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Pharmacy World & Science

, 29:7 | Cite as

Assessing a pharmacist-run anaemia educational programme for patients with chronic renal insufficiency

  • B. AllenetEmail author
  • C. Chen
  • T. Romanet
  • P. Vialtel
  • J. Calop
Short Research Report

Abstract

Objective: Assessment of a pharmacist-run anaemia educational programme for patients with chr-onic renal insufficiency. Setting: Nephrology Department, Grenoble Hospital, France Method: A 12-week prospective study, using a before–after intervention design. Included in the study were predialysis outpatients with a haemoglobin level < 10 g/dl, de novo EPO prescription; judged qualified by the nephrologist for self-injections; accepting self-injections. The intervention was a single one-hour individual session between the pharmacist and the patient to target (1) medical and therapeutic information; (2) information on the device, a pen used with a cartridge of beta epoietin; (3) training with the pen; and (4) self-injection of the first dose by the patient, in front of the pharmacist. Main outcome measures were knowledge (7-item questionnaire); handling skills (observation) and Quality of Life (1 Likert scale on apprehension towards self-injections and 3 Linear Analog Scales on energy, daily activities, and general well-being); compliance (self-report on self-administered injections) and haemoglobin level. Results: Ten patients were followed for 3 months after intervention. The evolution of the knowledge was positive but not statistically significant after the programme (80% of good answers before; 93% 3 months later). Concerning the patients’ skills, difficulties with the pen were important at inclusion, (1) to reset the pen into zero position (2.8 tries/patient ±1.8); (2) to insert a new cartridge (1.9 ± 1.1); and (3) to take air out of the cartridge (2.3 ± 1.2). After the session, results were satisfactory, since 3 months later, all patients were still on self-injections. QoL improved significantly over the study period respectively on energy, daily activities, and general well-being. The mean level of compliance remained above 90% at 3 months for 8 out of 10 patients. Patients reached the haemoglobin target value of 11 g/dl during the second month of treatment. Conclusion: A tailored educational programme conducted by a pharmacist is beneficial for anaemia patients with chronic renal insufficiency. The programme seems to result in a high level of compliance, leading to an optimal haemoglobin level within two months.

Keywords

Patient education Erythropoietin Chronic renal insufficiency Haemoglobin level Compliance Clinical pharmacist 

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Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • B. Allenet
    • 1
    • 6
    Email author
  • C. Chen
    • 2
  • T. Romanet
    • 3
  • P. Vialtel
    • 4
  • J. Calop
    • 5
  1. 1.Département de Pharmacie, Pavillon MoidieuCHU de GrenobleGrenoble Cedex 9France
  2. 2.Clinical Pharmacy Resident, Department of PharmacyGrenoble Teaching HospitalGrenobleFrance
  3. 3.Clinical Nephrology Pharmacist, Department of PharmacyGrenoble Teaching HospitalGrenobleFrance
  4. 4.Head of Department of NephrologyGrenoble Teaching HospitalGrenobleFrance
  5. 5.Head of Department of PharmacyGrenoble Teaching HospitalGrenobleFrance
  6. 6.Clinical Pharmacist, Senior lecturer in Clinical Pharmacy, ThEMAS TIMC-IMAG (UMR CNRS 5525), Université J. Fourier, Department of PharmacyGrenoble Teaching HospitalGrenobleFrance

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