Abstract

A PROSPECTIVE OBSERVATIONAL STUDY ON EVALUATION OF EFFECT OF PATIENT COUNSELLING BY CLINICAL PHARMACIST IN IMPROVING MEDICATION RECONCILIATION IN PATIENTS WITH CIRRHOSIS AT A TERTIARY CARE HOSPITAL.

Aparna V. Kumar*, Athira Suresh, Ayilya B., Majun A. S. and Nithin Manohar

ABSTRACT

Title: A prospective observational study on evaluation of effect of patient counselling by clinical pharmacist in improving medication reconciliation in patients with cirrhosis at a tertiary care hospital. Scope of experiment: Liver cirrhosis is the only major cause of death still increasing year-on-year. Complex medication therapy, chronic nature of the disease and many other factors specific in this population, cause decreased patient compliance. The clinical pharmacist can play an essential role in improving medication adherence and reducing the incidence of various complications and recurrent hospitalisations. Objective: The study is to assess the effectiveness of patient counselling in improving medication adherence among livercirrhosis patients based on disease severity. Method: A total of 100 patients with clinically diagnosed liver cirrhosis who had visited gastroenterology clinic during the study period and meeting the inclusion criteria were included in the study.. Patients were educated for a period of 6 months. Patients adherence score was observed on baseline and endvisit. Patients medication adherence was evaluated by Morisky-8 item medication adherence questionnaire. Parametric and non-parametric tests were used. Result: Patient education resulted in better improvement in patients adherence score. Medication adherence was found to be improved significantly (p < 0.000). Conclusion: Patient counselling improved medication adherence among cirrhosis patients.

Keywords: Prospective, Cirrhosis, Patient counselling, Medication reconciliation.