| Summary: | 碩士 === 嘉南藥理大學 === 藥學系 === 107 === Gout is a common inflammatory joint disease. Although the pathogenesis of gout is well understood today, chronic gout is still poorly managed, and the incidence and prevalence of gout are increasing. Therefore, the purpose of this study is to provide medication counseling and guidance for gout patients with chronic prescription from the pharmacists of the community pharmacy. So that patients can self-care and implement in daily life. The pre-test questionnaire and pharmacist’s intervation was first conducted, and the patient's biochemical data from hospital (including uric acid value, renal function, glycosylated hemoglobinemia, blood lipid, and other) were collected with agreement. After four months and four times of intervation, the post-test of the questionnaire and related biochemical data were collected for analysis and comparison. After four times of pharmacist's health education for chronic gout patients, their knowledge were improved in gout medication, gout disease, lifestyle changes, and role of pharmacists in community health insurance pharmacies (p<0.05). In the other, the diet management, regular exercise, life style changes and improvement of drug compliance, also reflected in the blood uric acid concentration and frequency of attack. The results of this study show that the intervention of the pharmacists of the community health insurance pharmacy for chronic gout’s patients can control the frequency of gout attack, improve the quality of life, promote labor productivity, and effectively reduced health care medical resources.
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