Literature DB >> 33051196

Assessment of the effectiveness of a pharmacist approach for improving disease-specific knowledge and treatment in patients with chronic obstructive pulmonary disease.

Manjusha Sajith1, Medha Deepak Bargaje2, Smruti Gharat3, Joelin Mathew3, Amruta Varghese3.   

Abstract

OBJECTIVE: Adequate knowledge is essential for the appropriate management of chronic conditions such as chronic obstructive pulmonary disease (COPD). However, some patients may not be able either to comprehend or obtain adequate information. This study aims to assess the effectiveness of the clinical pharmacist approach to refining disease-specific knowledge in patients with COPD treated in a tertiary care hospital.
METHODS: A prospective observational longitudinal study was carried out in adult COPD patients for 9 months in the tertiary care hospital of Pune. At the time of enrolment, disease-specific knowledge of patients with COPD was assessed using the Bristol COPD Knowledge Questionnaire (BCKQ). After the assessment, patients were educated, counselled verbally and provided with a validated COPD information leaflet. The patients' knowledge was reassessed 1 month and 3 months after enrolment. Pre and post scores of BCKQ were compared by ANOVA followed by Tukey's post hoc test. The difference in the proportions was calculated using the χ2 test.
RESULTS: Of 75 patients, the majority were men (53.33%), aged >60 years (72%), employed (62.67%) and had obtained secondary education (37.33%). The mean baseline BCKQ overall score of the patients was 25.87, which increased after education to 42.43 on the first visit (1 month) and to 45.62 on the second visit (3 months) (p<0.0001). At baseline, the topics 'vaccination', 'inhaled steroids' and 'antibiotics' returned the lowest mean scores of 0.37, 0.38 and 0.60, which were increased to 2.30, 2.70 and 2.72, respectively, after follow-up.
CONCLUSION: The knowledge of patients with COPD about the disease and its treatment was poor at the time of enrolment. Proper counselling and education provided by the clinical pharmacist helped to improve the patients' knowledge about COPD and its treatment. © European Association of Hospital Pharmacists 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Entities:  

Keywords:  continuing; education; education department; health care rationing; hospital; pharmacy; pulmonary medicine; quality of health care

Mesh:

Year:  2020        PMID: 33051196      PMCID: PMC8640394          DOI: 10.1136/ejhpharm-2020-002417

Source DB:  PubMed          Journal:  Eur J Hosp Pharm        ISSN: 2047-9956


  34 in total

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Review 1.  Educational interventions for health professionals managing chronic obstructive pulmonary disease in primary care.

Authors:  Amanda J Cross; Dennis Thomas; Jenifer Liang; Michael J Abramson; Johnson George; Elida Zairina
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