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Abstract

IMPACT OF CLINICAL PHARMACIST ON MEDICATION ADHERENCE AND QUALITY OF LIFE IN CHRONIC KIDNEY PATIENTS

Sumahitha Mudigonda, Madhulokeshwer Redddy, Sushmitha, Nikitha and
Vishnuvardhan

ABSTRACT

CKD is the very common chronic disease occurring in the today‟s world, which is deliberately in need of the continuous monitoring and treatment throughout one‟s life. The main effect is fall on the quality of life i.e. lack of education, changes in lifestyle and low level of understanding on the management of the disease. The main objective was to look out the impact of the clinical pharmacist and its lead collaborative care on QOL and medication adherence. It was a prospective and observational study. 200 patients were enrolled, only 116 were reported and participated in this study. Interventional group received patients received pharmaceutical care V.IZ. patient counseling, Patient information leaflet(PIL), and frequent noticeable changes. In the baseline, first follow up and second follow ups, medication adherence and QOL were assessed by using Morisky Medication adherence scale and reports, whereas COOP/WONCA QOL questionnaire in both the groups. The results showed that MMAS scores p values 0.007**, 1.000, <0.0001**, 0.007, 0.014 and 0.000 at the baseline, first and second follow-ups respectively. The QOL score p values of physical component scale and mental component scale showed highly significant. This study concluded that the impact of clinical pharmacist provided patient counseling had a positive impact on medication adherence and QOL.

Keywords: Ckd, Observational study, Medication adherence, Quality of life.


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