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.
[Full Text Article]