Evaluation of myocardial infarction medications and patient education by pharmacists

• Main Authors: Ying-Ling Lin, 林瑛鈴
• Other Authors: Shun-Jin Lin
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/24199595948097354861

碩士 === 高雄醫學大學 === 藥學系碩士在職專班 === 104 === Introduction Heart disease is the second most common cause of mortality in Taiwan 2014."Acute myocardial infarction" is one of the heart diseases that may cause severe and having fatal outcomes. Our study expects to improve post- MI patient’s medication knowledge by pharmacist, let people understand the importance of medical therapy and regularly return to clinic. And thus enhance the patient medication compliance, increasing patient self-care ability, expects to improve the overall quality of patient self-care and improve patient quality of life. Methods This study was conducted from January 1, 2011 to March, 2014 in a regional hospital in Taiwan. The aims of this study is to evaluation and discussion of myocardial infarction medications and patient education intervened by pharmacists. This research is divided in two parts; the retrospective study part, included 2008/01 ~2011/06 patient with a admission diagnosis "Acute myocardial infarction"( ICD 9. 410.) for chart review to collect related information; the prospective study, since January 1, 2011 until March 31, 2014, included patient with "Acute myocardial infarction"( ICD 9. 410.) admission diagnosis, we routinely survey myocardial infarction inpatient medications by pharmacist and arrangements bedside education for disease and medications when patient becomes stable. We informed consent to include patient for following telephone questionnaire intervention. Results The part of retrospective study included 72 patients. There are 49 males (68%) and 23 female (32%). Myocardial infarction occurred significantly more in male population and up to 2 times. The average age was 67 (± 14.46) years old, the youngest one was 38 years old, the eldest one was 96 years old. In the prospective study part, after review the appropriateness of myocardial infarction inpatient medication. There''re 26 medication recommendations, mainly to intervene drug of cardiovascular system. Overall of medication recommendations acceptance was 100%. There are a total of 58 inpatient medication education, patient satisfaction were mostly in 4~5 points (means satisfied). To include 24 patient for following telephone questionnaire intervention after a patient informed consent. A significant increase in the correct answer rate in after education questionnaire of [long-term medicines knowledge] and [relative risk factor of myocardial infarction] and [AMI medicines knowledge](p<0.05). Conclusion It''s difficult to predict the prognosis of patients post myocardial infarction. Long-term medication control was helpful for myocardial infarction discharge patients. To enhance the disease and medications control awareness from patient medication education by pharmacists. It can achieve the purpose of improving the overall disease control.