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KMID : 0869620170340020157
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Journal of Korean Society of Hospital Pharmacists
2017 Volume.34 No. 2 p.157 ~ p.171
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Effect of Pharmacist’s Educational Intervention on Patient Satisfaction and Medication Knowledge after Kidney Transplantation
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Bae Sung-Jin
Choi Eun-Young
Lee Soo-Yeon
Yoon Tae-Won
Park Sang-Jun
Lee Iyn-Hyang
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Abstract
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Background : It is considered that effective pharmacist services could result in affirmative effects on medication adherence and reduced rejection rate among the post-transplant patients. In this study, we aimed to evaluate the impacts of pharmacist education on post-transplant patients’ medication knowledge and the nurses’ work burden.
Methods : Pharmacist intervention comprised two sessions of medication education. The survey was conducted three times: the first, before the education, and the second and third after the education. The intervention group included 34 kidney transplantation patients who received pharmacist education and the control group included 18 liver transplantation patients who received usual care. Changes in the patients’ satisfaction and medication knowledge were investigated using a self-administered questionnaire. Additionally, changes in perception of nurses in the kidney transplantation unit were evaluated using a self-administered questionnaire. Changes in the patients’ parameters were compared by using t-tests, chi-squared or Fisher’ s exact tests; whereas, changes in the nurses’ parameters were compared by using the paired t-tests.
Results : The level of satisfaction in patients on medication counseling was increased after intervention (p=0.004). The levels of appreciation regarding drug efficacy, administration methods, adverse drug effects, and drug/drug interactions were higher in the intervention group than in the control group (p 0.05). The correct answer rate in the question related to blood concentration due to drug/food interaction was also higher in the intervention group than in the control group (p 0.001). The level of nurse satisfaction with medication counseling, and the level of patient satisfaction assessed from the nursing perspective were significantly increased (p≤0.001). However, the pharmacist intervention of the present study resulted in few changes in the medication workload of nurses (p=0.565).
Conclusion : Pharmacist education could enhance the patients’ in-depth knowledge about medications, such as adverse drug reaction, drug/drug interaction, and food/drug interaction. However, more regular intervention might be helpful to reduce the medication workload of nurses.
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KEYWORD
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Kidney transplantation, Pharmacist service, Adherence, Medication knowledge
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