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沙特阿拉伯卫生部糖尿病与内分泌中心药师主导诊所对糖尿病患者健康结局的影响:一项回顾性研究

Impact of Pharmacist-Led Clinics on Health Outcomes of Patients With Diabetes at a Ministry of Health Diabetes & Endocrinology Center, Saudi Arabia: A Retrospective Study.

作者信息

Alqifari Saleh F, AlMharwal Bader, Aldawish Rahaf, Almokhlef Salman A

机构信息

Faculty of Pharmacy, Department of Pharmacy Practice, University of Tabuk, Tabuk, SAU.

Diabetes and Endocrinology Center, King Fahad Specialist Hospital, Buraydah, SAU.

出版信息

Cureus. 2022 Jun 14;14(6):e25923. doi: 10.7759/cureus.25923. eCollection 2022 Jun.

DOI:10.7759/cureus.25923
PMID:35844320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9281144/
Abstract

OBJECTIVES

Saudi Arabia is one of the most diabetes-prone countries in the world. The physician-centered model of care constitutes the standard of care around the country. The study aimed to evaluate the impact of clinical pharmacist care on diabetes management in comparison to standard physician-based care.

MATERIALS AND METHODS

a retrospective chart review was conducted of patients with type 2 diabetes mellitus (T2DM) seen by the clinical pharmacist at the Diabetes & Endocrinology Center, King Fahad Specialist Hospital located in Buraydah, Saudi Arabia between September 2019 to June 2020.

RESULTS

Thirty-two diabetic patients were included. The mean age is 55.75±10.72 years with 65.6% of patients being females. Hemoglobin A1c (HbA1c) was significantly decreased within nine months compared to baseline (9.33±1.80 vs.10.30±1.66), =0.017.

CONCLUSIONS

The multidisciplinary collaborative care involving pharmacists achieved superior diabetes outcomes for patients with diabetes. Involving pharmacists resulted in a significant HbA1c reduction within nine months. Moreover, pharmacists' care helped optimize medication therapy and decreased the frequency of hypoglycemia.

摘要

目的

沙特阿拉伯是世界上糖尿病高发国家之一。以医生为中心的护理模式是该国的护理标准。本研究旨在评估临床药师护理与基于标准医生的护理相比对糖尿病管理的影响。

材料与方法

对2019年9月至2020年6月期间在沙特阿拉伯布赖代的法赫德国王专科医院糖尿病与内分泌中心就诊的2型糖尿病(T2DM)患者进行回顾性病历审查。

结果

纳入32例糖尿病患者。平均年龄为55.75±10.72岁,65.6%的患者为女性。与基线相比,糖化血红蛋白(HbA1c)在9个月内显著降低(9.33±1.80对10.30±1.66),P=0.017。

结论

涉及药师的多学科协作护理为糖尿病患者带来了更好的糖尿病治疗效果。药师参与护理使HbA1c在9个月内显著降低。此外,药师的护理有助于优化药物治疗并降低低血糖发生频率。

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