Background Subcutaneous antipsoriatic biologic therapy (SCABT) facilitates ambulatory care. However, it requires a therapeutic education of patients (TEP) to enable patients to acquire the necessary skills for the proper use of medications and to ensure safe administration.
Purpose The aim of this study was to improve patients’ care management on SCABT.
Material and methods This work took place in the dermatology unit (10 beds) of a university hospital. A patient and nurse survey was conducted during TEP sessions in order to identify requirements. TEP sessions took place directly after the dermatological consultation and were dedicated to one patient. A questionnaire evaluating nurses’ knowledge on SCABT was distributed to each nurse (n=10). Following the implementation of pharmacist-led actions, a second round of the questionnaire was distributed. A feedback session of the nurses and a patient satisfaction survey were also done.
Results The survey of six patients showed that 100% did not read or still lose information supports from pharmaceutical companies. The nurses survey (n=6) had highlighted their need for adapted tools. The first round of the nurses (n=10) questionnaire showed less than 10% of correct answers regarding each SCABT characteristic. A nurse training course of 1 hour made by pharmacists was presented to nurses (n=5). This presentation contained all the essential information on SCABT. Leaflets of all SCABT were carried out in a multi-disciplinary approach to remind patients of all key points of SCABT. A dosing regimen on the leaflets allowed the patient to trace their home injections which were checked by the nurse on the following appointment. A poster ‘Guide SCABT’ was elaborated in order to sum up all information. The results of the nurse post-training questionnaire (n=4) was as follows: 100% of nurses knew methods of preservation, 100% dispensing modalities, 100% waste management and 50% SCABT characteristics. The 2 month feedback showed a general satisfaction of all patients (n=6) and all caregivers (n=7).
Conclusion This multidisciplinary approach helps meet patients’ expectations and creates a dynamic and thorough TEP approach. It confirms that clinical pharmacy services help answer patients’ and caregivers’ needs.
References and/or acknowledgements No conflict of interest.
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