Al-Arifi Mohamed N, Al-Omar Hussain A
College of Pharmacy, Clinical Pharmacy Department, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2018 Jul;39(7):705-710. doi: 10.15537/smj.2018.7.22194.
To evaluate the impact of a multidisciplinary intensive education program (MIEP) on type 2 diabetes mellitus (T2DM) patients' outcomes.
A retrospective study was used to evaluate the impact of MIEP on T2DM patients' outcomes for between May 2016 and May 2017. Data were collected from the diabetes education clinic in King Saud University Medical City (KSUMC), Riyadh, Saudi Arabia where patients were referred from diabetes outpatient clinics to the diabetes education clinic to receive MIEP. In terms of measuring the clinical outcomes of the T2DM patients, glycemic control, blood pressure, weight, and lipid profiles were assessed before MIEP at 3, 6, and 12 months. Results: A total of 174 patients with T2DM fulfilled study inclusion criteria. The results indicate improved glycemic control where patients' HbA1c and blood sugar levels were significantly reduced 3, 6, and 12 months after MIEP compared to the baseline (p less than 0.005). Moreover, blood pressure improved after education; a significant improvement was observed in the mean systolic blood pressure (SBP) from baseline to 12 months (p=0.036), and in the mean diastolic blood pressure (DBP) after 12 months (p=0.016). Additionally, the study found significant differences in total cholesterol and low-density lipoprotein (LDL) cholesterol 6 months after the intervention (p=0.014, p=0.02, respectively). Conclusion: Implementing an MIEP for T2DM patients can improve their clinical outcomes, which consequently may delay the disease's long-term complications.
评估多学科强化教育项目（MIEP）对2型糖尿病（T2DM）患者治疗效果的影响。
采用回顾性研究来评估2016年5月至2017年5月期间MIEP对T2DM患者治疗效果的影响。数据收集自沙特阿拉伯利雅得国王沙特大学医学城（KSUMC）的糖尿病教育诊所，患者从糖尿病门诊转诊至该诊所接受MIEP。在测量T2DM患者的临床疗效方面，于MIEP实施前、3个月、6个月和12个月时评估血糖控制、血压、体重和血脂情况。结果：共有174例T2DM患者符合研究纳入标准。结果表明血糖控制得到改善，与基线相比，患者糖化血红蛋白（HbA1c）和血糖水平在MIEP实施后3个月、6个月和12个月时显著降低（p<0.005）。此外，教育后血压有所改善；从基线到12个月，平均收缩压（SBP）有显著改善（p = 0.036），12个月后平均舒张压（DBP）有显著改善（p = 0.016）。此外，研究发现干预6个月后总胆固醇和低密度脂蛋白（LDL）胆固醇有显著差异（分别为p = 0.014，p = 0.02）。结论：对T2DM患者实施MIEP可改善其临床疗效，从而可能延缓疾病的长期并发症。
