Pub Date : 2023-06-30DOI: 10.18549/pharmpract.2023.2.2817
Alaa Farajalla, M. Alomar, Subish Palaian, M. M. Al-Ahmad, M. I. Mohamed Ibrahim
Background: Pharmacists involvement in disaster management has been acknowledged in the literature for their involvement in various clinical and non-clinical services. Future pharmacists are expected to be skill full in handling medicine disasters. This study aimed at investigating the knowledge, attitude, and readiness of pharmacy students to contribute to disasters in the United Arab Emirates (UAE). Methods: A quantitative, descriptive, cross-sectional study was conducted in two pharmacy colleges in the UAE using a pre-validated electronic questionnaire. Data were collected using simple random sampling from February 2021 to November 2021. The questionnaire consisted of five sections: demographic information, knowledge, attitude, and readiness to practice with perceived barriers. The Likert data were not normally distributed (Shapiro-Wilk test, p<0.05) and hence analyzed using the Mann-Whitney U test and Kruskal Wallis test at alpha=0.05. Results: A total of 258 pharmacy students were surveyed. The majority were fourth-year students (51.2%, n = 132) with a mean (SD) age of 20.46 [2.35] years. The average score for total knowledge was 155.3 (60.2%), with no statistical differences between groups. The median interquartile range (IQR) scores for total attitude, total readiness to practice, and barriers to disaster medicine were 4. Conclusions: Students exhibited varying levels of knowledge and expressed a positive attitude and willingness to practice disaster medicine. Inclusion of various educational modules in pharmacy curricula could help to better prepare students for the
{"title":"Pharmacy students’ readiness and preparedness to contribute during disasters: a cross-sectional two institutional study from the UAE","authors":"Alaa Farajalla, M. Alomar, Subish Palaian, M. M. Al-Ahmad, M. I. Mohamed Ibrahim","doi":"10.18549/pharmpract.2023.2.2817","DOIUrl":"https://doi.org/10.18549/pharmpract.2023.2.2817","url":null,"abstract":"Background: Pharmacists involvement in disaster management has been acknowledged in the literature for their involvement in various clinical and non-clinical services. Future pharmacists are expected to be skill full in handling medicine disasters. This study aimed at investigating the knowledge, attitude, and readiness of pharmacy students to contribute to disasters in the United Arab Emirates (UAE). Methods: A quantitative, descriptive, cross-sectional study was conducted in two pharmacy colleges in the UAE using a pre-validated electronic questionnaire. Data were collected using simple random sampling from February 2021 to November 2021. The questionnaire consisted of five sections: demographic information, knowledge, attitude, and readiness to practice with perceived barriers. The Likert data were not normally distributed (Shapiro-Wilk test, p<0.05) and hence analyzed using the Mann-Whitney U test and Kruskal Wallis test at alpha=0.05. Results: A total of 258 pharmacy students were surveyed. The majority were fourth-year students (51.2%, n = 132) with a mean (SD) age of 20.46 [2.35] years. The average score for total knowledge was 155.3 (60.2%), with no statistical differences between groups. The median interquartile range (IQR) scores for total attitude, total readiness to practice, and barriers to disaster medicine were 4. Conclusions: Students exhibited varying levels of knowledge and expressed a positive attitude and willingness to practice disaster medicine. Inclusion of various educational modules in pharmacy curricula could help to better prepare students for the","PeriodicalId":51762,"journal":{"name":"Pharmacy Practice-Granada","volume":"23 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79147981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.18549/pharmpract.2023.2.2819
Phuc Hung Nguyen, P. Nguyen, Thi My Huong Vo, Thi Tuyet Minh Nguyen
Objectives: To access determinants of the intent of providing ETC medicines in non-prescription settings in community pharmacists in Can Tho, Vietnam in 2021. Additionally, we aimed to create a new measurement scale of degrees of effect for each factor. Methods: A cross-sectional research was conducted between June and October 2021. A self-administered questionnaire stemmed from the “Theory of Planned Behavior” (TPB), consisting of 24 statements on a 5-point Likert scale was mailed to targeted individuals. Exploratory factor analysis is the major instrument apart from the t-Test and ANOVA statistics. 120 pharmacy personnel working at 120 randomly chosen drugstores in Can Tho. Results: Subjective norms have been found to be the most influential factor, followed by perceived behavior controls, and positive attitudes toward the action of concern. TPB-based model is responsible for approximately 40% of the variance in the willingness to take action. Conclusion: It seems that community pharmacists’ decision toward prescription pharmaceuticals has not been academically attractive. Extra papers are necessary to understand the motives behind the execution of the behavior.
{"title":"What drives the intention to dispense ETC medications without prescription across community pharmacists in Can Tho city, Viet Nam? – A theory-based cross-sectional analysis","authors":"Phuc Hung Nguyen, P. Nguyen, Thi My Huong Vo, Thi Tuyet Minh Nguyen","doi":"10.18549/pharmpract.2023.2.2819","DOIUrl":"https://doi.org/10.18549/pharmpract.2023.2.2819","url":null,"abstract":"Objectives: To access determinants of the intent of providing ETC medicines in non-prescription settings in community pharmacists in Can Tho, Vietnam in 2021. Additionally, we aimed to create a new measurement scale of degrees of effect for each factor. Methods: A cross-sectional research was conducted between June and October 2021. A self-administered questionnaire stemmed from the “Theory of Planned Behavior” (TPB), consisting of 24 statements on a 5-point Likert scale was mailed to targeted individuals. Exploratory factor analysis is the major instrument apart from the t-Test and ANOVA statistics. 120 pharmacy personnel working at 120 randomly chosen drugstores in Can Tho. Results: Subjective norms have been found to be the most influential factor, followed by perceived behavior controls, and positive attitudes toward the action of concern. TPB-based model is responsible for approximately 40% of the variance in the willingness to take action. Conclusion: It seems that community pharmacists’ decision toward prescription pharmaceuticals has not been academically attractive. Extra papers are necessary to understand the motives behind the execution of the behavior.","PeriodicalId":51762,"journal":{"name":"Pharmacy Practice-Granada","volume":"79 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80134595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.18549/pharmpract.2023.2.2767
Piyanuch Punturungsee, C. Ploylearmsang
Objective: To study the licensee’s factors that affect the GPP compliance, including problems and obstacles in the improvement of pharmacies. Methods: Samples: 90 of the licensees of the modern pharmacies in Nakhon Ratchasima province that did not pass the GPP evaluation. A cross-sectional analytical research with mixed method was done with 2 parts 1) questionnaire survey to assess the attitude, perception, and perceived difficulty of the GPP based on Theory of planned behavior (TPB). The response rate at 68.89%. 2) Focus group discussion to find the problems and obstacles in pharmacy improvement to meet the GPP requirement. Results: the licensees who were a pharmacist have more compliance with the GPP than the non-pharmacist licensees (p=0.001), and the open on daytime period pharmacies (≥8 hours/day) have more compliance with the GPP than pharmacies that are open for certain hours (p=0.001). Attitude, perception and perceived difficulty of GPP from survey and focus group discussion could use as inputs for initiating an empowerment plan for pharmacy licensees. Conclusion: For the reasons that have more tendency to comply with the GPP than others, the pharmacists should be promoted to be the licensees, as well as responsible for operating the pharmacies. The pharmacy should have a pharmacist stationed 8 hours/ day to provide the customers with professional standard service.
{"title":"Pharmacy licensees and their characters that affect Good Pharmacy Practice (GPP) Compliance","authors":"Piyanuch Punturungsee, C. Ploylearmsang","doi":"10.18549/pharmpract.2023.2.2767","DOIUrl":"https://doi.org/10.18549/pharmpract.2023.2.2767","url":null,"abstract":"Objective: To study the licensee’s factors that affect the GPP compliance, including problems and obstacles in the improvement of pharmacies. Methods: Samples: 90 of the licensees of the modern pharmacies in Nakhon Ratchasima province that did not pass the GPP evaluation. A cross-sectional analytical research with mixed method was done with 2 parts 1) questionnaire survey to assess the attitude, perception, and perceived difficulty of the GPP based on Theory of planned behavior (TPB). The response rate at 68.89%. 2) Focus group discussion to find the problems and obstacles in pharmacy improvement to meet the GPP requirement. Results: the licensees who were a pharmacist have more compliance with the GPP than the non-pharmacist licensees (p=0.001), and the open on daytime period pharmacies (≥8 hours/day) have more compliance with the GPP than pharmacies that are open for certain hours (p=0.001). Attitude, perception and perceived difficulty of GPP from survey and focus group discussion could use as inputs for initiating an empowerment plan for pharmacy licensees. Conclusion: For the reasons that have more tendency to comply with the GPP than others, the pharmacists should be promoted to be the licensees, as well as responsible for operating the pharmacies. The pharmacy should have a pharmacist stationed 8 hours/ day to provide the customers with professional standard service.","PeriodicalId":51762,"journal":{"name":"Pharmacy Practice-Granada","volume":"3 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75122453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.18549/pharmpract.2023.2.2806
Eva María López -De La Espriella, Hiltony Stanley Villa-Dangond, Camilo Guzmán
Background: The Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome (HIV/AIDS) constitute one of the main public health problems worldwide. With the appearance of antiretroviral treatments (ART), the history of the disease has changed, going from being highly fatal to being considered a chronic disease, since these drugs contribute to improving the quality of life of these patients by preventing replication viral. Objective: To identify adherence to antiretroviral treatment in children under 13 years of age living with HIV/AIDS. Methods: Descriptive, retrospective study with a quantitative approach. The population was made up of 21 children under 13 years of age living with HIV/AIDS and their family caregivers. The “Morisky Medication Adherence Scale-8 items (MMAS-8)” was used, and the SPSS statistical program was used for data processing. Version 21. Results: The majority of minors are unaware of the diagnosis (86%), are female (57.1%), live with their biological parents (81%), whose parents or caregivers earn less than the current minimum monthly wage (90.5 %), level of education of the primary caregiver complete (61.9%), non-adherent to antiretroviral treatment (71.4%) the factors associated with non-adherence identified are socioeconomic (Significance 0.004), and those associated with side effects of medications, which were estimated using the Chi square test for categorical variables and the T Student test for quantitative variables, selecting an α=0.05 and a confidence level of 95%. Conclusions: Poverty is a conditioning factor for practices that lead to non-adherence to antiretroviral treatment
{"title":"Factors related to non-adherence to antiretroviral treatment in children under 13 years of age","authors":"Eva María López -De La Espriella, Hiltony Stanley Villa-Dangond, Camilo Guzmán","doi":"10.18549/pharmpract.2023.2.2806","DOIUrl":"https://doi.org/10.18549/pharmpract.2023.2.2806","url":null,"abstract":"Background: The Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome (HIV/AIDS) constitute one of the main public health problems worldwide. With the appearance of antiretroviral treatments (ART), the history of the disease has changed, going from being highly fatal to being considered a chronic disease, since these drugs contribute to improving the quality of life of these patients by preventing replication viral. Objective: To identify adherence to antiretroviral treatment in children under 13 years of age living with HIV/AIDS. Methods: Descriptive, retrospective study with a quantitative approach. The population was made up of 21 children under 13 years of age living with HIV/AIDS and their family caregivers. The “Morisky Medication Adherence Scale-8 items (MMAS-8)” was used, and the SPSS statistical program was used for data processing. Version 21. Results: The majority of minors are unaware of the diagnosis (86%), are female (57.1%), live with their biological parents (81%), whose parents or caregivers earn less than the current minimum monthly wage (90.5 %), level of education of the primary caregiver complete (61.9%), non-adherent to antiretroviral treatment (71.4%) the factors associated with non-adherence identified are socioeconomic (Significance 0.004), and those associated with side effects of medications, which were estimated using the Chi square test for categorical variables and the T Student test for quantitative variables, selecting an α=0.05 and a confidence level of 95%. Conclusions: Poverty is a conditioning factor for practices that lead to non-adherence to antiretroviral treatment","PeriodicalId":51762,"journal":{"name":"Pharmacy Practice-Granada","volume":"177 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77561871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.18549/pharmpract.2023.2.2790
Pairin Supsongserm, Su Myat Thin, Osot Nerapusee, B. Sorofman, S. Watcharadamrongkun, Tanattha Kittisopee
Background: Obesity is one of the health problems which could cause health impacts, as well as economic and social impacts. Community pharmacists are accessible primary health care providers who can play a role in counselling on diet and exercise to control weight and correcting medication misuse for weight control. Literature has shown the effectiveness of weight management services (WMS) provided by community pharmacists, but the percentages of this service provision were low. Objective: To systematically review contributing factors for community pharmacists’ intention to provide weight management services. Results: The systematic review included 3,884 participants from 24 studies. There were four major dimensions of weight management service in community pharmacies: 1) patient recruitment, 2) problem identification and referral, 3) counselling, and 4) monitoring. Pharmacists indicated difficulty in starting a conversation about weight with patients. Most pharmacists performed diet and weight-loss product counselling, but few pharmacists monitored patients’ progress and adherence to WMS because of the follow-up difficulty. They recommended the use of mobile applications and social media to facilitate monitoring. Pharmacists viewed that those weight-loss products needed to be better regulated. Therefore, it should be pharmacists’ responsibility to correct the irrational use of these products. Pharmacists’ authority, inadequate pharmacist staff, lack of patient awareness, patients’ demand, and private counselling areas were the barriers to weight management service. Knowledge and training, accreditation, time for pharmacists to study, reimbursement, multidisciplinary collaboration, and health resource support could motivate pharmacists to provide WMS. To start WMS, pharmacists reported the need for knowledge about diet, lifestyle modification, weight-loss products, and improving patient engagement in weight management programs. Conclusion: The study provided a conceptual framework for WMS. Most pharmacists had a positive attitude toward and intention to provide WMS. The support of weight management knowledge and skills and resources were needed to start WMS in community pharmacy.
{"title":"Factors contributing to pharmacists’ intention to provide weight management service in community pharmacy settings: A systematic review","authors":"Pairin Supsongserm, Su Myat Thin, Osot Nerapusee, B. Sorofman, S. Watcharadamrongkun, Tanattha Kittisopee","doi":"10.18549/pharmpract.2023.2.2790","DOIUrl":"https://doi.org/10.18549/pharmpract.2023.2.2790","url":null,"abstract":"Background: Obesity is one of the health problems which could cause health impacts, as well as economic and social impacts. Community pharmacists are accessible primary health care providers who can play a role in counselling on diet and exercise to control weight and correcting medication misuse for weight control. Literature has shown the effectiveness of weight management services (WMS) provided by community pharmacists, but the percentages of this service provision were low. Objective: To systematically review contributing factors for community pharmacists’ intention to provide weight management services. Results: The systematic review included 3,884 participants from 24 studies. There were four major dimensions of weight management service in community pharmacies: 1) patient recruitment, 2) problem identification and referral, 3) counselling, and 4) monitoring. Pharmacists indicated difficulty in starting a conversation about weight with patients. Most pharmacists performed diet and weight-loss product counselling, but few pharmacists monitored patients’ progress and adherence to WMS because of the follow-up difficulty. They recommended the use of mobile applications and social media to facilitate monitoring. Pharmacists viewed that those weight-loss products needed to be better regulated. Therefore, it should be pharmacists’ responsibility to correct the irrational use of these products. Pharmacists’ authority, inadequate pharmacist staff, lack of patient awareness, patients’ demand, and private counselling areas were the barriers to weight management service. Knowledge and training, accreditation, time for pharmacists to study, reimbursement, multidisciplinary collaboration, and health resource support could motivate pharmacists to provide WMS. To start WMS, pharmacists reported the need for knowledge about diet, lifestyle modification, weight-loss products, and improving patient engagement in weight management programs. Conclusion: The study provided a conceptual framework for WMS. Most pharmacists had a positive attitude toward and intention to provide WMS. The support of weight management knowledge and skills and resources were needed to start WMS in community pharmacy.","PeriodicalId":51762,"journal":{"name":"Pharmacy Practice-Granada","volume":"29 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85868420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.18549/pharmpract.2023.2.2824
Asim Ahmed Elnour, A. Sadeq, Azza Ramadan, Abdalla Alamoodi, Alin Alkawarit, Asma Faisal Alshammari, Israa Yousif Elkhidir, Nouf Eid Alrashidi, Parisa Kouhgard, Mariam Mohamed Al Qahtani, S. Beshir, K. A. Al-Kubaisi, Nadia Al Mazrouei, Maisoun Alkaabi, A. Ashoor
{"title":"Mini review: The clinical avenues of combined hydralazine-nitrate in subjects with heart failure with reduced ejection fraction","authors":"Asim Ahmed Elnour, A. Sadeq, Azza Ramadan, Abdalla Alamoodi, Alin Alkawarit, Asma Faisal Alshammari, Israa Yousif Elkhidir, Nouf Eid Alrashidi, Parisa Kouhgard, Mariam Mohamed Al Qahtani, S. Beshir, K. A. Al-Kubaisi, Nadia Al Mazrouei, Maisoun Alkaabi, A. Ashoor","doi":"10.18549/pharmpract.2023.2.2824","DOIUrl":"https://doi.org/10.18549/pharmpract.2023.2.2824","url":null,"abstract":"","PeriodicalId":51762,"journal":{"name":"Pharmacy Practice-Granada","volume":"12 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72875345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.18549/pharmpract.2023.2.2802
Ghada Ali Abuhamda, S. Beshir, K. G. Sam, S. Gillani
{"title":"The Antibiotic prescribing and dispensing behavior among doctors and pharmacists working in UAE","authors":"Ghada Ali Abuhamda, S. Beshir, K. G. Sam, S. Gillani","doi":"10.18549/pharmpract.2023.2.2802","DOIUrl":"https://doi.org/10.18549/pharmpract.2023.2.2802","url":null,"abstract":"","PeriodicalId":51762,"journal":{"name":"Pharmacy Practice-Granada","volume":"81 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82589860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.18549/pharmpract.2023.2.2822
A. Jarab, S. R. A. Heshmeh, W. Al-Qerem, T. Mukattash, R. Beiram, S. Aburuz
Background: Despite the availability of effective pharmacotherapy for the management of rheumatoid arthritis (RA), health outcomes are suboptimal due to poor adherence to the prescribed treatment. Limited research has been conducted to investigate medication non-adherence and its associated factors among patients with RA. Objective: This study aimed to assess medication adherence and to explore the factors associated with medication non-adherence among outpatients with RA in Jordan. Methods: The current cross-sectional study was conducted at outpatient rheumatology clinics at two teaching hospitals in Jordan. Variables including socio-demographics and biomedical variables, in addition to disease and medication characteristics, were collected using medical records and custom-designed questionnaire. Medication adherence was assessed using the validated 5-item Compliance Questionnaire for Rheumatology. Stepwise Logistic Regression analysis was performed to identify the factors that are independently and significantly associated with medication non-adherence. Results: A total of 261 patients participated in the study, from which, 43.3% were found non-adherent. Binary regression analysis results revealed that low monthly income (OR= 0.239, CI= 0.130-0.440, P<0.01), the presence of chronic respiratory disease (OR= 2.727, CI= 1.059-7.022, P<0.05), lower medication necessity scores (OR= 1.177, CI= 1.10-1.259, P<0.01) and higher concerns about RA medications (OR= 0.917, CI= 0.860-0.978, P<0.01) were significant and independent predictors of medication non-adherence in patients with RA. Conclusion: Future pharmaceutical care and clinical pharmacy service programs should emphasize medications benefits and minimizing medication-related concerns by selecting safe medications and providing guidance on mitigating side effects, particularly for RA patients who have low income and those who suffer from other comorbid diseases.
{"title":"Non-adherence to pharmacotherapy and its associated factors in outpatients with rheumatoid arthritis","authors":"A. Jarab, S. R. A. Heshmeh, W. Al-Qerem, T. Mukattash, R. Beiram, S. Aburuz","doi":"10.18549/pharmpract.2023.2.2822","DOIUrl":"https://doi.org/10.18549/pharmpract.2023.2.2822","url":null,"abstract":"Background: Despite the availability of effective pharmacotherapy for the management of rheumatoid arthritis (RA), health outcomes are suboptimal due to poor adherence to the prescribed treatment. Limited research has been conducted to investigate medication non-adherence and its associated factors among patients with RA. Objective: This study aimed to assess medication adherence and to explore the factors associated with medication non-adherence among outpatients with RA in Jordan. Methods: The current cross-sectional study was conducted at outpatient rheumatology clinics at two teaching hospitals in Jordan. Variables including socio-demographics and biomedical variables, in addition to disease and medication characteristics, were collected using medical records and custom-designed questionnaire. Medication adherence was assessed using the validated 5-item Compliance Questionnaire for Rheumatology. Stepwise Logistic Regression analysis was performed to identify the factors that are independently and significantly associated with medication non-adherence. Results: A total of 261 patients participated in the study, from which, 43.3% were found non-adherent. Binary regression analysis results revealed that low monthly income (OR= 0.239, CI= 0.130-0.440, P<0.01), the presence of chronic respiratory disease (OR= 2.727, CI= 1.059-7.022, P<0.05), lower medication necessity scores (OR= 1.177, CI= 1.10-1.259, P<0.01) and higher concerns about RA medications (OR= 0.917, CI= 0.860-0.978, P<0.01) were significant and independent predictors of medication non-adherence in patients with RA. Conclusion: Future pharmaceutical care and clinical pharmacy service programs should emphasize medications benefits and minimizing medication-related concerns by selecting safe medications and providing guidance on mitigating side effects, particularly for RA patients who have low income and those who suffer from other comorbid diseases.","PeriodicalId":51762,"journal":{"name":"Pharmacy Practice-Granada","volume":"7 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79204643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.18549/pharmpract.2023.2.2796
Upasana Acharya, Prabakaran Shankar, Subish Palaian, Resha Dangol, N. Jha, Anand C. Thakur
Background: Most hospitalized patients experience Drug Therapy-Related Problems (DTRPs) resulting in morbidity, mortality, and an increase in the cost of treatment. DTRPs are an important issue and a serious yet preventable problem. Objective: To identify DTRPs in the department of critical care medicine of a tertiary care center in Nepal. Methods: This was a cross-sectional study carried out at the department of critical care medicine in a tertiary care hospital in Kathmandu, Nepal from August to November 2021. All the patients admitted to ICU/ high care unit (HCU) for more than 48 hours during the study period were recruited in this study. Two clinical pharmacists visited the ICU/ HCU daily to identify any drug therapy-related problems. The Pharmaceutical Care Network Europe (PCNE) Classification system version 9.1 was referred for the classification of identified DTRPs. Descriptive statistics were applied for demographic variables. The Chi-square test was used for categorical variables. Pearson correlation was used to study the relationship between patient variables and the number and types of DTRPs. Results: DTRPs were identified in 74.2% (n=89) of patients. More than one DTRP was identified in 38.5% of patients. The identified DTRPs were primarily classified into two sections: Problems and Causes. A total of 106 problems were identified among which unnecessary drug treatment (40.5%, n=43) was the most common problem. For the causes: total of 137 were identified, out of which the drug and dose selection accounted for 44.5 and 16.8%, respectively. The average DTRP per patient was 1.5± 0.7. Antibiotics 30 (22%) and multivitamins, 10 (7%) were the maximal involved in DTRPs. More DTRPs were observed in male patients (n=60, 80%). The association between dose selection and gender was significant. Drug selection issues were observed more in patients prescribed multiple drugs and with a shorter hospital stay. Conclusion: Most DTRPs identified in the study were those that could be prevented. More focus is needed on antibiotic usage in the ICU and special monitoring measures are needed for vulnerable patient groups such as the elderly. Inclusion of more clinical pharmacists can help to identify and mitigate DTRPs.
{"title":"Pattern of drug therapy related problems encountered by clinical pharmacists in a critical care setting in Nepal","authors":"Upasana Acharya, Prabakaran Shankar, Subish Palaian, Resha Dangol, N. Jha, Anand C. Thakur","doi":"10.18549/pharmpract.2023.2.2796","DOIUrl":"https://doi.org/10.18549/pharmpract.2023.2.2796","url":null,"abstract":"Background: Most hospitalized patients experience Drug Therapy-Related Problems (DTRPs) resulting in morbidity, mortality, and an increase in the cost of treatment. DTRPs are an important issue and a serious yet preventable problem. Objective: To identify DTRPs in the department of critical care medicine of a tertiary care center in Nepal. Methods: This was a cross-sectional study carried out at the department of critical care medicine in a tertiary care hospital in Kathmandu, Nepal from August to November 2021. All the patients admitted to ICU/ high care unit (HCU) for more than 48 hours during the study period were recruited in this study. Two clinical pharmacists visited the ICU/ HCU daily to identify any drug therapy-related problems. The Pharmaceutical Care Network Europe (PCNE) Classification system version 9.1 was referred for the classification of identified DTRPs. Descriptive statistics were applied for demographic variables. The Chi-square test was used for categorical variables. Pearson correlation was used to study the relationship between patient variables and the number and types of DTRPs. Results: DTRPs were identified in 74.2% (n=89) of patients. More than one DTRP was identified in 38.5% of patients. The identified DTRPs were primarily classified into two sections: Problems and Causes. A total of 106 problems were identified among which unnecessary drug treatment (40.5%, n=43) was the most common problem. For the causes: total of 137 were identified, out of which the drug and dose selection accounted for 44.5 and 16.8%, respectively. The average DTRP per patient was 1.5± 0.7. Antibiotics 30 (22%) and multivitamins, 10 (7%) were the maximal involved in DTRPs. More DTRPs were observed in male patients (n=60, 80%). The association between dose selection and gender was significant. Drug selection issues were observed more in patients prescribed multiple drugs and with a shorter hospital stay. Conclusion: Most DTRPs identified in the study were those that could be prevented. More focus is needed on antibiotic usage in the ICU and special monitoring measures are needed for vulnerable patient groups such as the elderly. Inclusion of more clinical pharmacists can help to identify and mitigate DTRPs.","PeriodicalId":51762,"journal":{"name":"Pharmacy Practice-Granada","volume":"413 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77753728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01Epub Date: 2023-01-24DOI: 10.18549/PharmPract.2023.1.2791
Razan I Nassar, Samar Thiab, Iman A Basheti
Background: Patients infected with coronavirus have new experiences and hence needs from the healthcare sector. Pharmacists can play vital roles in adopting innovative strategies to meet such needs.
Objectives: To assess the experience of people who have been infected with coronavirus, and to assess the roles played by pharmacists to meet their new needs.
Methods: This descriptive cross-sectional online survey was developed based on previous literature, validated, and conducted in Jordan (3-13 May 2021).
Results: The mean age of the study participants (n=470) was 34.31 years (SD=11.75). About three-quarters were females. Out of the study participants, 24.0% reported to having been infected with the coronavirus previously, and 48.9% of them were infected after contacting an infected family member/friend. Only 36.0% ranked their commitment to the preventative measures as "very committed" before getting infected. The most reported symptom was fatigue (77.1%). The most used medicine/supplement was vitamin C (85.3%), followed by pain relievers (77.7%), and zinc tablets (75.3%). More than half of the participants (66.4%) documented that their anxiety and stress levels increased during their infection. More than half of the participants (53.7%) strongly agreed/agreed that pharmacists had an important and effective role during their infection.
Conclusion: The experience of individuals who contracted the coronavirus indicated that few were very committed to preventative measures before getting infected. Fatigue was the main experienced symptom, while vitamin C was the supplement used the most. About half of the participants believed that pharmacists have an important role in managing their needs during their COVID-19 infection.
{"title":"The battle against COVID-19 in Jordan: A cross-sectional study assessing the experience of Jordanians who have been infected with COVID-19.","authors":"Razan I Nassar, Samar Thiab, Iman A Basheti","doi":"10.18549/PharmPract.2023.1.2791","DOIUrl":"10.18549/PharmPract.2023.1.2791","url":null,"abstract":"<p><strong>Background: </strong>Patients infected with coronavirus have new experiences and hence needs from the healthcare sector. Pharmacists can play vital roles in adopting innovative strategies to meet such needs.</p><p><strong>Objectives: </strong>To assess the experience of people who have been infected with coronavirus, and to assess the roles played by pharmacists to meet their new needs.</p><p><strong>Methods: </strong>This descriptive cross-sectional online survey was developed based on previous literature, validated, and conducted in Jordan (3-13 May 2021).</p><p><strong>Results: </strong>The mean age of the study participants (n=470) was 34.31 years (SD=11.75). About three-quarters were females. Out of the study participants, 24.0% reported to having been infected with the coronavirus previously, and 48.9% of them were infected after contacting an infected family member/friend. Only 36.0% ranked their commitment to the preventative measures as \"very committed\" before getting infected. The most reported symptom was fatigue (77.1%). The most used medicine/supplement was vitamin C (85.3%), followed by pain relievers (77.7%), and zinc tablets (75.3%). More than half of the participants (66.4%) documented that their anxiety and stress levels increased during their infection. More than half of the participants (53.7%) strongly agreed/agreed that pharmacists had an important and effective role during their infection.</p><p><strong>Conclusion: </strong>The experience of individuals who contracted the coronavirus indicated that few were very committed to preventative measures before getting infected. Fatigue was the main experienced symptom, while vitamin C was the supplement used the most. About half of the participants believed that pharmacists have an important role in managing their needs during their COVID-19 infection.</p>","PeriodicalId":51762,"journal":{"name":"Pharmacy Practice-Granada","volume":"21 1","pages":"2791"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/19/pharmpract-21-2791.PMC10117353.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9756191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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