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药剂师及社区药房在约旦前往社区药房就诊人群中对2型糖尿病的筛查、知识普及及认知方面所起的作用

The Role of Pharmacists and Community Pharmacies in the Screening, Knowledge, and Awareness of Diabetes Mellitus Type 2 in Jordanian People Visiting Community Pharmacies.

作者信息

Khaleel Anas, Abu-Asal Mona, Zakariea Abdullah Bassam, Alejielat Rowan, Al-Nweiran Anas Z

机构信息

Department of Pharmacology and Biomedical Sciences, Faculty of Pharmacy, Petra University, Amman 1196, Jordan.

出版信息

J Clin Med. 2023 Jan 24;12(3):923. doi: 10.3390/jcm12030923.

Abstract

BACKGROUND

According to the International Diabetes Federation (IDF), diabetes is increasing exponentially worldwide and will become more prevalent than ever in the Middle East by 2045, with a 110% increase. This study aims to clarify the role of pharmacists and community pharmacies in the screening, knowledge, and awareness of Type 2 diabetes among Jordanian people who visit community pharmacies in Amman, Jordan.

METHODS

Study design: This was a cross-sectional prospective study that was conducted from September to December 2021 in Amman, Jordan. Data were collected using a standardized questionnaire that was composed of multiple parts. The first part collected information on demographics, residence, educational level, and insurance status; the second part was composed of 14 knowledge assessing questions; the last part was composed of the American Diabetes Association (ADA) diabetes risk score card test. Additionally, after confirming that each participant had returned their completed sheets, participants who scored greater than 5 had their blood sugar levels checked using a finger-prick blood test. The questionnaire was administered in person by a trained researcher. Using Slovin's formula, a 95% confidence interval (CI), and a 0.05 margin of error, the sample size was determined to be 267 participants. The study included 305 participants. Descriptive and regression analyses were performed by using the Statistical Package for Social Science (SPSS) with a significance level of < 0.05.

RESULTS

A significant relationship was found between specialty (medical education) and the knowledge of risk factors for Type 2 diabetes mellitus (T2DM), ( < 0.012). In terms of knowledge, from a total of 13 correct knowledge points (13 marks for correct answers out of 14), some subjects scored slightly higher than others ( = 175; 57.4% of participants scored above 7, nearly over half of the correct answers, compared to = 130; 42.6% scoring below 7). We found 132 individuals (44%) with risk scores of five or above (high risk for developing T2DM according to ADA). Smokers comprised = 138, 45%, and nonsmokers comprised = 148, 48%. Although 50.5% of the participants ( = 154) held a bachelor's, master's, or doctorate degree, these degrees did not improve the participants' overall general knowledge levels. The association was tested using chi-squared analysis, but no significance was found.

CONCLUSIONS

Random visitors to Jordanian community pharmacies are expected to benefit from awareness and educational campaigns. These test results revealed a lack of knowledge, indicating the need for education to dispel myths and highlight the serious risks associated with T2DM. The study discovered that participants' understanding of diabetes disease prevention through lifestyle and dietary changes was inadequate. A specialist-led educational program may increase knowledge among visitors who participate. In order to prevent the spread of diabetes, more campaigns and health-promoting and prevention educational activities are required.

摘要

背景

根据国际糖尿病联合会(IDF)的数据,全球糖尿病患者数量呈指数级增长,到2045年,中东地区糖尿病的患病率将比以往任何时候都更高,增幅达110%。本研究旨在阐明药剂师和社区药房在约旦安曼社区药房就诊的约旦人中对2型糖尿病筛查、知识普及及认知方面所起的作用。

方法

研究设计:这是一项于2021年9月至12月在约旦安曼进行的横断面前瞻性研究。使用由多个部分组成的标准化问卷收集数据。第一部分收集人口统计学、居住情况、教育水平和保险状况等信息;第二部分由14个知识评估问题组成;最后一部分由美国糖尿病协会(ADA)糖尿病风险评分卡测试组成。此外,在确认每位参与者已交回填好的问卷后,对得分大于5分的参与者使用指尖采血检测血糖水平。问卷由经过培训的研究人员亲自发放。使用斯洛文公式、95%置信区间(CI)和0.05的误差幅度,确定样本量为267名参与者。该研究共纳入305名参与者。使用社会科学统计软件包(SPSS)进行描述性和回归分析,显著性水平<0.05。

结果

发现专业(医学教育)与2型糖尿病(T2DM)危险因素知识之间存在显著关系(<0.012)。在知识方面,在总共13个正确知识点(14个问题中正确答案得13分)中,一些受试者得分略高于其他受试者(=175;57.4%的参与者得分高于7分,几乎是正确答案的一半以上,相比之下=130;42.6%的参与者得分低于7分)。我们发现132人(44%)的风险评分为5分或以上(根据ADA,患T2DM的高风险)。吸烟者有=138人,占45%,非吸烟者有=148人,占48%。尽管50.5%的参与者(=154人)拥有学士、硕士或博士学位,但这些学位并未提高参与者的整体常识水平。使用卡方分析对该关联进行了测试,但未发现显著性。

结论

预计约旦社区药房的随机访客将从宣传和教育活动中受益。这些测试结果显示知识欠缺,表明需要开展教育以消除误解并强调与T2DM相关的严重风险。研究发现参与者对通过生活方式和饮食改变预防糖尿病疾病的理解不足。由专家主导的教育项目可能会增加参与访客的知识。为了防止糖尿病的传播,需要开展更多的宣传活动以及促进健康和预防的教育活动。

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