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- Predictors of Cognitive Function and Quality of Life in Schizophrenia
Patients
Authors: Natthida Vetthanasuk, Somchai Suriyakrai
Pages: 1 - 11
Abstract: Objective: To determine the factors predicting cognitive function and quality of life in schizophrenic patients Method: This analytical study recruited subjects with schizophrenia in Nong Song Hong hospital. Data were collected by 3 instruments: 1) The Montreal Cognitive Assessment (MoCA) Thai version 2) The Thai version of the brief form of the WHO quality of life and 3) Psychological assessment Brief Psychiatric Rating Scale (BPRS) and analyzed by descriptive statistics and multiple linear regression analysis. Results: A total of 42 patients were enrolled in the study. The majority of the patients were 28 males (66.7%). All patients had cognitive impairment because MoCA < 25 scores. MoCA scores were 15.38 ± 4.33 scores. Almost all patients had fewer symptoms on the psychological assessment (90.47%). The schizophrenic patients had a moderate quality of life. The WHOQOL–BREF–THAI scores were 90.62 ± 10.89 scores. The statistically significant predicting factors which negatively related to cognitive function were history of epilepsy, diabetes mellitus and clozapine usage (P<0.05). The quality of life was negatively associated with smoking (P=0.029). Conclusion: This study showed the effects of many factors on cognitive function and quality of life Therefore, monitoring and control of these factors can improve the treatment outcomes of schizophrenic patients.
PubDate: 2023-01-24
Issue No: Vol. 18, No. 4 (2023)
- A Comparison of Learning Achievement of Online Drug Information Service
Training and On-Site Drug Information Service Training for Pharmacy
Students
Authors: Dhitiphun Pridinawat, Kannika Boonserm, Jantima Choorassamee
Pages: 12 - 18
Abstract: This research aimed to compare how well pharmacy students learned from onsite drug information service training to online drug information service training. Methods: The sample groups consist of sixth-year students from the Faculty of Pharmacy, University of Phayao who participated in training for on-site drug information services in the academic year 2019 (n = 76) and online drug information services in the academic year 2020 (n = 64). Data was collected using the practice record form, the practice's total score, and the number of activities. The mean and standard deviation were the statistics employed in the data analysis, along with a t-test to determine independence. Results: Students who practiced online training on average had higher overall scores than those who practiced on-site training (a full score of 70 points;63.76+4.92 and 59.45+7.78 , respectively; p<0.01). Also, students who practiced online received significantly higher scores on skills and abilities than those who practiced on-site (a full score of 40 points; 36.68+3.05 and 33.95+4.9, respectively; p<0.01). By practicing on-site, it is possible to arrange for all students to practice all activities with the exception of two: reporting adverse drug reactions and drug use evaluation and prevention/corrective activities. Regarding the online practice, there is only one task that each student can complete, which is answering questions or providing drug-related information. Conclusion: The online drug information service training performed better than the on-site drug information service training in terms of both overall scores and skill and ability scores. However, compared to students who practiced online, those who practiced on-site training completed more activities that matched the criteria. This can be because prescribing information and patient case studies are limited. Therefore, to organize online drug information service training, patient case studies and prescribing data are required so that students can practice carrying out all tasks in accordance with the predetermined criteria.
PubDate: 2023-01-24
Issue No: Vol. 18, No. 4 (2023)
- Outcomes of an Information System to Monitor Drug Interactions Among
Patient Receiving Warfarin: Case Study of Patients Receiving Treatment at
Sub-District Health Promoting Hospital
Authors: Watchareewan Ukhom, Suratchada Chanasopon, Peeraya Sriphong
Pages: 19 - 32
Abstract: Warfarin is an anticoagulant which has a narrow therapeutic index. Warfarin can have interactions with other medicines. Therefore, information system should be used to monitor drug interactions. Objective: To compare the outcomes of using information system on the incidence of drug interactions and adverse events caused by warfarin-drug interactions. Method: A quasi-experimental study was designed. The sample group was patients receiving warfarin from the community hospital, who visited one of the 18 sub-district health promoting hospitals for common diseases during June to September 2021. Results: After the implementation of the information system, the incidence of prescribing drugs that interacts with warfarin reduced from 25.00% to 5.47%. The proportion of adverse reactions caused by warfarin-drug interactions also significantly reduced from 23.44 (pre-implemented) to 5.47 (post-implemented) (p<0.001). There was no serious adverse reactions caused by warfarin-drug interactions after the use of the information system. Conclusion: Using the information system can potentially reduce incidences of warfarin-drug interactions and its adverse events. This system should be promoted to be used in other sub-district health promoting hospitals.
PubDate: 2023-01-24
Issue No: Vol. 18, No. 4 (2023)
- Adaptability Of First To Fifth Year Pharmacy Students Towards Online
Learning During Covid-19 Pandemic: A Survey At Prince Of Songkla
University, Thailand
Authors: Orawan Sae-lim, Chawisa Sriwattanawaranyu, Supitchaya Janrong, Thikhumporn Navykarn, Supanut Wongtanawijit
Pages: 33 - 45
Abstract: The coronavirus (Covid-19) pandemic had greatly affected various aspects of education. A rapid shift has emerged from learning in classroom to distance or online learning. Effectiveness on these platforms depend on the technological skill, individual responsibility, and motivation of the learner. Inability of students to adapt to this rapid change during the pandemic may impact emotional stability, learning outcome and work performance. This study aims to survey adaptability towards online learning of first to fifth year pharmacy students during the Covid-19 pandemic. Methods: The survey used online questionnaires from first to fifth year pharmacy students The data on personal information; the adaptability by The Student Adaptation to College Questionnaire; SACQ (edited and translated by Ms Sopawadee Bunyalittikij, Srinakharinwirot University) with 4 levels of very good, good, weak, and bad; and the opinion of online learning, were collected. Results: There were 263 students, with 59.32% of grade point average (GPA) 3.51-4.00, 55.39% of online learning from home. The proportion that preferred learning in classroom was 42.21% and hybrid learning was 37.26%. The average score of adaptability was 2.71+0.39, at a good level. While the average score of the academic adjustment, social adjustment and personal-emotional adjustment were at a weak level. The percentage of students at good level of overall adaptability, academic adjustment, social adjustment, personal-emotional adjustment, and attachment to the institution were 65.40%, 42.97%, 44.11%, 43.73% and 56.27%, respectively. The overall adaptability of third year pharmacy students was significantly lower than the others. The overall adaptability of students with GPA of 3.51-4.00 was significantly better than the others. Conclusion: The overall adaptability of student was at a good level. However, the academic adjustment, social adjustment and personal-emotional adjustment were at a weak level. There was significant difference for the overall adaptability in level of students and GPA of students.
PubDate: 2023-01-24
Issue No: Vol. 18, No. 4 (2023)
- Perceptions, Attitudes and Experience toward Telepharmacy Service among
Community Pharmacists: A Qualitative Study
Authors: Prompiriya Pitirattanaworranat, Surarong Surarong Chinwong, Dujrudee Chinwong
Pages: 46 - 60
Abstract: Telepharmacy is a novel pharmaceutical care service. Pharmacist can communicate with patients or clients through telecommunication technology. This study aimed to explore community pharmacists' perceptions, attitudes, and experiences toward telepharmacy service. Methods: This study was qualitative research that collected data from 24 community pharmacists working at drugstores in all regions of Thailand. The data was gathered from 3 online-focus groups discussion (7 to 9 pharmacists per group), and data analysis was conducted using content analysis. Results: The majority of participants were female (54.17%), with the average age of 30.65 ± 3.71 years. Most were business owners (66.67%). The participants were classified into 2 groups: partly-telepharmacy and full-telepharmacy. Both groups provided different perceptions about standards and procedures for telepharmacy of the pharmacy council of Thailand. Partly-telepharmacy group perceived that the standards and procedures had not been a mandatory practice. In terms of attitudes, they considered that the standards and procedures are rather too complicated but full-telepharmacy group perceived important and good attitudes toward standards and procedures for telepharmacy of the pharmacy council of Thailand. For experience aspects, both groups provided similar telepharmacy services, such as patient interviews and drug dispensing, as well as services related to the COVID-19 pandemic and smoking cessation. However, in some aspects telepharmacy service procedures of both groups were different; partly-telepharmacy group has limitations on patient registration and audio/video records while providing services due to a lack of suitable technology. Conclusions: Both groups provided different perceptions about standards and procedures for telepharmacy of the pharmacy council of Thailand. Partly-telepharmacy group had an incorrect perception of standards and procedures for telepharmacy from the pharmacy council of Thailand. They considered that the standards and procedures were rather too complicated. On the contrary, full-telepharmacy group had a correct perception and positive attitudes toward the telepharmacy. As a result, the two groups had different experiences with telepharmacy services.
PubDate: 2023-01-24
Issue No: Vol. 18, No. 4 (2023)
- Pharmacist role in providing care for patients with septicemia in Lampang
hospital
Authors: Siwaporn Winya
Pages: 61 - 81
Abstract: Septicemia is commonly present among hospitalized patients and it increases the mortality. Pharmacists should provide pharmaceutical care and ensure that patients with septicemia receive the correct and appropriate antibiotics. Objective: The present study examined the effect of pharmacist providing pharmaceutical care for patients hospitalized with septicemia. Factors associated with the pharmacist’s interventions on antibiotic prescribing and with the drug and dosage adjustment following the interventions were determined. Methods: Prospective analytical study design was used. Data collection was conducted between October 2019 and April 2021. Study patients were divided into three groups 1) the group that pharmacist interventions were accepted by attending physicians leading to antibiotic adjustment 2) the group that did not receive pharmacist interventions and 3) the group that pharmacist interventions were not accepted by physicians. Multivariate logistic regression analysis was used to determine factors associated with pharmacist interventions and physician acceptance of pharmacist interventions. Results: Out of 322 patients with septicemia prescribed antibiotics, 127 (39.4%) were given the interventions and 109 (85.8%) had the antibiotic adjustment. Patients who had immunosuppressants prior to the antibiotic prescribing and those who got first prescribed commonly used antibiotics had a lower chance of the interventions (odds ratio (OR), 0.31; 95% CI, 0.11-0.87 and 0.44; 0.25-0.79, respectively). On the contrary, patients with chronic kidney diseases were more likely to receive the interventions (OR, 2.39; 95% CI, 1.31, 4.33). Patients with HIV/AIDS had a lower chance of the physician acceptance of pharmacist interventions (OR, 0.11; 95%CI, 0.02-0.64), whereas those having sepsis acquired from communities and those receiving sympathomimetic agents if necessary had a higher chance of the intervention acceptance (OR, 3.38; 95%CI, 1.02-11.22 and 4.24; 1.29-13.88, respectively). Conclusion: This study revealed the importance of involving pharmacist in healthcare team for patients with septicemia, especially for antibiotic prescribing and effects on physician acceptance.
PubDate: 2023-01-24
Issue No: Vol. 18, No. 4 (2023)
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