Evaluation of the Role of Clinical Pharmacist in Optimizing Stress-Related Mucosal Disease Prophylaxis in Patients Admitted to Nephrology Ward: A Prospective Quasi-Experimental Study

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Nikvarz N.; SEYEDI Z.

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Journal: Journal of Rafsanjan University of Medical Sciences Year:2020 | Volume:19 | Issue:3 Page(s): 223-234

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Information Journal Paper

Title

Evaluation of the Role of Clinical Pharmacist in Optimizing Stress-Related Mucosal Disease Prophylaxis in Patients Admitted to Nephrology Ward: A Prospective Quasi-Experimental Study

Author(s)

Nikvarz N. | SEYEDI Z. | Issue Writer Certificate

Keywords

Clinical pharmacistQ1

Mucosal diseaseQ1

StressQ2

PreventionQ3

NephrologyQ1

Abstract

Background and Objectives: Prescription of acid supressive therapy (AST) for prophylaxis of Stress-related Mucosal disease (SRMD) in hospitalized patients is inappropriate in many cases. Therefore, this study was designed to determine the role of Clinical pharmacist in optimizing prescription of these therapies. Materials and Methods: This prospective interventional quasi-experimental study was conducted on 101 patients admitted to the Nephrology Ward in Shafa Hospital affiliated to Kerman University of Medical Sciences. All patients with a length of hospital stay of more than 24 hours were included. In the pre-intervention phase, each patient was evaluated regarding the risk of SRMD and receiving or not receiving SRMD prophylaxis. In the second phase, the Clinical pharmacist actively intervened for discontinuation of AST in patients at low risk of SRMD and initiation of AST in patients who were at high risk of SRMD but did not receive any medication. Finally, in each phase of the study, the number of patients who appropriately or inappropriately received prophylactic drug was reported. Chi square test was used to analyze data. Results: Fifty-seven and 44 patients were evaluated in the pre-intervention and intervention phases, respectively. The number of patients who inappropriately received prophylactic drugs significantly decreased from 37 patients (77%) in the pre-intervention phase to 6 patients (31. 6%) in the intervention phase (p<0. 001). Conclusion: Considering the effective role of the Clinical pharmacist in this study, consultation with a Clinical pharmacist for optimizing rational prescription of drugs for prophylaxis of SRMD in hospitalized patients is recommended.

Cites

Effectiveness of stress management on cognitive emotion regulation and general health of patients with dyspepsia

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APA: Copy

Nikvarz, N., & SEYEDI, Z.. (2020). Evaluation of the Role of Clinical Pharmacist in Optimizing Stress-Related Mucosal Disease Prophylaxis in Patients Admitted to Nephrology Ward: A Prospective Quasi-Experimental Study. JOURNAL OF RAFSANJAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES, 19(3 ), 223-234. SID. https://sid.ir/paper/379014/en

Vancouver: Copy

Nikvarz N., SEYEDI Z.. Evaluation of the Role of Clinical Pharmacist in Optimizing Stress-Related Mucosal Disease Prophylaxis in Patients Admitted to Nephrology Ward: A Prospective Quasi-Experimental Study. JOURNAL OF RAFSANJAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES[Internet]. 2020;19(3 ):223-234. Available from: https://sid.ir/paper/379014/en

IEEE: Copy

N. Nikvarz, and Z. SEYEDI, “Evaluation of the Role of Clinical Pharmacist in Optimizing Stress-Related Mucosal Disease Prophylaxis in Patients Admitted to Nephrology Ward: A Prospective Quasi-Experimental Study,” JOURNAL OF RAFSANJAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES, vol. 19, no. 3 , pp. 223–234, 2020, [Online]. Available: https://sid.ir/paper/379014/en

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