การประเมินผลลัพธ์ของแนวทางปฏิบัติในการประเมินความสมเหตุผลของการใช้ยาโอเมพราโซลในการป้องกันแผลทางเดินอาหารจากการใช้ยาต้านการอักเสบที่ไม่ใช่สเตียรอยด์ที่พัฒนาโดยโรงพยาบาลชุมพลบุรี จังหวัดสุรินทร์
Year: 2024
Type: article
Abstract: This study is a prospective data collection aimed at evaluating the appropriateness of omeprazole prescription and assessing the cost of medication in preventing gastrointestinal ulcers caused by Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), comparing before and after implementing practice guidelines, and assessing drug use problems. The sample group consists of patients receiving outpatient services who continuously receive aspirin or present with muscle pain and are given NSAIDs and may receive medication to prevent gastrointestinal ulcers for a period of 1 month. The study was conducted between August 16 and September 15, 2023, using descriptive statistics for data analysis. The study found that among 100 patients using omeprazole to prevent gastrointestinal ulcers from NSAIDs, the majority were patients receiving aspirin (n =91) and the rest receiving naproxen (n=9). After developing and implementing the practice guidelines, the inappropriate use of omeprazole decreased from 46.35% to 9.00%, and the cost of inappropriate omeprazole use decreased from 96.74 baht per patient to 13.03 baht per patient. The drug use problems identified were patient compliance (n=13), followed by unnecessary or non-evidence-based medication use (n=9).
Institutions: Ubon Ratchathani University, Srinakharinwirot University
Language: Thai
Subfield: Geriatrics and Gerontology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7219518331