Lee E Lyn, Wong Pei Se, Tan Ming Yeong, Sheridan Janie
Department of Pharmacy Practice, School of Pharmacy, International Medical University, Kuala Lumpur, Malaysia.
IMU Health Clinic, International Medical University, Kuala Lumpur, Malaysia.
Int J Pharm Pract. 2018 Apr;26(2):138-147. doi: 10.1111/ijpp.12374. Epub 2017 Jun 2.
This study explored the experiences and views of individuals with type 2 diabetes mellitus (T2D) on their diabetes self-management and potential roles for community pharmacists in diabetes self-management education and support (DSME/S) in Malaysia.
A qualitative study, using semi-structured, face-to-face interviews, was conducted with patients with T2D attending a primary care health clinic in Kuala Lumpur, Malaysia. The interviews were audio-recorded, transcribed verbatim and analysed inductively.
Fourteen participants with T2D were interviewed. Data were coded into five main themes: experience and perception of diabetes self-management, constraints of the current healthcare system, perception of the community pharmacist and community pharmacies, perceived roles for community pharmacists in diabetes care, and challenges in utilising community pharmacies to provide DSME/S. There were misconceptions about diabetes management that may be attributed to a lack of knowledge. Although participants described potential roles for community pharmacists in education, medication review and continuity of care, these roles were mostly non-clinically oriented. Participants were not confident about community pharmacists making recommendations and changes to the prescribed treatment regimens. While participants recognised the advantages of convenience of a community pharmacy-based diabetes care service, they raised concerns over the retail nature and the community pharmacy environment for providing such services.
This study highlighted the need to improve the care provision for people with T2D. Participants with T2D identified potential, but limited roles for community pharmacists in diabetes care. Participants expressed concerns that need to be addressed if effective diabetes care is to be provided from community pharmacies in Malaysia.
本研究探讨了2型糖尿病（T2D）患者在糖尿病自我管理方面的经历和观点，以及马来西亚社区药剂师在糖尿病自我管理教育与支持（DSME/S）中的潜在作用。
采用定性研究方法，对马来西亚吉隆坡一家初级保健健康诊所的T2D患者进行半结构化面对面访谈。访谈进行录音，逐字转录并进行归纳分析。
对14名T2D参与者进行了访谈。数据被编码为五个主要主题：糖尿病自我管理的经历和认知、当前医疗保健系统的限制、对社区药剂师和社区药房的认知、社区药剂师在糖尿病护理中的感知作用，以及利用社区药房提供DSME/S的挑战。存在一些关于糖尿病管理的误解，这可能归因于知识的缺乏。尽管参与者描述了社区药剂师在教育、药物审查和护理连续性方面的潜在作用，但这些作用大多是非临床导向的。参与者对社区药剂师对规定治疗方案提出建议和进行更改缺乏信心。虽然参与者认识到基于社区药房的糖尿病护理服务的便利性优势，但他们对提供此类服务的零售性质和社区药房环境表示担忧。
本研究强调了改善T2D患者护理服务的必要性。T2D参与者确定了社区药剂师在糖尿病护理中的潜在但有限的作用。参与者表达了一些担忧，如果要在马来西亚的社区药房提供有效的糖尿病护理，这些担忧需要得到解决。
