives for systemic use (23.72%) and nervous system agents (23.11%). Of the promoted pharmaceutical interventions, 84.25% were accepted, most frequently: discontinuing medication (30.67%) and starting medication therapy (23.72%). Conclusion: In view of the results presented, there is a good rate of acceptability of the interventions, highlighting the importance of the role of the clinical pharmacist within the ICU in preventing problems related to pharmacotherapy, as well as in improving therapeutic outcomes
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Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Pharmacists , Intensive Care Units , PrescriptionsABSTRACT
Introdução: a hanseníase é uma doença de fácil diagnóstico, possuindo tratamento e cura. Quando diagnosticada tardiamente, pode trazer graves consequências para os portadores e seus familiares. Uma vez que o tratamento da hanseníase está inserido no componente estratégico da assistência farmacêutica, são exigidos cuidados e orientação. Há necessidade de intervenção clínica farmacêutica, com objetivo de acompanhar prescrições medicamentosas, analisando a adesão dos pacientes ao tratamento com a promoção de ações de educação em saúde, além de minimizar a ocorrência de eventos adversos relacionados aos fármacos do tratamento com possível redução de custos associados aos agravos. Objetivo: realizar o monitoramento para identificar e tratar as possíveis intercorrências que estão comumente presentes no tratamento de hanseníase. Metodologia: a realização do estudo deu-se com o acompanhamento dos pacientes atendidos no serviço de referência a partir da aplicação de questionários em consultas periódic as, vis to que a adesão ao tratamento, reduç ão dos eventos adver sos e controle dos comunic antes são de suma impor tância para o controle epidemiológico. Resultados: os principais sintomas dos indivíduos acometidos foram dormência e eritema nodoso hansênico. A maioria utilizava como tratamento o esquema multibacilar e talidomida. O acometimento relatado dos pacientes foi em nível moderado. Os pacientes possuíam comorbidades como hipertensão, artrose e diabetes. O acompanhamento clínico foi relatado como positivo pela maioria dos entrevistados. Conclusão: o desfecho do estudo mostra que a adesão do paciente é crucial para o êxito do tratamento e o acompanhamento do farmacêutico clínico constitui um pilar positivo, contribuindo para a prevenção de agravos e conscientização da comunidade.
Introduction: Hansen's disease is an easily diagnosed disease, with treatment and cure available. When diagnosed late, it can bring serious consequences for patients and their families. Since the treatment of Hansen's disease is part of the strategic component of pharmaceutical assistance, care and guidance are required. There is a need for clinical pharmaceutical intervention, aiming to monitor drug prescriptions, analyze patients' adherence to treatment while promoting health education actions, in addition to minimizing the occurrence of adverse events related to treatment drugs with possible reduction in costs associated to grievances. Objective:thus, the present study aimed to monitor, identify, and treat possible complications commonly present in the treatment of Hansen's disease. Methodology: The study was carried out with the follow-up of patients seen at the reference service, through the application of questionnaires in periodic appointments, since adherence to treatment, reduction of adverse events and control of communicants are of short importance for epidemiological control. Results:The main symptoms of Hansen's disease patients were numbness and leprosy nodosum erythema. Most used the multibacillary scheme and thalidomide as treatment. The reported involvement of patients was at a moderate level. Patients had other comorbidities such as hypertension, arthrosis and diabetes. The clinical assistance was reported as positive by most interviewees. Conclusion: The outcome of the study shows that patient's compliance is crucial for the success of treatment and the clinical pharmacist's accompaniment is a positive pillar, contributing to the prevention of complications and community awareness.
Subject(s)
Humans , Male , Female , Pharmaceutical Services , Thalidomide/therapeutic use , Leprosy/drug therapy , Health Centers , Cross-Sectional StudiesABSTRACT
OBJECTIVE: To collect relevant data on the development of clinical pharmaceutical services in secondary hospitals in China and analyze the existing problems of clinical pharmaceutical services and provide relevant policy suggestions. METHODS: A face-to-face interview survey was conducted to collect data on the secondary hospital clinical pharmacists′ perception of their own work, physicians′ knowledge of clinical pharmacists′ work and patient′s attitude toward clinical pharmacists′ work, et al which was analyzed with descriptive statistics tools. RESULTS: Among the clinical pharmacists, physicians, and patients surveyed, 52.8% of clinical pharmacists think that the clinical pharmacists in the hospital work smoothly, but 35.8% of clinical pharmacists think the configuration of clinical pharmacists in the hospital is unreasonable; 42.0% of the doctors had a basic understanding of the work of clinical pharmacists; the attitude of the clinical pharmacists on medication recommendations or dosing regimens was mainly partly adopted (82.5%). Most of the patients did not understand but had heard of clinical pharmacy services (39.7%).CONCLUSION: The work and assignment of clinical pharmacists, understandings between clinical pharmacists and physician, patients of secondary hospitals in China require further improvement.
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OBJECTIVE： To understand the attitudes of personnel involved in secondary hospitals in China for clinical pharmacy services and analyze the existing problems, so as to improve the implementation of clinical pharmacy services in secondary hospitals in China. METHODS： Field interviews and questionnaire surveys were used to collect and collate relevant data on concerned people′s attitudes and demands in clinical pharmacy services towards clinical pharmacy services and clinical pharmacists in secondary hospitals. Data were analyzed by descriptive statistical methods. RESULTS： The analysis showed that the degree of acceptance and demand for clinical pharmacy services and clinical pharmacists in Chinese secondary hospitals were generally high, but there were significant differences in the specific needs and cognition of clinical pharmacists basing on different subjects. CONCLUSION： At present, clinical pharmacy service related persons in secondary hospitals have formed a preliminary understanding of clinical pharmacy services and clinical pharmacists. However, there are still remain some problems: the scope of duties of clinical pharmacists is still not clear, and some departments are less aware of clinical pharmacy services, the number of clinical pharmacists′ equipment are insufficient, the training mechanism for clinical pharmacists are inadequate, and the treatment of clinical pharmacists are poor. Secondary hospitals and related departments in China should increase the input of related resources and emphasize the training of talents according to the actual situation and needs of the development of clinical pharmacy services, establish and improve the existing pharmacist system and actively promote the relevant subjects of clinical pharmacy services so as to improve the efficiency of the implementation of pharmacy services.
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OBJECTIVE: To obtain data related to status quo of clinical pharmacy service provision of tertiary hospitals, find problems in clinical pharmacy service provision, based on which provide advice on policy formulation. METHODS: A face-to-face interview survey was conducted to collect data on status quo of clinical pharmacy service provision of Tertiary hospitals which were analyzed with descriptive statistics tools. RESULTS: The proportions of clinical pharmacy related workload to 86.4% of the clinical pharmacists are larger than 40%; relatively more clinical pharmacists focus their work on prescription checking(25.9%), therapeutic regimen(17.3%) or pharmaceutical ward round(15.7%) than other services; medical documentation(53.6%), group consultation(51.7%) and drug abuse prevention(27.3%) are less performed by clinical pharmacists than other duties; 96.9% of the physicians recognized the clinical value of clinical pharmacists' work, and 97.1% of the physicians adopted the clinical pharmacist's advices; medical history checking, medication guidance, medication counseling and pharmaceutical ward round are with relatively high coverage(75.3%, 78.0%, 76.2%, and 73.5%) and satisfaction(77.8%, 81.3%, 79.2%, and 76.1%) among the patients. CONCLUSION: The construction of clinical pharmacy service system in tertiary hospitals in our country is beginning to obtain achievement.
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OBJECTIVE: To obtain data related to clinical pharmacy services of tertiary hospitals, find problems within medical workers' and patients' attitudes towards clinical pharmacy services, based on which provide advice on policy formulation. METHODS: A face-to-face interview survey was conducted to collect data on medical workers' and patients' attitudes towards basic conditions of service provision, service items and the career of clinical pharmacist, which was analyzed with descriptive statistics tools. RESULTS: Around 95% of each type of medical workers recognize the value of the clinical pharmacists in clinical departments, and 70%-80% of each type of medical workers recognize the value of clinical pharmacists in outpatient and emergency department; only 69.0% of clinical pharmacists hold positive attitudes towards their career, while 83.3% of other pharmacy workers have intentions to enter the clinical pharmacist career; each service item is needed by 80%-90% of the physicians and 75%-90% of the patients. CONCLUSION: Most hospital leaders, clinical pharmacists, physicians, other pharmacy workers and patients are holding positive attitudes towards and recognitions of clinical pharmacy services and clinical pharmacists in tertiary hospitals.
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OBJECTIVE: To obtain data related to clinical pharmacy services of second-level hospitals,find and explore problems in the service system,based on which provide realistic reference for the formulation of relevant policies and norms in clinical pharmaceutical service.METHODS: Field interview and survey were conducted to collect data on management system construction,hardware & facility equipment and professional staffing, etc. which was analyzed with descriptive statistics tools.RESULTS: The results show that 78.1% of the hospital within the sample established clinical pharmacist performance appraisal systems and had management system construction, but only 9.8% of the hospital′s clinical pharmacy services were charged. In terms of hardware & facility equipment, 60.6% of the hospitals applied rational drug use software systems. In terms of professional staffing, each 100 beds were equipped with an average of 5.7 technical pharmaceutical professionals and an average 3.4 full-time clinical pharmacists; however, dispensing remained main duty of technical pharmaceutical professionals.CONCLUSION: There are already certain conditions for anagement system construction,hardware & facility equipment and professional staffing of second-level hospitals in China, but they require further improvement based on the current need for medical services
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Objective: To evaluate the effects of clinical pharmacists on the community hypertension and coronary heart disease management.Methods: The clinical pharmacy service management program for community chronic disease patients was designed, and the medication files of the patients with hypertension and coronary heart disease were established, and then the medication safety cognition and chronic disease medication of the patients were investigated.Pharmaceutical interventions were given twice for the irrational drug use and living habits and the views of pharmacy were put forward.The improvement of medication compliance, pharmaceutical opinion acceptance and blood pressure etc was evaluated, and then the drug cost and the cost of health care products were analyzed and evaluated.Results: The medication and hypertension compliance increased, the patients were satisfied with the clinical pharmacy service, and the acceptance rate of pharmaceutical intervention opinions was improved significantly.The total cost of medication was without significant change, and the cost of health care products decreased significantly.Conclusion: It is an effective way to expand the impact of clinical pharmacy performed by clinical pharmacists on chronic disease medication management in communities, which can improve the rationality and safety of drug use in the patients with chronic diseases and has positive effects in promoting the management of community chronic diseases.
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OBJECTIVE: To obtain data related to clinical pharmacy services of Tertiary hospitals, find problems in the service system, based on which provide advice on policy formulation. METHODS: A face-to-face interview survey was conducted to collect data on management system construction, hardware & facility equipment and professional staffing, et al which was analyzed with descriptive statistics tools. RESULTS: Only 59.7% of the hospital within the sample established clinical pharmacist performance appraisal systems; 18.4% of the hospital's clinical pharmacy services were charged; 30.0% of the hospitals provided offices for clinical pharmacists; each 100 beds were equipped with an average of 5.6 technical professionals and an average 0.43 clinical pharmacists; most of the professionals' educational background were undergraduate (51.5%) and below undergraduate (28.7%), and most of the professionals' professional titles were primary (53.1%) and intermediate (33.4%); dispensing remained main duty of pharmaceutical professionals(67.4%).CONCLUSION: Management system construction, hardware & facility equipment and professional staffing of tertiary hospitals in China require further improvement.