Clinical pharmacist's contribution to treatment adherence and quality of life in patients with stroke

FIRAT O., ARSAVA E. M., TOGAY IŞIKAY C., BAŞOL M., TOPÇUOĞLU M. A., Demirkan K.

BRAIN INJURY, cilt.37, sa.2, ss.134-139, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37 Sayı: 2
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1080/02699052.2023.2165154
  • Dergi Adı: BRAIN INJURY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, BIOSIS, CINAHL, EMBASE, Linguistics & Language Behavior Abstracts, MEDLINE, Psycinfo
  • Sayfa Sayıları: ss.134-139
  • Anahtar Kelimeler: Clinical pharmacist, quality of life, patient education, stroke, treatment adherence, POSTSTROKE DEPRESSION, MEDICATION ADHERENCE, CARE, SURVIVORS, IMPACT, SATISFACTION, RELIABILITY, VALIDATION, VALIDITY, PHQ-9
  • Ankara Üniversitesi Adresli: Evet

Özet

Primary objectiveThe optimal treatment adherence rate among patients with stroke is low. This study aims to determine the effect of clinical pharmacists' intervention on treatment adherence and quality of life (QOL) in patients with first-ever stroke.Research designThis open, controlled, prospective and interventional study was conducted sequentially at two different university hospitals for 3 months. Patients in the intervention group (IG) were provided with clinical pharmacist-led education whereas the control group (CG) only received routine care.Methods and proceduresTreatment adherence and QOL were assessed on discharge day, and in months 1 and 3 after discharge. Morisky Green Levine Adherence Scale and Stroke Specific Quality of Life Scale were employed to evaluate treatment adherence and QOL, respectively.Main outcomes and resultsChanges in treatment adherence score were higher between discharge day, 1(st) and 3(rd) months after discharge in IG than CG (p < 0.001). Regarding 'energy' and 'work/productivity' domains, patients' scores in IG were higher than those from CG at months 1 and 3 after discharge (p < 0.05).ConclusionClinical pharmacist-led education improves treatment adherence in patients with first-ever stroke. The clinical pharmacist might be integrated into the multidisciplinary team to improve QOL and treatment adherence.