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社区药房糖尿病自我管理教育项目对糖尿病困扰的影响。

The Impact of a Community Pharmacy Diabetes Self-Management Education Program on Diabetes Distress.

作者信息

Machen Morgan L, Borden Hamilton C, Hohmeier Kenneth C

机构信息

University of Tennessee Health Science Center, Nashville, TN, USA.

Blount Discount Pharmacy, Maryville, TN, USA.

出版信息

J Pharm Technol. 2019 Feb;35(1):3-10. doi: 10.1177/8755122518805429. Epub 2018 Oct 15.

Abstract

Negative psychosocial implications stemming from the presence of diabetes, known as diabetes distress, place people with diabetes at twice the likelihood of having clinical depression than those who do not have the disease. While many community pharmacies have incorporated diabetes self-management education (DSME) programs into their practices, there are no known studies that evaluate the impact that this model may have on diabetes distress. The purpose of this study is to evaluate the impact that a community pharmacy DSME program has on diabetes distress. Retrospective chart review for pre- and post-DSME Problem Areas in Diabetes scale scores, pertinent health history (type and duration of diabetes, A1C, and medications), and demographic information (age, gender) of patients who completed Blount Discount Pharmacy's DSME program. Data were analyzed using descriptive and inferential statistics. Of the 17 charts that were reviewed, there was an overall decrease in Problem Areas in Diabetes scale scores from baseline ( = .029). Greater reduction was observed in patients with a long-standing history of diabetes compared with those who were diagnosed with diabetes within the previous 12 months of DSME. The findings suggest that a community pharmacy DSME program may reduce diabetes distress and warrant future study.

摘要

糖尿病所带来的负面社会心理影响,即所谓的糖尿病困扰,使糖尿病患者患临床抑郁症的可能性是未患该疾病者的两倍。虽然许多社区药房已将糖尿病自我管理教育(DSME)项目纳入其实践中,但尚无已知研究评估该模式可能对糖尿病困扰产生的影响。本研究的目的是评估社区药房DSME项目对糖尿病困扰的影响。对完成布朗特折扣药房DSME项目的患者进行回顾性病历审查,以获取DSME前后糖尿病问题领域量表得分、相关健康史(糖尿病类型和病程、糖化血红蛋白和药物治疗情况)以及人口统计学信息(年龄、性别)。使用描述性和推断性统计方法对数据进行分析。在审查的17份病历中,糖尿病问题领域量表得分较基线总体下降(=0.029)。与在DSME前12个月内被诊断为糖尿病的患者相比,糖尿病病程较长的患者得分下降幅度更大。研究结果表明,社区药房DSME项目可能会减轻糖尿病困扰,值得未来进一步研究。

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