Evaluation of clinical pharmacist mediated education and counselling of systemic lupus erythematosus patients in tertiary care hospital

Abstract Objectives To assess the knowledge of systemic lupus erythematosus (SLE) patients before and after clinical pharmacist's education and compare the same with the control group. Methods In this study done on patients with SLE, the test group patients were provided with education regardin...

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Bibliographic Details
Published inIndian journal of rheumatology Vol. 7; no. 1; pp. 7 - 12
Main Authors Ganachari, MS, Almas, Syeda Atiya
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.03.2012
Subjects
Internal Medicine
medication adherence
medication knowledge
non-compliance
patient education
Rheumatology
SLE
medication knowledge
non-compliance
medication adherence
SLE
patient education
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Summary:Abstract Objectives To assess the knowledge of systemic lupus erythematosus (SLE) patients before and after clinical pharmacist's education and compare the same with the control group. Methods In this study done on patients with SLE, the test group patients were provided with education regarding SLE and its management including lifestyle modifications, via the distribution of patient information leaflets (PILs), while the control group were continued with conventional therapy. Validated knowledge assessment questionnaire was administered at baseline, first follow-up and final (second) follow-up to assess the medication knowledge of SLE patients. The Modified Morisky Scale (MMS) was used to assess the adherence at the final follow-up to study the influence of education. Results Forty-five patients completed the 2 months follow-up study out of 50 enrolled patients. A significant ( P < 0.001) improvement in the medication knowledge scores and medication adherence was seen in test group compared to the control group. The reasons for non-compliance included patients forgetfulness, high cost of medications, patients lack of access to hospital/drug store, lack of family support/motivation, fear of side effects, and fear of becoming dependent on treatment. Conclusion The finding of this study showed that a well-structured SLE patient counselling by clinical pharmacist's intervention will result in improved medication knowledge and better medication adherence.
ISSN:0973-3698
0973-3701
DOI:10.1016/S0973-3698(12)60003-X