NGHIÊN CỨU CÁC VẤN ĐỀ LIÊN QUAN ĐẾN THUỐC (DRP) TRONG KÊ ĐƠN NGOẠI TRÚ Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYPE 2 CÓ TĂNG HUYẾT ÁP TẠI BỆNH VIỆN ĐA KHOA CÀ MAU NĂM 2024

Abstract

Background: The use of medications in diabetic patients with concomitant hypertension often results in the occurrence of drug-related problems (DRP), which have been identified as a major cause of treatment failure. The analysis of DRP is a critical function of clinical pharmacy practice in the Faculty of Pharmacy, in accordance with Decision No. 3547/QĐ-BYT issued by the Ministry of Health. However, there remains a lack of comprehensive studies on DRP in diabetic patients with hypertension in Vietnam. Objectives: Investigate patient characteristics and outpatient health insurance prescriptions and identify factors associated with drug-related problems in patients with type 2 diabetes and hypertension at a general hospital in Ca Mau province in 2024. Materials and methods: Cross-sectional descriptive study of drug-related issues according to the guidance of Decision 3547/QD-BYT of the Ministry of Health on prescription information of type 2 diabetes patients with hypertension examined and treated at a general hospital in Ca Mau province. Results: Among the 350 outpatient prescriptions analyzed, the mean patient age was 67.15 ± 13.21 years, 60.3% were women, and the average number of medications per prescription was 6.35 ± 1.43. Overall, 44.6% of the prescriptions contained at least one drug-related problem. Statistically significant differences in DRP occurrence were observed according to the number of medications used. Conclusion: The notably high prevalence of DRP in prescriptions for patients with type 2 diabetes and coexisting hypertension underscores the imperative for strengthened clinical pharmacy monitoring and intervention to enhance treatment safety and efficacy.