Improvement in medication adherence and self-management of diabetes with a clinical pharmacy program: a randomized controlled trial in patients with type 2 diabetes undergoing insulin therapy at a teaching hospital
| Autor: | Laura da Silva Girão Lopes, Márcia Silva Queiroz, Marcia Nery, Catarina Gomes Cani |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Patient Dropouts Clinical Pharmacy Services medicine.medical_treatment Outpatient Care Type 2 diabetes law.invention Medication Adherence Randomized controlled trial Quality of life Ambulatory care Patient Education as Topic law Internal medicine Diabetes mellitus Surveys and Questionnaires Medicine Humans Hypoglycemic Agents Insulin Intensive care medicine Hospitals Teaching Glycemic Aged Glycated Hemoglobin lcsh:R5-920 business.industry Self-Management General Medicine Clinical Science Diabetes Mellitus Type 2 Middle Aged medicine.disease Quality Improvement Clinical pharmacy Self Care Diabetes Mellitus Type 2 Quality of Life Female lcsh:Medicine (General) business Brazil Follow-Up Studies |
| Zdroj: | Clinics Clinics, Vol 70, Iss 2, Pp 102-106 (2015) Clinics, Volume: 70, Issue: 2, Pages: 102-106, Published: FEB 2015 Clinics; v. 70 n. 2 (2015); 102-106 Clinics; Vol. 70 Núm. 2 (2015); 102-106 Clinics; Vol. 70 No. 2 (2015); 102-106 Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 1980-5322 1807-5932 |
| Popis: | OBJECTIVE: To evaluate the impact of a clinical pharmacy program on health outcomes in patients with type 2 diabetes undergoing insulin therapy at a teaching hospital in Brazil. METHOD: A randomized controlled trial with a 6-month follow-up period was performed in 70 adults, aged 45 years or older, with type 2 diabetes who were taking insulin and who had an HbA1c level ≥8%. Patients in the control group (CG) (n = 36) received standard care, patients in the intervention group (IG) (n = 34) received an individualized pharmacotherapeutic care plan and diabetes education. The primary outcome measure was change in HbA1c. Secondary outcomes included diabetes and medication knowledge, adherence to medication, insulin injection and home blood glucose monitoring techniques and diabetes-related quality of life. Outcomes were evaluated at baseline and 6 months using questionnaires. RESULTS: Diabetes knowledge, medication knowledge, adherence to medication and correct insulin injection and home blood glucose monitoring techniques significantly improved in the intervention group but remained unchanged in the control group. At the end of the study, mean HbA1c values in the control group remained unchanged but were significantly reduced in the intervention group. Diabetes-related quality of life significantly improved in the intervention group but worsened significantly in the control group. CONCLUSION: The program improved health outcomes and resulted in better glycemic control in patients with type 2 diabetes undergoing insulin therapy. |
| Databáze: | OpenAIRE |
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