Outcomes of Pharmaceutical Care in Asthmatic and COPD Patients at Faculty of Medicine Vajira Hospital, Navamindradhiraj University

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Krittima Phochanasomboon


Objectives: To study the outcomes of pharmaceutical care in the area of drug related problems, problem causes, intervention methods, intervention outcome and inhaler technique in the asthma and chronic obstructive pulmonary disease (COPD) patients.

Methods: This study was retrospectively descriptive study in patients diagnosed with asthma and COPD who receives the first prescription of new inhaler device from the out-patient department of Faculty of Medicine Vajira Hospital, Navamindradhiraj University between January 1, 2014 to December 31, 2018. Each patient received pharmaceutical care during the treatment of asthma and COPD. The outcomes were analyzed by descriptive statistics.

Results: There were 538 patients in this study, (282 females, 52.42%, and 257 males, 47.78%). This study identified 402 drug related problems (DRPs) in 311 patients (57.81%) with an average of 1.32 + 0.69 DRPs per patient. The most frequent problems were insufficient drug treatment [331 problems (82.34%)]. Most common causes were prescribing error (missing of necessary information) 219 causes (54.48%). The highest problem solving action was the change of drug prescription which was 235 times (58.46%). Pharmaceutical care interventions could resolve 395 problems (98.26%). From evaluation of inhaler technique, the most common misuse inhaler device by the patients were Respimat, Turbuhaler, Breezhaler, HandiHaler, Pressurized Metered-Dose Inhalers and Accuhaler, respectively.

Conclusion: The pharmaceutical care in this study was found to be effective to identify and solve the problems relating to drug use, which can assist the patients to use their medications appropriately.


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