Terapijski problemi pacijenata u Domu za starije osobe Centar

Hanzer, Mia

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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

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APA 6th Edition

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

MLA 8th Edition

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

Chicago 17th Edition

Harvard

Hanzer, M. (2024). 'Terapijski problemi pacijenata u Domu za starije osobe Centar', Master's thesis, University of Zagreb, Faculty of Pharmacy and Biochemistry, accessed 15 January 2025, https://urn.nsk.hr/urn:nbn:hr:163:764849

Vancouver

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 2025 January 15] Available at: https://urn.nsk.hr/urn:nbn:hr:163:764849

IEEE

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

Cite this item: https://urn.nsk.hr/urn:nbn:hr:163:764849

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Metadata

Title	Terapijski problemi pacijenata u Domu za starije osobe Centar
Title (english)	Therapy problems in patients in nursing home Dom za starije osobe Centar
Author	Mia Hanzer
Mentor	Andrea Brajković (mentor)
Committee member	Andrea Brajković (predsjednik povjerenstva)
Committee member	Iva Mucalo (član povjerenstva)
Committee member	Lidija Bach-Rojecky (član povjerenstva)
Granter	University of Zagreb Faculty of Pharmacy and Biochemistry (Centre for applied pharmacy) Zagreb
Defense date and country	2024-08-26, 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)
Language	croatian
URN:NBN	urn:nbn:hr:163:764849
Study programme	Title: 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 resource	Text
File origin	Born digital
Access conditions	Open access
Terms of use
Repository	Repository of Faculty of Pharmacy and Biochemistry University of Zagreb
Created on	2024-10-11 12:16:19