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master's thesis
Terapijski problemi pacijenata u Domu za starije osobe Centar
Zagreb: University of Zagreb, Faculty of Pharmacy and Biochemistry, 2024. urn:nbn:hr:163:764849
Hanzer, Mia
University of Zagreb
Faculty of Pharmacy and Biochemistry
Centre for applied pharmacy

Institutional repository: Repository of Faculty of Pharmacy and Biochemistry University of Zagreb

Cite this document

Hanzer, M. (2024). Terapijski problemi pacijenata u Domu za starije osobe Centar (Master's thesis). Zagreb: University of Zagreb, Faculty of Pharmacy and Biochemistry. Retrieved from https://urn.nsk.hr/urn:nbn:hr:163:764849

Hanzer, Mia. "Terapijski problemi pacijenata u Domu za starije osobe Centar." Master's thesis, University of Zagreb, Faculty of Pharmacy and Biochemistry, 2024. https://urn.nsk.hr/urn:nbn:hr:163:764849

Hanzer, Mia. "Terapijski problemi pacijenata u Domu za starije osobe Centar." Master's thesis, University of Zagreb, Faculty of Pharmacy and Biochemistry, 2024. https://urn.nsk.hr/urn:nbn:hr:163:764849

Hanzer, M. (2024). 'Terapijski problemi pacijenata u Domu za starije osobe Centar', Master's thesis, University of Zagreb, Faculty of Pharmacy and Biochemistry, accessed 28 November 2024, https://urn.nsk.hr/urn:nbn:hr:163:764849

Hanzer M. Terapijski problemi pacijenata u Domu za starije osobe Centar [Master's thesis]. Zagreb: University of Zagreb, Faculty of Pharmacy and Biochemistry; 2024 [cited 2024 November 28] Available at: https://urn.nsk.hr/urn:nbn:hr:163:764849

M. Hanzer, "Terapijski problemi pacijenata u Domu za starije osobe Centar", Master's thesis, University of Zagreb, Faculty of Pharmacy and Biochemistry, Zagreb, 2024. Available at: https://urn.nsk.hr/urn:nbn:hr:163:764849

Metadata
TitleTerapijski problemi pacijenata u Domu za starije osobe Centar
Title (english)Therapy problems in patients in nursing home Dom za starije osobe Centar
AuthorMia Hanzer
MentorAndrea Brajković (mentor)
Committee memberAndrea Brajković (predsjednik povjerenstva)
Committee memberIva Mucalo (član povjerenstva)
Committee memberLidija Bach-Rojecky (član povjerenstva)
GranterUniversity of Zagreb
Faculty of Pharmacy and Biochemistry
(Centre for applied pharmacy)
Zagreb
Defense date and country2024-08-26, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Pharmacy
Pharmacy
Abstract
Pacijenti u domovima za starije imaju veliki broj lijekova u terapiji za liječenje mnogobrojnih komorbiditeta što ih dovodi u povećan rizik od pojave terapijskih problema. Budući da su dokazi o najčešćim terapijskim problemima ograničeni, upravo je cilj ovog istraživanja bio utvrditi najčešće terapijske probleme identificirane kod pacijenata koji su primili uslugu upravljanja farmakoterapijom u sklopu Farmakoterapijskog savjetovališta Doma zdravlja Zagreb Centar u Domu za starije osobe Centar. Provedeno je prospektivno, nerandomizirano, intervencijsko istraživanje u periodu od listopada 2023. do veljače 2024. godine u kojeg su bile uključene 52 osobe prosječne starosti 82,6 godina koje su imale barem jedan lijek ili dodatak prehrani u terapiji. Tijekom prve i druge konzultacije prikupljeni su svi potrebni podaci o pacijentu, identificirani terapijski problemi te napravljen terapijski plan u suradnji s liječnikom i pacijentom. Rezultati ispitivanja pokazuju kako su najčešći terapijski problemi bili nepotrebna terapija i preniska doza lijekova. Gotovo svi ispitanici imali su barem jedan terapijski problem. Najčešći lijekovi povezani s terapijskim problemima bili su tramadol/paracetamol, furosemid, pantoprazol i diazepam.. Povećana incidencija terapijskih problema kod pacijenata u domu za starije ukazuje na potrebu uključivanje ljekarnika koji pruža uslugu upravljanja farmakoterapijom u proces skrbi za pacijente u svrhu poboljšanja terapijskih ishoda te sigurne i učinkovite farmakoterapije.
Abstract (english)
Patients in nursing homes often use a high number of medications for the treatment of numerous comorbidities, which brings them to a higher risk of developing drug therapy problems (DTP). Since the evidence on the most common DRPs is limited, this research aimed to determine the most prevalent DTPs among patients in the “Dom za starije osobe Centar” nursing home that received comprehensive medication management services in the Pharmacotherapy counselling service, Health Center Zagreb- Centar. A prospective, non-randomized, interventional study was conducted from October 2023 to February 2024, in which 52 nursing home residents with an average age of 82.6 years who had at least one drug or dietary supplement in therapy were included. During the first and second consultations, all the necessary information about the patient was collected, DTPs were identified, and a therapeutic plan was made in cooperation with the doctor and the patient. Results show that the most common DTPs were “unnecessary therapy” and “dosage to low”. Almost all patients had at least one DTP. The most common drugs associated with treatment problems were tramadol/paracetamol, furosemide, pantoprazole, and diazepam. The increased incidence of DTPs among patients in nursing homes indicates the need to involve pharmacists providing comprehensive medication management services in the process of patient care to improve therapeutic outcomes and safe and effective pharmacotherapy.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:163:764849
Study programmeTitle: Pharmacy - integrated undergraduate and graduate - university study
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: sveučilišni magistar farmacije (sveučilišni magistar farmacije)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-10-11 12:16:19