Utjecaj savjetovanja kliničkog farmaceuta kod otpusta iz bolnice na adherenciju bolesnika pri uzimanju peroralnih antibiotika

professional thesis

• Author: Katarina Vilić
• Mentor: Petra Turčić (mentor)
• Committee member: Maja Ortner Hadžiabdić (predsjednik povjerenstva)
• Committee member: Petra Turčić (član povjerenstva)
• Committee member: Srećko Marušić (član povjerenstva)
• Granter: University of Zagreb; Faculty of Pharmacy and Biochemistry; (Department of pharmacology); Zagreb
• Defense date and country: 2023-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Pharmacy; Pharmacy

Abstract

Cilj istraživanja: Cilj istraživanja je utvrditi utječe li savjetovanje kliničkog farmaceuta pri otpustu iz bolnice pozitivno na adherenciju bolesnika pri uzimanju peroralnih antibiotika propisanih u bolnici.
Ispitanici i metode: Istraživanje je obuhvatilo 60 ispitanika hospitaliziranih na Odjelu nefrologije i endokrinologije Opće bolnice „dr. Tomislav Bardek“ Koprivnica. Prije otpusta iz bolnice prikupljali su se socio-demografski podaci te klinički podaci pomoću upitnika, razgovora s ispitanikom te pregleda medicinske dokumentacije u Bolničkom informacijskom sustavu (BIS). Osim ovih podataka mjerila se i adherencija kod uzimanja kronične terapije pomoću Medication Adherence Report Scale (MARS-5). Nakon otpusta iz bolnice i nakon završene antibiotske terapije koja im je propisana u bolnici ispitanici su kontaktirani telefonski te su ispitani o adherenciji. Statistička obrada rađena je pomoću IBM SPSS software®.
Rezultati: Istraživanje je pokazalo da je 19,6 % ispitanika bilo neadherentno prilikom korištenja antibiotika. Svi neadherentni ispitanici su se nalazili u neintervencijskoj skupini. Statistička obrada pokazala je kako savjetovanje kliničkog farmaceuta statistički značajno (p = 0,001) pozitivno utječe na adherenciju ispitanika pri uzimanju antibiotika nakon otpusta iz bolnice.
Zaključak: Implementacija preventivnih mjera kao što je savjetovanje bolesnika mogla bi imati pozitivan utjecaj na adherenciju bolesnika čime bi se potencijalno smanjili troškovi u zdravstvenom sustavu te poboljšala kvaliteta života samih bolesnika.

Abstract (english)

Objectives: The aim of the study was to determine whether counseling by a clinical pharmacist has a positive effect on patient adherence to prescribed antibiotic therapy.
Patients and Methods: This study included 60 patients who were hospitalised on Nephrology and endocrinolgy ward in General hospital „dr. Tomislav Bardek“ Koprivnica. Sociodemographic and clinical characteristics of patients were obtained from hospitals informational system and through interviews with the patients. The Medication Adherence Report Scale (MARS-5) was used to collect information about adherence to long-term treatment. To gather information on adherence to prescribed antibiotic therapy patients were contacted by phone. IBM SPSS software® was utilized for statistical analysis.
Results: 19.6 % patients in the study were non-adherent during antibiotic use. All non-adherent patients were in non-interventional group. Statistical analysis showed that counseling provided by a clinical pharmacist has a statistically significant positive effect on patients' adherence to antibiotics after hospital discharge.
Conclusion: The implementation of preventive measures such as patient counseling could have positive impact on patient adherence. This, in turn, has the potential to reduce healthcare costs and improve patients' quality of life.

• Keywords: klinički farmaceut; adherencija; peroralni antibiotici
• Keywords (english): clinical pharmacist; adherence; oral antibiotics
• Language: croatian
• URN:NBN: urn:nbn:hr:163:121383
• Study programme: Title: Clinical pharmacy; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/sveučilišna magistra kliničke farmacije (sveučilišni/a magistar/sveučilišna magistra kliničke farmacije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-02-20 13:34:47