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评估糖尿病患者参与由药剂师主导的结构化且针对患者个体的糖尿病自我管理教育的意愿。

Assessing Willingness of Patients with Diabetes to Attend Pharmacist-Led Structured and Patient Specific Diabetes Self-Management Education.

作者信息

Moore Miranda L, Jadallah Joseph, Nadpara Pramit A, Goode Jean-Venable Kelly R

机构信息

Recovery Centers of America / GENETWORx, Glen Allen, VA.

At time of writing, VCU Postgraduate Year One Community-Based Pharmacy Resident.

出版信息

Innov Pharm. 2022 Apr 2;13(1). doi: 10.24926/iip.v13i1.4429. eCollection 2022.

Abstract

The American Diabetes Association recommends that people with diabetes should participate in diabetes self-management education, however data shows that many patients do not attend educational classes. To examine the views of patients with diabetes who utilize services at an independent pharmacy in Richmond, Virginia regarding their (1) interest in attending diabetes self-management education and support (DSMES) services, (2) perceptions of a pharmacist leading DSMES services, (3) willingness to pay for DSMES services, and (4) relationship between self-reported diabetes management status with their willingness to attend DSMES services. A qualitative survey was administered over five months to patients with diabetes at an independent community pharmacy in Richmond, VA. The survey included 35 questions in a mixed format of Likert scale, dichotomous, and fill in the blank. Survey data was analyzed using univariate, bivariate, and/or multivariate analysis using SAS 9.4. Twenty seven surveys were completed, 15% response rate. Patients were female (56.7%) with an average age of 69 ± 10.8 years. Caucasian race accounted for 90% of patients, 6.7% reported Black or African American, the remainder responded "other". Patients agreed they were interested in attending individual virtual and in person DSMES sessions with a rate of 52% and 87%, respectively. When asked about the full service of 9 group sessions, 33% responded disagree and 30% reported agree. 52% of patients reported belief that pharmacists had the knowledge to lead sessions. When asked about willingness to pay, patients mostly selected the lowest cost option ($25 - $35). Patients with diabetes are willing to participate in DSMES services and believe pharmacists can lead the sessions. It is important to continue to advocate for DSMES services so patients can understand the full benefits of the program and receive the best possible care.

摘要

美国糖尿病协会建议糖尿病患者应参加糖尿病自我管理教育,然而数据显示许多患者并未参加相关课程。为了调查在弗吉尼亚州里士满一家独立药房使用服务的糖尿病患者对于以下方面的看法:(1)参加糖尿病自我管理教育与支持(DSMES)服务的兴趣;(2)对药剂师主导DSMES服务的认知;(3)为DSMES服务付费的意愿;以及(4)自我报告的糖尿病管理状况与参加DSMES服务意愿之间的关系。对弗吉尼亚州里士满一家独立社区药房的糖尿病患者进行了为期五个月的定性调查。该调查包括35个问题,采用李克特量表、二分法和填空等混合形式。使用SAS 9.4对调查数据进行单变量、双变量和/或多变量分析。共完成27份调查问卷,回复率为15%。患者以女性为主(56.7%),平均年龄为69±10.8岁。90%的患者为白种人,6.7%报告为黑人或非裔美国人,其余回答“其他”。患者表示他们分别有52%和87%的兴趣参加个人虚拟和面对面的DSMES课程。当被问及9次小组课程的全套服务时,33%的人回答不同意,30%的人表示同意。52%的患者报告认为药剂师具备主持课程的知识。当被问及付费意愿时,患者大多选择最低成本选项(25 - 35美元)。糖尿病患者愿意参加DSMES服务,并相信药剂师可以主持课程。继续倡导DSMES服务很重要,这样患者才能了解该项目的全部益处并获得尽可能最佳的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b92d/9598978/6857b128ad9a/umlp-13-4429-g001.jpg

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