Impact of Pharmaceutical Care Services in Health Related Outcomes among Children with Thalassemia
Almana Rodrigues1, Jitha Y1, Merlin Susan Paul1, Sajja Prabhatha Lakshmi1, Juny Sebastian1* and Mandyam Dhati Ravi2
1Department of Pharmacy Practice, JSS College of Pharmacy, JSS Academy of Higher education and Research, Mysuru, Karnataka, India
2Department of Paediatrics, JSS Medical College and Hospital, JSS Academy of Higher education and Research, Mysuru, Karnataka, India
*Corresponding Author: Juny Sebastian, Lecturer, Department of Pharmacy Practice, JSS College of Pharmacy, JSS Academy of Higher education and Research, Mysuru, Karnataka, India.
Received:
May 10, 2021; Published: May 17, 2021
Abstract
Background: Thalassemia is a rare disease that pose significant morbidity among the affected individuals due to various reasons such as drug related problems (DRPs), poor knowledge, attitude and practice (KAP) of thalassemia disease and its treatments. These unresolved problems lead to poor medication adherence and there by compromise in quality of life among the thalassemia patients specially children. The current study was conducted to assess the impact of pharmaceutical care services in health related outcomes among Thalassemia patients.
Methods: This was a randomized controlled study conducted at Hematology Clinic, JSS Hospital Mysuru. Eligible subjects were enrolled after taking informed consent randomized to test and control groups. Study participants medical records were assessed for actual or potential DRPs, KAP on thalassemia, HRQoL and medication adherence during the first visit (V1). Standardized education by clinical pharmacist was provided to the test group participants during all the study visits (V2 and V3) while control group participants received a validated information leaflet during first visit (V1) and no further interventions in subsequent visits (V2 and V2). At the end of the study, study participants of both the groups were reassessed for DRPs, KAP, HRQoL and medication adherence.
Results: A total of 48 subjects were consented for the study. The study could significantly decrease the DRPs of the study population in the test group. Also, KAP (p 0.001), HRQoL (p 0.001) and medication adherence (p 0.001) of the test group was significantly improved when compared to the control group study population.
Conclusion: Practicing clinical pharmacists can significantly influence the health related outcomes children with thalassemia by providing different pharmaceutical cares services and individual education to the children and their LAR.
Keywords: HRQoL; KAP; Medication Adherence; PedsQL; Pharmacist’s Education; Thalassemia Patients
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