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  • A Community Based Study To Assess The Effectiveness Of Home Medication Review Based On Their Knowledge About Disease And Drugs In Hypertensive Geriatric Patients Of Dakshina Kannada

  • 1Department of Pharmacy Practice, Srinivas College of Pharmacy, Manglore-574143.
    2Department of Pharmacy Practice, Srinivas College of Pharmacy, Manglore-574143.
    3Department of Pharmaceutics, Srinivas College of Pharmacy, Manglore-574143

Abstract

Home Medicines Review (HMR) is a health care service aimed to address various home medication management (HMM) issues which includes services like maximizing knowledge regarding disease and its management. HMM issues are highly prevalent in geriatric patients owing to their chronic diseases like hypertension. The study aimed to educate hypertensive geriatrics about management of pharmacotherapeutic issues by providing HMR at their residences. The main objective of the study was to assess the impact of HMR in hypertensive geriatric patients in Dakshina Kannada. The study included 50 subjects of either gender over the course of 6 months on improving patient knowledge. A pre-validated questionnaire was used to analyse and categorise disease & drug knowledge (poor, good) out of which 50% of participants had poor knowledge and the other 50% had good knowledge. Pre-intervention study included pharmacist's interventions by oral counselling using PIL, pill card, pill box, medication reminder alarms and mobile apps. After 2 months, post-intervention study showed improvement in knowledge level. In conclusion findings suggested pharmacist-led HMR is effective in improving patient health outcomes and highlights the potential of HCPS to improve disease insight and HMM among hypertensive patients, provided if the service is utilised fully.

Keywords

HMR, Hypertension, Geriatrics, HCPS, HMM

Reference

  1. Chandrasekhar D, Joseph E, Ghaffoor F, Thomas H. Role of pharmacist led home medication review in community setting and the preparation of medication list. Clinical Epidemiology and Global Health. 2019;7(1):66-70 
  2. Ministry of Health and Welfare. 104 Annual cause of death statistic. Ministry of Health and Welfare. 2017.
  3. Ali PTS, Mishra A, Palaksha S, Ramesh A, Nataraj BR, Kumar MB. Impact of home medication review services on medication adherence in elderly population of Mysore. The International Journal of Therapeutics. 2018; 1(1): 39-43. 
  4. Al-Qudah RA, Bulatova NR, Obeidat NM, Basheti IA. Impact of home medication management review on medication adherence among Jordanian patients. Journal of Pharmaceutical Health Services Research. 2018; 9:227-35. 
  5. Papastergiou J, Luen M, Tencaliuc S, Li W, Bemt B, Houle S. Medication management issues identified during home medication reviews for ambulatory community pharmacy patients. CPJ/RPC. 2019; 152(5): 334-42. 
  6. A A, Hisham B, Mohanan R, Jha A, Bhattacharjee A. A qualitative study to assess the need of home medication review to improve the quality of life in general population in a district head quarters. International Journal of Health Sciences and Research. 2020;12(10):42-52 
  7. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003 Dec;42(6):1206-52.
  8. Thankappan KR, Sivasankaran S, Mini GK, Daivadanam M, Sarma PS, Abdul Khader S. Impact of a community based intervention program on awareness, treatment and control of hypertension in a rural panchayat, Kerala, India. Indian Heart Journal. 2013;65(5):504–9.
  9. Narkiewicz K. Obesity and hypertension--the issue is more complex than we thought. Nephrology Dialysis Transplantation. 2006 ;21(2):264-7
  10. Re RN. Obesity-related hypertension. The Ochsner Journal. 2009;9(3):133-6.
  11. Sri Hari T, Sree Sudha T, Varghese A, Krishna Sasanka K, Thangaraju P. A study of risk factors and complications in elderly hypertensive subjects. Journal of Family Medicine and Primary Care. 2021;10(6):2230-4.
  12. Singh S, Shankar R, Singh GP. Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. International Jourmal Hypertension. 2017; 2017: 1-10
  13. Husain K, Ansari RA, Ferder L. Alcohol-induced hypertension: Mechanism and prevention. World Journal of Cardiology. 2014;6(5):245-52.
  14. Primatesta P, Falaschetti E, Gupta S, Marmot MG, Poulter NR. Association between smoking and Blood Pressure. Hypertension. 2001;37(2):187–93.
  15. Malik A, Yoshida Y, Erkin T, Salim D, Hamajima N. Hypertension-related knowledge, practice and drug adherence among inpatients of a hospital in samarkand, Uzbekistan. Nagoya Journal of Medical Science. 2014; 76: 255-63
  16. Ho TM, Estrada D, Agudo J, Arias P, Capillas R, Gibert E et al. Assessing the impact of educational intervention in patients with hypertension. Journal of Renal Care. 2016; 42(4): 205–11.
  17. Romero-Sanchez J, Garcia-Cardenas V, Abaurre R, Martínez-Martínez F, Garcia-Delgado P. Prevalence and predictors of inadequate patient medication knowledge. Journal of Evaluation in Clinical Practice. 2016;22(5):808-15
  18. Karthikeyan G, Ranganayak D. Medication Knowledge Level of Hypertensive Patients from South Indian Hospitals. International Journal of Pharmaceutical Sciences and Drug Research 2015; 7(3): 279-83
  19. Magadza C, Radloff SE, Srinivas SC. The effect of an educational intervention on patients' knowledge about hypertension, beliefs about medicines, and adherence. Research in Social and Administrative Pharmacy. 2009; 5(4): 363–75
  20. Martins RR, Farias AD, Oliveira YM, Diniz Rdos, Oliveira AG. Prevalence and risk factors of inadequate medicine home storage: A community-based study. Revista de Saúde Pública. 2017; 51:1-8.
  21. Storing your medicines: Medlineplus medical encyclopedia. MedlinePlus. U.S. National Library of Medicine. 2022.

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Ashika M.
Corresponding author

Department of pharmacy practice, Srinivas college of pharmacy, Mangalore.

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Satish S.
Co-author

Department of pharmacy practice, Srinivas college of pharmacy, Mangalore.

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Ramakrishna Shabaraya A.
Co-author

Department of pharmacy practice, Srinivas college of pharmacy, Mangalore.

Satish S., Ashika M.*, Ramakrishna Shabaraya A., A Community Based Study To Assess The Effectiveness Of Home Medication Review Based On Their Knowledge About Disease And Drugs In Hypertensive Geriatric Patients Of Dakshina Kannada, Int. J. in Pharm. Sci., 2023, Vol 1, Issue 11, 326-335. https://doi.org/10.5281/zenodo.10138421

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