RATIONAITY AND INTERVENTION EFFICIENCY OF CLINICAL PHARMACIST IN USAGE PAINKILLERS AFTER OPERATION
Main Article Content
Abstract
Objectives: To evaluate the rationality and effectiveness of clinical pharmacist’s intervention in the use of painkillers for post-operative pain treatment at the General Surgery Department of Cai Nuoc General Hospital. Objects and methods: Cross-sectional descriptive study on 172 patients (patients) undergoing surgery at General Surgery Department, Cai Nuoc General Hospital. Results: There were 38.95% of patients studied with adverse effects when using painkillers. The average duration of painkiller use after surgery was 5.6 ± 4.0 days. The differences in the mean time to take the drug between the 2 groups were statistically significant. VAS pain scores of the study samples tended to decrease gradually over 1, 3, 5, 7 days after surgery. On 2 research groups, in general, the average VAS score after 1 day surgery was 4.2 ± 1.9 points and after 7 days was 1.1 ± 0.8 points. Increase the reasonable rate in choosing drugs group 2 with reasonable rate was had a reasonable rate of 68.18%, much higher than group 1 with 46.43%. Conclusion: The incidence of adverse effects was low. The differences in the mean time to take the drug 70.45%, much higher than group 1 with 42.86%; drug dose, group 2 had reasonable rate was 82.95%, much higher than group 1 with 55.95%; the rationality of drug use, group 2 between the 2 groups were statistically significant. VAS pain scores of the study samples tended to decrease gradually over 1, 3, 5, 7 days after surgery. Increase the rationality of drug selection, drug dosage, and general rationality of post-operative pain treatment.
Article Details
Keywords
Reasonability, effectiveness of intervention, painkiller after surgery
References
2. Aziza M. Hussain et al (2013). Effect of Gender on Pain Perception and Analgesic Consumption in Laparoscopic Cholecystectomy: An Observational Study. Joumal of Anaesthesiology clinical pharmacology, 29(3).
3. Welchek C.M. et al (2009). Qualitative and Quantitative Assessment of Pain, in Acute Pain Management, Editors. Cambridge University Press, 2009: 147-170.
4. Cashman J.N., Shorten G. et al (2006). Patient-Controlled Analgesia in Postoperative Pain Management. W.B. Saunders: Philadelphia: 148-153.
5. Phạm Thị Minh Đức (2003). Sinh lý đau. Chuyên đề sinh lý học: 6.
6. Woodhouse. A. et al (1996). A comparison of morphine, pethidine and fentanyl in the postsurgical patient-controlled analgesia environment. Pain, 64(1): 115-21.
7. Gan T.J et al (2014). Incidence, patient satisfaction, and perceptions of post- surgical pain: results from a us national survey. Cmxent Medical Research and Opinion, 30(1): 149-160.
8. Markus H. et al (2016). Differences in The Experience of Postoperative Pain amongst Women compared to Men after Laparoscopic Gastric Bypass Surgery: A Cohort Study. Orebro University.