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沙特阿拉伯阿西尔地区社区药剂师对糖尿病管理的知识、实践及障碍评估

Evaluation of community pharmacists' knowledge, practice and barriers towards diabetes management in Asir region, Saudi Arabia.

作者信息

Salem Heba H, Bazan Naglaa S, Addal Waad Al, Alkhmash Mona, Bana Mashael Abu, Al Awad Sumayah M, Asiri Hind S, Alwadei Samar D, Khaled Arwa

机构信息

College of Pharmacy, King Khalid University, Abha, Saudi Arabia.

Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia.

出版信息

J Eval Clin Pract. 2025 Feb;31(1):e14121. doi: 10.1111/jep.14121. Epub 2024 Aug 6.

Abstract

RATIONALE, AIMS AND OBJECTIVES: Diabetes mellitus is a global serious health problem that has a clear negative impact on economy. The high prevalence of diabetes worldwide urges for prevention and educational programs. Engagement of community pharmacists in offering various diabetes care services enables delivery of quality of care for patients and could play key role in diabetes management. The current study was designed to assess the knowledge towards diabetes among community pharmacists and to investigate their role in diabetes management through identifying different diabetes care services they provide in Asir region, Saudi Arabia. In addition, possible barriers for providing these services were evaluated.

METHOD

A cross-sectional study was performed using an online self-administered anonymous survey that consisted of 4 domains: demographics, knowledge, practice and barriers related to diabetes management.

RESULTS

A total of 258 pharmacists completed the survey, and one-third of respondents (34.5%) demonstrated good knowledge while 42.2% showed moderate knowledge towards diabetes. Respondents of the age group (30-39) years, males, those with bachelor's degree and those with 5 years or less of experience had higher mean knowledge. Nearly half of the participants had positive practice. The most prominent (75%) services offered by the community pharmacists were counselling on the appropriate administration, handling and storage of insulin and the appropriate time to administer oral antidiabetic drugs. Pharmacists who received training had higher mean practice scores. Lack of time, lack of diabetic patients visiting the pharmacy and low patient expectations regarding pharmacists' role in diabetes care were identified as the most important barriers they encountered.

CONCLUSION

Community pharmacists of Asir region exhibited moderate knowledge and practices regarding diabetes management. Our results support the need for national advanced diabetes training programs targeting community pharmacists for providing quality of care services for diabetic patients Moreover, strategies to overcome the reported barriers are indispensable.

摘要

原理、目的和目标:糖尿病是一个全球性的严重健康问题,对经济有明显的负面影响。全球糖尿病的高患病率促使开展预防和教育项目。社区药剂师参与提供各种糖尿病护理服务能够为患者提供高质量的护理,并且在糖尿病管理中可以发挥关键作用。本研究旨在评估社区药剂师对糖尿病的知识,并通过确定他们在沙特阿拉伯阿西尔地区提供的不同糖尿病护理服务来调查他们在糖尿病管理中的作用。此外,还评估了提供这些服务可能存在的障碍。

方法

采用在线自我管理的匿名调查进行横断面研究,该调查包括4个领域:人口统计学、知识、实践以及与糖尿病管理相关的障碍。

结果

共有258名药剂师完成了调查,三分之一的受访者(34.5%)对糖尿病表现出良好的知识水平,而42.2%的受访者表现出中等知识水平。年龄在(30 - 39)岁的受访者、男性、拥有学士学位的受访者以及经验在5年及以下的受访者平均知识水平较高。近一半的参与者有积极的实践。社区药剂师提供的最突出的服务(75%)是关于胰岛素的正确给药、处理和储存以及口服降糖药给药的适当时间的咨询。接受过培训的药剂师平均实践得分更高。时间不足、糖尿病患者到药房就诊的人数少以及患者对药剂师在糖尿病护理中作用的期望低被确定为他们遇到的最重要障碍。

结论

阿西尔地区的社区药剂师在糖尿病管理方面表现出中等的知识水平和实践能力。我们的结果支持需要针对社区药剂师开展全国性的高级糖尿病培训项目,以便为糖尿病患者提供高质量的护理服务。此外,克服所报告障碍的策略必不可少。

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