Knowledge, Attitude and Performance toward Treatment among Patients with Chronic Kidney Diseases: The Impact of Medication Therapy Management

Introduction: Chronic kidney disease lead to taking many medication and is mostly due to underlying diseases such as diabetes and hypertension. Patients usually receive a lot of medications for their problems, and the use of multiple drugs is a major challenge in these patients. Hence the recognition of their knowledge, practices, and attitudes toward their medications is of great importance to optimize their health benefits. Methods: In this descriptive study, several meeting were held by experts, including clinical pharmacists, pharmaceutical economy pharmacists, and general pharmacists. The experts developed the first draft of the questionnaire based on their comments and previous published articles. The draft was modified after several sessions, and the questionnaire validity and reliability were calculated. SPSS software version 23 was used to analyze the data. Then 100 patients with chronic renal failure referring to Labafi Nezhad Hospital received pharmacy-based training to optimize their use of medicines. Before and after the study, the participants’ knowledge, attitude, performance, andmedication compliance rate were measured using the questionnaire. Results: The mean values of total knowledge before and after the intervention was 5.98 ± 2.86 and 12.27 ± 2.19, respectively (P value <0.0001) . The total mean value of attitude before the intervention was 12.80 ± 1.27 and the total mean value of attitude after the intervention was 13.93 ± 1.12 (P value <0.0001). The total mean values of performance before and after the intervention were 14.88 ± 1.97 and 29.1 ± 16.90, respectively (P value <0.0001) . The total mean of adherence compliance rate before the intervention was 12.15 ± 4.99 and the total mean of this rate value after the intervention was 15.56 ± 3.49 (P value <0.0001). Discussion: The results of the present study showed that pharmacy-based training improves the level of knowledge, attitude, performance and diet compliance in patients with chronic renal failure, which can lead to more effective treatment and less treatment complications

کلیدواژه ها:

Albumin ، Drug Usage Evaluation ، Rational Drug Usage ، Clinical Pharmacy