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Impact of clinical pharmacist’s interventions on health outcomes in post stroke patients
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| Author:
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JISHA GEEVARGHESE, JISHA ANNIE, EMMANUEL JAMES, VIVEK NAMBIAR
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| Abstract:
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Background: Stroke recurrence can contribute to increased disability and disease burden. Control of modifiable risk factors has been shown to reduce the risk of future strokes.
Objective: To assess the impact of clinical pharmacist’s interventions on knowledge and awareness of patients regarding stroke and anticoagulation therapy, medication adherence, control of modifiable risk factors, and health related quality of life of patients.
Methodology: A prospective interventional study was done on one hundred ischemic stroke outpatients. All the patients were assessed for control of modifiable risk factors, disease knowledge and awareness, medication adherence, functional ability and health related quality of life at baseline and post-intervention using validated questionnaires. Patients on oral anticoagulants were given additional educational interventions and booklets on oral anticoagulation.
Results: The mean age of study patients was 59.69±9.56 years and 67% were males. There was significant improvement in the control of blood pressure, haemoglobinA1C and lipid profile post-intervention (P<0.001). Disease knowledge and awareness of the patients increased from 4.39?1.07 points to 13.32±0.56 (P<0.001) post-intervention. Medication adherence, health related quality of life and functional outcome improved significantly post-intervention (P<0.001). Knowledge score of patients on oral anticoagulation increased from 4.48?1.09 to 16.37±0.75 points (P<0.001). A time in therapeutic range of 61.2% was attained post-intervention.
Conclusion: Educational interventions by clinical pharmacists can improve control of modifiable risk factors, knowledge and awareness of stroke, medication adherence, quality of life and functional outcome in post stroke patients. Clinical pharmacist’s interventions can provide better anticoagulation control and improve health outcomes in post stroke patients.
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| Keyword:
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Anticoagulation, clinical pharmacist’s intervention, modifiable risk factors, stroke, quality of life
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| EOI:
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| DOI:
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