IMPACT OF CLINICAL PHARMACIST PROVIDED EDUCATION ON MEDICATION KNOWLEDGE AND ADHERENCE OF HEMODIALYSIS PATIENTS IN A SOUTH INDIAN UNIVERSITY HOSPITAL

Authors

  • N.VANITHA RANI Faculty of PharmacySri Ramachandra University
  • P.SOUNDARARAJAN
  • C.H. LAKSHMI SAMYUKTHA
  • G. KANNAN
  • P.THENNARASU

Keywords:

adherence, knowledge, hemodialysis, medication

Abstract

Objective: To evaluate the medication knowledge of the patients on maintenance hemodialysis, their adherence to drug therapy and to assess the effect of patient counselling in improving their medication knowledge and adherence.

 

Methods: Data was obtained from the patients by medical history interview and review of their medical records. The medication knowledge was assessed using Medication knowledge assessment questionnaire (MKAQ) and their medication adherence behaviour using Brief Medication questionnaire (BMQ). Patients were counseled both verbally and by distribution of education leaflets regarding their disease, dialysis procedure, the drugs, diet and fluid restrictions on regular dialysis days and the effect of patient counselling in improving their medication knowledge and adherence was assessed using the respective questionnaires at the baseline, after 6and 12 weeks. The mean scores were subjected to statistical analysis.

 

Results: 85 patients (57 males and 28 females; mean age 50.52±13.28years) were included and 79% were on twice weekly and 21% were on thrice weekly dialysis. The average number of drugs prescribed for a patient was found to be 6.47±1.57. Hypertension was found to be the major co-morbidity in 52.94% patients and antihypertensives were the most prescribed drugs (75.3%). Based on the mean MKAQ score, there was a significant increase in the medication knowledge from baseline of 14.30±6.97 to 19.32±6.61 at the end of sixth week (p=0.000) and to 33.62±7.76 at the end of twelfth week of counseling (p= 0.000). The mean BMQ score was 4.26±0.95 at the baseline, 2.99±0.82 on the sixth week and 1.73±0.94 on the twelfth week of counseling, indicating a significant improvement in medication adherence with continuous patient counseling (p=0.000).

 

Conclusion: The study emphasized that provision of constant patient education to hemodialysis patients would increase the medication knowledge of the patients and improve their adherence.

 

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Author Biography

N.VANITHA RANI, Faculty of PharmacySri Ramachandra University

Department of Pharmacy Practice

 

References

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Published

01-09-2013

How to Cite

RANI, N., P.SOUNDARARAJAN, C. L. SAMYUKTHA, G. KANNAN, and P.THENNARASU. “IMPACT OF CLINICAL PHARMACIST PROVIDED EDUCATION ON MEDICATION KNOWLEDGE AND ADHERENCE OF HEMODIALYSIS PATIENTS IN A SOUTH INDIAN UNIVERSITY HOSPITAL”. Asian Journal of Pharmaceutical and Clinical Research, vol. 6, no. 8, Sept. 2013, pp. 24-27, https://journals.innovareacademics.in/index.php/ajpcr/article/view/111.

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