A Comparison of Outcomes between before and after Pharmaceutical care with Palliative care Patients in Outpatient Palliative Clinic of Sikhio Hospital, Nakhon Ratchasima Province.

Abstract

This study was pre-experiment research. The objectives of this study were to study outcomes of pharmaceutical care and compare the results before and after the pharmaceutical care with palliative care patients in outpatient palliative clinic at Sikhio hospital, Nakhon Ratchasima. Sample of this study using purposive sampling. There were 30 eligible patients, 2 doctors and 3 nurses. Data were collected by using interview form. Which passed the content validity check by 3 experts and tested for accuracy, IOC value> 0.67 in all. Collected between 1 May - 31 July 2020. Data were analyzed with descriptive statistics and inference statistics(Paired t Test and McNemar Test).

The results found that female palliative patient were 53.3%. The mean age of the patients was 65.06 years. Before and after pharmaceutical care, the drug related problems were found 51 and 15 problems respectively also the average 1.7 and 1.5 times per patient which decreased statistically significant. Medication error before pharmaceutical care were 5 problems, but after action could not found the error at all. Average pain score before and after pharmaceutical care were 6.9 and 6.56 which not significantly different. Pharmaceutical care in palliative patients improved physical care, also decrease drug related problems, medication error and pain score. Overall the satisfaction of staff was at a high level. The data were used to improve pharmaceutical care in Palliative care patients.