Amin Mohamed E K, Chewning Betty
Joseph Wiederholt Wisconsin Distinguished Graduate Fellow, School of Pharmacy, University of Wisconsin-Madison, 2503 Rennebohm Hall, 777 Highland Avenue, Madison, WI, 53705-2222, USA,
Int J Clin Pharm. 2014 Dec;36(6):1213-21. doi: 10.1007/s11096-014-0019-6. Epub 2014 Sep 25.
Although Muslim diabetic patients may be aware of their religious exemption from fasting, many still fast and adjust their medication regimens accordingly. Pharmacists have a significant potential to identify and prevent harm from medication misuse in Ramadan.
This study examines Egyptian pharmacists' knowledge regarding management of diabetes during Ramadan. It also explores pharmacists' willingness to attend a 1 day workshop on medication regimen adjustment during Ramadan.
Community pharmacies throughout Alexandria, Egypt.
A cross-sectional study using a pretested self-administered survey was conducted among a random sample of community pharmacists. The survey included three knowledge questions relevant to counseling diabetic patients during Ramadan. Questions covered the recommended timing and dosing for metformin and insulin as well as the safe blood glucose range required for diabetic patients to safely continue their fast. Using logistic regression, a model was estimated to predict pharmacists' willingness to attend a workshop on the adjustment of medication regimens during Ramadan. Content analysis was used to analyze pharmacists' answers to the question concerning what they would like the workshop to cover.
Pharmacists' aggregate scores for all three diabetes management knowledge questions and pharmacists' willingness to attend a workshop on the adjustment of medication regimens during Ramadan.
Ninety three percent of the 298 approached pharmacists agreed to participate. Forty three pharmacists (15.9%) did not know the correct answer to any question, 118(43.7%) 24 answered one correctly, 86 (31.9%) answered two correctly and only 23 (8.5%) answered all 25 three correctly. Confidence in therapeutic knowledge regarding medication regimen 26 adjustment during Ramadan was not associated with the pharmacists' knowledge of diabetes management during Ramadan. One hundred seventy five (63.6%) pharmacists wanted to attend a workshop on adjusting medication regimens during Ramadan. This was significantly associated with pharmacists being Muslim (OR 3.52, CI 1.70-7.27) and of younger age (OR 30 = 0.98, CI 0.96-0.99978). Pharmacists offered specific content and communication process 31 suggestions for the workshop content.
This study identifies variability among community pharmacists' knowledge of diabetes management during Ramadan. It also shows willingness among the majority of pharmacists to learn more about the topic.
尽管穆斯林糖尿病患者可能知晓其宗教上可免于禁食，但许多人仍会禁食并相应调整用药方案。药剂师在识别和预防斋月期间药物滥用造成的危害方面具有巨大潜力。
本研究考察埃及药剂师关于斋月期间糖尿病管理的知识。同时也探究药剂师参加为期1天的斋月期间用药方案调整研讨会的意愿。
埃及亚历山大市的社区药房。
采用预先测试的自填式调查问卷，对社区药剂师随机抽样进行横断面研究。该调查包括3个与斋月期间为糖尿病患者提供咨询相关的知识问题。问题涵盖二甲双胍和胰岛素的推荐服用时间和剂量，以及糖尿病患者安全继续禁食所需的安全血糖范围。使用逻辑回归估计一个模型，以预测药剂师参加斋月期间用药方案调整研讨会的意愿。采用内容分析法分析药剂师对关于希望研讨会涵盖内容问题的回答。
药剂师对所有3个糖尿病管理知识问题的总得分，以及药剂师参加斋月期间用药方案调整研讨会的意愿。
在298名被邀请的药剂师中，93%同意参与。43名药剂师（15.9%）对任何问题都不知道正确答案，118名（43.7%）回答正确1个问题，86名（31.9%）回答正确2个问题，只有23名（8.5%）3个问题全部回答正确。对斋月期间用药方案调整的治疗知识的信心与药剂师对斋月期间糖尿病管理的知识无关。175名（63.6%）药剂师希望参加斋月期间调整用药方案的研讨会。这与药剂师为穆斯林（比值比3.52，可信区间1.70 - 7.27）以及年龄较轻（比值比 = 0.98，可信区间0.96 - 0.99978）显著相关。药剂师为研讨会内容提供了具体的内容和沟通流程建议。
本研究发现社区药剂师在斋月期间糖尿病管理知识方面存在差异。同时也表明大多数药剂师有意愿更多地了解该主题。
