Malathy R, Narmadha Mp, Ramesh S, Alvin Jose M, Dinesh Babu N
Department of Pharmacy Practice, Swamy Vivekanandha College of Pharmacy, Elayampalayam, Tiruchengode, Tamil Nadu, India.
J Young Pharm. 2011 Jan;3(1):65-72. doi: 10.4103/0975-1483.76422.
The prevalence of diabetes in India has grown over the past decade. Diabetic patients develop complications due to poor awareness regarding the disease and inadequate glycemic control. Patient education is the most effective way to lessen the complications of diabetes and its management. A total of 207 (85 males and 122 females) type 2 diabetes mellitus patients were enrolled and randomized into test and control groups. Patients in the test group received counseling at each visit and information leaflets from the pharmacist; the control group patients received counseling and information leaflets only at the end of the study. A validated knowledge, attitude, and practice (KAP) questionnaire was administered to both test and control group patients at baseline and at final follow-up to assess awareness regarding disease management. Glucose and lipid levels were also evaluated at baseline and final follow-up in both the groups. At the end of the study, the KAP score of test group patients improved significantly (P<0.0001), whereas no significant changes were observed in control group patients. The postprandial blood glucose (PPBG) levels decreased significantly in the test group. Total cholesterol (TC), triglycerides (TGL), and low density lipoprotein levels (LDL) also showed a decrease in the test group. Thus, our study reveals that pharmacist counseling might be an important element in diabetes management programs.
在过去十年中,印度糖尿病的患病率有所上升。由于对该疾病的认识不足以及血糖控制不佳,糖尿病患者会出现并发症。患者教育是减轻糖尿病并发症及其管理的最有效方法。总共招募了207名2型糖尿病患者(85名男性和122名女性),并将他们随机分为试验组和对照组。试验组的患者在每次就诊时都接受咨询,并从药剂师那里获得信息传单;对照组患者仅在研究结束时接受咨询和信息传单。在基线和最终随访时,对试验组和对照组患者都进行了一份经过验证的知识、态度和实践(KAP)问卷,以评估对疾病管理的认识。在两组的基线和最终随访时也评估了血糖和血脂水平。在研究结束时,试验组患者的KAP评分显著提高(P<0.0001),而对照组患者未观察到显著变化。试验组的餐后血糖(PPBG)水平显著下降。试验组的总胆固醇(TC)、甘油三酯(TGL)和低密度脂蛋白水平(LDL)也有所下降。因此,我们的研究表明,药剂师咨询可能是糖尿病管理项目中的一个重要因素。