Assessment from the outcomes clinical and humanistic by one plane of pharmaceutical care of a asthmatic patients

Detalhes bibliográficos
Autor(a) principal: Solange Cecilia Cavalcante Dantas
Data de Publicação: 2007
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFC
Texto Completo: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=1045
Resumo: CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior
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network_name_str Biblioteca Digital de Teses e Dissertações da UFC
spelling info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisAssessment from the outcomes clinical and humanistic by one plane of pharmaceutical care of a asthmatic patients AvaliaÃÃo dos resultados clÃnicos e humanÃsticos de um plano de atenÃÃo farmacÃutica em pacientes asmÃticos2007-09-12Marta Maria de FranÃa Fonteles28529839315http://lattes.cnpq.br/0574180390413250Marcelo Alcantara Holanda88888888803Marcelo Alcantara HolandaPaulo CÃsar de Almeida04161610300Paulo CÃsar de AlmeidaMirian Parente Monteiro1550764535304691415300http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=K4266828E6#BancasSolange Cecilia Cavalcante DantasUniversidade Federal do CearÃPrograma de PÃs-GraduaÃÃo em CiÃncias FarmacÃuticasUFCBRAsma AtenÃÃo FarmacÃuticaResultados ClÃnicos e HumanÃsticosAsthma Pharmaceutical Care Clinical and Humanistic ResultsCiÃncias da SaÃdeCoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior The high prevalence of poorly controlled asthma and the associated high morbimortality have been shown to be related mainly to under-diagnosis and inadequate treatment of this condition. This present significant cost adding further burden on the healthcare budget The consequences of poorly controlled asthma are repeated clinic visits repeated emergency room admissions and repeated hospital admissions In extreme but numerous occasions asthma attacks resulting from poor management lead to deaths Therefore it had been stated that a key component of many asthma management guidelines is the recommendation for patient education and regular medical review These (patient education and regular medication/medical reviews) are primary areas for the pharmacist to make an impact Objective To describe and to analyze the influence of a Pharmaceutical Care (PC) service in the clinical and humanistic outcomes through the pharmacotherapeutic follow-up (PF) of a group of asthmatic patients attending an ambulatory care facility by hospital referral in the State of the Cearà Methods Thirty patients participated of this longitudinal prospective and descriptive study in the period from August 2006 to May 2007 Instruments used to collect information from patients were an asthma-specific quality of life questionnaire (The Brazilian version of the Asthma Quality of Life Questionnaire AQLQ) daily records of symptoms of the asthma and a questionnaire to assess satisfaction with Pharmaceutical Care services The PF and the classification of drug related problems (DPR) followed Cipolle et al criteria (2004) and adopted a systematic PWDT (Pharmacistâs Work up of Drug Therapy) approach in identifying and resolving DPR Results The majority of patients were females (80%) 10% completed primary school level only mean age was 46  x 11 9 30% were on married social pension and with income of two minimum salaries Patients used an average of two inhaled medications (corticosteroids and bronchodilator) /day and more than 50% of patients did not use their inhaler medication devices correctly Sixty four DPR were identified, of which 31 25% were related to poor compliance with drug therapy After the provision of Pharmaceutical Care and through following a PWDT strategy 66 6% of the patients did not report nocturnal symptoms of asthma and did not have to use short-acting bronchodilator for asthma symptoms By the conclusion of the study a significant improvement (p< 0 05) was observed in the four domains of the AQLQ In the questionnaire assessing satisfaction with the Pharmaceutical Care services a superior index of 95% was observed in all its domains Conclusion The improvement seen in all aspect of the outcomes measured including clinical and humanistic outcomes after the provision of PC has provided evidence for the role of the pharmacist in asthma management using a structured approach to educate the patient about the pharmacotherapy regimen address compliance issues and making drug therapy interventions that lead to rationalizing therapy and minimizing DPR http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=1045application/pdfinfo:eu-repo/semantics/openAccessporreponame:Biblioteca Digital de Teses e Dissertações da UFCinstname:Universidade Federal do Cearáinstacron:UFC2019-01-21T11:13:57Zmail@mail.com -
dc.title.en.fl_str_mv Assessment from the outcomes clinical and humanistic by one plane of pharmaceutical care of a asthmatic patients
dc.title.alternative.pt.fl_str_mv AvaliaÃÃo dos resultados clÃnicos e humanÃsticos de um plano de atenÃÃo farmacÃutica em pacientes asmÃticos
title Assessment from the outcomes clinical and humanistic by one plane of pharmaceutical care of a asthmatic patients
spellingShingle Assessment from the outcomes clinical and humanistic by one plane of pharmaceutical care of a asthmatic patients
Solange Cecilia Cavalcante Dantas
Asma
AtenÃÃo FarmacÃutica
Resultados ClÃnicos e HumanÃsticos
Asthma
Pharmaceutical Care
Clinical and Humanistic Results
CiÃncias da SaÃde
title_short Assessment from the outcomes clinical and humanistic by one plane of pharmaceutical care of a asthmatic patients
title_full Assessment from the outcomes clinical and humanistic by one plane of pharmaceutical care of a asthmatic patients
title_fullStr Assessment from the outcomes clinical and humanistic by one plane of pharmaceutical care of a asthmatic patients
title_full_unstemmed Assessment from the outcomes clinical and humanistic by one plane of pharmaceutical care of a asthmatic patients
title_sort Assessment from the outcomes clinical and humanistic by one plane of pharmaceutical care of a asthmatic patients
author Solange Cecilia Cavalcante Dantas
author_facet Solange Cecilia Cavalcante Dantas
author_role author
dc.contributor.advisor1.fl_str_mv Marta Maria de FranÃa Fonteles
dc.contributor.advisor1ID.fl_str_mv 28529839315
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/0574180390413250
dc.contributor.referee1.fl_str_mv Marcelo Alcantara Holanda
dc.contributor.referee1ID.fl_str_mv 88888888803
dc.contributor.referee1Lattes.fl_str_mv Marcelo Alcantara Holanda
dc.contributor.referee2.fl_str_mv Paulo CÃsar de Almeida
dc.contributor.referee2ID.fl_str_mv 04161610300
dc.contributor.referee2Lattes.fl_str_mv Paulo CÃsar de Almeida
dc.contributor.referee3.fl_str_mv Mirian Parente Monteiro
dc.contributor.referee3ID.fl_str_mv 15507645353
dc.contributor.authorID.fl_str_mv 04691415300
dc.contributor.authorLattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=K4266828E6#Bancas
dc.contributor.author.fl_str_mv Solange Cecilia Cavalcante Dantas
contributor_str_mv Marta Maria de FranÃa Fonteles
Marcelo Alcantara Holanda
Paulo CÃsar de Almeida
Mirian Parente Monteiro
dc.subject.por.fl_str_mv Asma
AtenÃÃo FarmacÃutica
Resultados ClÃnicos e HumanÃsticos
topic Asma
AtenÃÃo FarmacÃutica
Resultados ClÃnicos e HumanÃsticos
Asthma
Pharmaceutical Care
Clinical and Humanistic Results
CiÃncias da SaÃde
dc.subject.eng.fl_str_mv Asthma
Pharmaceutical Care
Clinical and Humanistic Results
dc.subject.cnpq.fl_str_mv CiÃncias da SaÃde
dc.description.sponsorship.fl_txt_mv CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior
dc.description.abstract.por.fl_txt_mv The high prevalence of poorly controlled asthma and the associated high morbimortality have been shown to be related mainly to under-diagnosis and inadequate treatment of this condition. This present significant cost adding further burden on the healthcare budget The consequences of poorly controlled asthma are repeated clinic visits repeated emergency room admissions and repeated hospital admissions In extreme but numerous occasions asthma attacks resulting from poor management lead to deaths Therefore it had been stated that a key component of many asthma management guidelines is the recommendation for patient education and regular medical review These (patient education and regular medication/medical reviews) are primary areas for the pharmacist to make an impact Objective To describe and to analyze the influence of a Pharmaceutical Care (PC) service in the clinical and humanistic outcomes through the pharmacotherapeutic follow-up (PF) of a group of asthmatic patients attending an ambulatory care facility by hospital referral in the State of the Cearà Methods Thirty patients participated of this longitudinal prospective and descriptive study in the period from August 2006 to May 2007 Instruments used to collect information from patients were an asthma-specific quality of life questionnaire (The Brazilian version of the Asthma Quality of Life Questionnaire AQLQ) daily records of symptoms of the asthma and a questionnaire to assess satisfaction with Pharmaceutical Care services The PF and the classification of drug related problems (DPR) followed Cipolle et al criteria (2004) and adopted a systematic PWDT (Pharmacistâs Work up of Drug Therapy) approach in identifying and resolving DPR Results The majority of patients were females (80%) 10% completed primary school level only mean age was 46  x 11 9 30% were on married social pension and with income of two minimum salaries Patients used an average of two inhaled medications (corticosteroids and bronchodilator) /day and more than 50% of patients did not use their inhaler medication devices correctly Sixty four DPR were identified, of which 31 25% were related to poor compliance with drug therapy After the provision of Pharmaceutical Care and through following a PWDT strategy 66 6% of the patients did not report nocturnal symptoms of asthma and did not have to use short-acting bronchodilator for asthma symptoms By the conclusion of the study a significant improvement (p< 0 05) was observed in the four domains of the AQLQ In the questionnaire assessing satisfaction with the Pharmaceutical Care services a superior index of 95% was observed in all its domains Conclusion The improvement seen in all aspect of the outcomes measured including clinical and humanistic outcomes after the provision of PC has provided evidence for the role of the pharmacist in asthma management using a structured approach to educate the patient about the pharmacotherapy regimen address compliance issues and making drug therapy interventions that lead to rationalizing therapy and minimizing DPR
description CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior
publishDate 2007
dc.date.issued.fl_str_mv 2007-09-12
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
status_str publishedVersion
format masterThesis
dc.identifier.uri.fl_str_mv http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=1045
url http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=1045
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do CearÃ
dc.publisher.program.fl_str_mv Programa de PÃs-GraduaÃÃo em CiÃncias FarmacÃuticas
dc.publisher.initials.fl_str_mv UFC
dc.publisher.country.fl_str_mv BR
publisher.none.fl_str_mv Universidade Federal do CearÃ
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UFC
instname:Universidade Federal do Ceará
instacron:UFC
reponame_str Biblioteca Digital de Teses e Dissertações da UFC
collection Biblioteca Digital de Teses e Dissertações da UFC
instname_str Universidade Federal do Ceará
instacron_str UFC
institution UFC
repository.name.fl_str_mv -
repository.mail.fl_str_mv mail@mail.com
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