Ali, Adliah Mhd; Jagan, Nirmala; Ahmad, Saharuddin
January 2012
International Journal of Pharmacy & Pharmaceutical Sciences;Jan2012 Supplement, Vol. 4, p646
Academic Journal
Cardiac rehabilitation management for post-myocardial infarction patients involves participation from multidisciplinary teams. Pharmacist contributions in influencing patients' outcome needs to be further explored. This study aimed to evaluate the behavioural impact of a pharmacistmanaged Cardiac Rehabilitation-Medication Therapy Adherence Clinic (CR-MTAC) on post-myocardial infarction patients compared to Usual Care (UC). This was a cross-sectional, cohort observational study conducted between January and April 2011 at a tertiary public hospital. A total of 45 patients from CR-MTAC and 43 patients from UC were randomly selected and medical records were evaluated retrospectively for the past 2 years. All patients were under the care of physicians. The CR-MTAC group was counselled on non-pharmacotherapy and pharmacotherapy approach along with medications directly dispensed in the clinic by the pharmacist, while the UC group obtained the medications from the outpatient pharmacy. Behaviour changes were measured by medication adherence and assessed using Modified Morisky Scale (MMS) and A Single Question (ASQ). Baseline patient characteristics were similar between both groups. There was a higher percentage of adherent patients among CR-MTAC group at the end of the study in contrast to UC group using MMS (86.7 vs 41.9%, p<0.001) and ASQ (95.6 vs 53.5%, p<0.001). Patients with high adherence demonstrated better reduction of low density lipoprotein-c (LDL-c) level (p<0.001) post CR-MTAC intervention. Pharmacist intervention through CR-MTAC showed improvement in medication use behaviour changes among post-myocardial infarction patients compared to UC patients.


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