Key Features:
- No of Pages: 93
- No of Chapters: 5
- Figures
- Graphical Representation
- Well Detailed
Abstract:
In patient care, the evaluation of drug use and patient care practice is very essential. It measures the quality of care provided to the patients by health practitioners. Data generated from this study is very essential in healthcare management and planning.
To compare the pattern of prescription of psychotropic drugs in two health facilities in Anambra state, south-eastern Nigeria using WHO/INRUD developed indicators in order to promote the rational prescribing of drugs.
The study was conducted at Nnamdi Azikiwe University Teaching Hospital, Nnewi and State Neuropsychiatry Hospital, Nawfia both in Anambra state. A total of 300 prescriptions in each of the hospitals were selected by random sampling. Data collected was analyzed based on the WHO guideline for assessment of drug use in healthy facilities.
The average number of drugs prescribed per encounter was 2 in NAUTH and 3 in NAWFIA; Injections were prescribed in 8.3% and 11.4% of encounters in NAUTH and NAWFIA respectively. 92.6% of drugs were prescribed by generic name in NAUTH while in NAWFIA it was 11.4%. The average cost and duration in NAUTH was ₦878 for 21days while in NAWFIA it was ₦1004 for 18 days. Percentage of drugs from the essential drug list was 45% in NAUTH and 61.9% in NAWFIA.
The results obtained were encouraging however some of the prescribing indicators assessed were found to be below standard in both hospitals and need to be improved upon. Prescribing at NAWFIA gave a greater picture of poly – pharmacy than at NAUTH. The overall picture of drug use suggests that the indicators at this facility are not yet at the optimal level.
Table of Content:
CHAPTER ONE: INTRODUCTION
1.0. Background of study ……………………...………………………………...1
1.1. Statement of the problem……………………………..…………………......3
1.2. General objective…………………………………………….………………4
1.3. Specific objectives…………………………………………………………...5
1.4. Justification of the study………………………………………………..…...5
CHAPTER TWO
2.0. Psychiatric disorder…………………………………………..………………6
2.1. Psychotropic drugs……………………………………………...…………..7
2.1.1. Classes of psychotropic drugs……………………………………………7
2.2. Issues regarding psychotropic drugs …………………………………......20
2.3. World health organisation (who) drug use indicator……………………….23
CHAPTER THREE: METHOD
3.0. Location of study…………………………………………………................35
3.1. Sample size and sample size determination ………………………………..38
3.2. Data collection………………………………………………….…………...39
3.3. Method of analysis………………………………………………………….40
CHAPTER FOUR: RESULTS
4.0. Demographic distribution in both hospitals…… ……….................................41
4.1. Frequency of diagnosis….…………………………………………………....43
4.2. Number of drugs per prescription………………..…………………………..44
4.3. Average duration and cost of drugs …………………….,…………………...45
4.4. Percentage by generics………………………………...……………………..46
4.5. Classification of dosage form……………………………….……………......47
4.6. Percentage of drugs from essential drug list……………...…………………..48
4.7. Class of psychotropic drugs prescribed………………………………………49
4.8. Drug ratio……………………………………………………………………..50
4.8.1. Antianxiety drugs………………………………………………..................50
4.8.2. Anticholinergics…………………………………………………………….51
4.8.3. Anti depressants…………………………………………………………….52
4.8.4. Antipsychotics………………………………………………………….......53
4.8.5. Mood stabilizers…………………………………..………………………..54
4.9. Summary of result …………………..……………………..…………….......55
CHAPTER FIVE: DISCUSSION AND CONCLUSION
5.0. Discussion……………………………………………………………….........56
5.1. Conclusion……………………………………………………………………64
5.2. Recommendations……………………………………………………………65
References………………………………………………………………………...66
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