Journal of Literature Pharmacy Sciences

Pharmacists' Contributions to Anemia Treatment: A Systematic Review of Evidence and Best Practices
Anemi Tedavisinde Eczacının Rolü: İyi Uygulamalara ve Kanıta Dayalı Bir Sistematik Derleme
Merve Fatma Nur YILMAZa , Muhammed Yunus BEKTAYa,b
aDepartment of Clinical Pharmacy, Bezmiâlem Vakıf University Faculty of Pharmacy, İstanbul, Türkiye
bDepartment of Clinical Pharmacy, İstanbul University-Cerrahpaşa Faculty of Pharmacy, İstanbul, Türkiye
J Lit Pharm Sci. 2023;12(3):268-76
doi: 10.5336/pharmsci.2023-98344
Article Language: EN
Full Text
ABSTRACT
 Anemia comprises various causative factors such as traumatic blood loss, insufficient intake of essential nutrients for red blood cell production (iron, B12 or folic acid), chronic diseases, thalassemia or enzymatic abnormalities along with bone marrow suppression caused by various factors. This study aimed at exploring the impact and effectiveness of pharmacist on management of anemia-related issues. A comprehensive literature review was undertaken from various databases like PubMed®, ScienceDirect®, Google Scholar® and Web of Science® to gather relevant information. Clinical studies investigating the effects of pharmaceutical care on anemia treatment were included into this review. According to available literature findings suggest that pharmacist-led intervention improve the level of adherence to medical recommendations given to patients thus resulting in higher quality levels delivered through enhanced healthcare practices leading to favorable health outcomes especially concerning anemic conditions where patients require compliance with complex medical regimens. Pharmaceutical care provided by the pharmacist leads to healthy consumption levels of iron supplements. These services result in lower costs as well as increased haemoglobin levels. In addition, cognitive pharmacy services reduce the workload of physicians, resulting in less risk of drug overdose among patients. Hence pharmacists must play a more active role during anemia treatment management to improve patient outcomes.

Keywords: Anemia; pharmacist; pharmaceutical care; evidence-based pharmaceutical care; anemia treatment
ÖZET
 Anemi, kan kaybı, eritrositlerin üretimi için gerekli besinlerin (demir, B12 veya folik asit) yetersiz alımı, kronik hastalıklar, talasemi veya enzimatik anormallikler ile belirli ilaçların neden olduğu kemik iliği baskılanması gibi çeşitli nedensel faktörlerden dolayı ortaya çıkan bir durumdur. Bu çalışma, eczacıların anemi ile ilgili sorunların yönetimi ve tedavisi üzerindeki etkisini ve etkinliğini araştırmayı amaçlamıştır. PubMed®, ScienceDirect®, Google Scholar® ve Web of Science® veri tabanlarından kapsamlı bir literatür taraması yapılarak, eczacılar tarafından yürütülen, anemik hastaların tedavisine yönelik farmasötik bakımla ilgili klinik çalışmalar ve eczacıların sağlık hizmeti sunumu sırasında hastalara sundukları hizmetler aracılığıyla anemi tedavisi ve yönetimi gibi sağlık durumunu iyileştirmeye yönelik katkıları derlenmiştir. Mevcut literatür bulgularına göre eczacıların yönettiği anemi tedavisinde, hastalara verilen farmasötik bakım hizmeti uyum düzeyini artırmakta ve böylece hastaların karmaşık tıbbi rejimlere uyum sağlamalarını gerektiren anemik durumlarla ilgili olarak faydalı sağlık sonuçlarına yol açarak tedaviden elde edilerek faydayı artırmaktadırlar. Eczacı tarafından sunulan farmasötik bakım hizmeti, demir takviyelerinin akılcı ilaç kullanımı çerçevesinde kullanılmasınayol açmaktadır. Bu hizmetler hemoglobin düzeylerinin yükselmesinin yanı sıra daha düşük maliyetlerle sonuçlanmaktadır. Ayrıca kognitif eczacılık hizmetleri hekimlerin iş yükünü azaltırken, hastalar arasında daha az ilaç doz aşımı riskine neden olmaktadır. Bu nedenle eczacılar, hasta sonuçlarını iyileştirmek için anemi tedavisi yönetimi sırasında daha aktif bir rol oynamalıdır.

Anahtar Kelimeler: Anemi; eczacı; farmasötik bakım; kanıta dayalı farmasötik bakım; anemi tedavisi
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