在一个中低收入国家的社区药房糖尿病护理计划的开发,可行性,影响和接受性

相关实验视频

Updated: Jul 22, 2025

12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

18.9K

Fatima S Abdulhakeem Ikolaba¹, Ellen I Schafheutle¹, Douglas Steinke¹

¹Division of Pharmacy and Optometry, School of Health Sciences, The University of Manchester, Manchester M13 9PT, UK.

Pharmacy (Basel, Switzerland)

|July 25, 2023

概括

社区药房干预改善了尼日利亚的2型糖尿病管理. 患者表现出更好的临床结果,坚持和生活质量,表明可行性和有效性.

科学领域:

制药科学制药科学
公共卫生公共卫生
糖尿病管理糖尿病管理

背景情况:

现有的糖尿病研究主要来自高收入国家.
需要在低收入和中等收入国家 (LMICs) 进行与环境相关的干预.
社区药房为慢性疾病管理提供可访问的平台.

研究的目的:

开发和评估尼日利亚社区药房中针对2型糖尿病患者的以人为中心,目标确定的干预措施的可行性.
评估干预对临床和自我报告结果的影响.

主要方法:

在医学研究委员会 (MRC) 框架的指导下进行干预开发.
每六个月,社区药剂师每月与患者进行咨询.
收集临床 (BMI,腰围,禁食血葡萄糖) 和自我报告 (患者激活量,生活质量,药物服药) 数据.
与患者和药剂师进行定性访谈;量化评估问卷.

主要成果:

在所有结果指标中观察到统计学上显著的改善 (p < 0.05).
在临床结果,患者激活,生活质量和药物坚持方面显著改善.
患者满意度高 (88%) 和对护理计划接受度和赋权的积极反.
确定的障碍包括时间限制和技术限制.

结论:

在尼日利亚,一个可行,有效和受欢迎的基于社区药房的糖尿病护理计划被开发和测试.
以人为中心的目标设定干预措施可以提高LMIC社区药房设置中的糖尿病护理.
该研究强调了社区药剂师在改善糖尿病管理结果方面的潜力.

关键词:

医学研究理事会框架框架尼日利亚尼日利亚尼日利亚社区药房社区药房糖尿病糖尿病患者糖尿病患者设定目标设定目标激励性的面试面试以人为中心的护理.药房实践研究药房实践研究

相关概念视频

01:15

Diabetes: Management and Pharmacotherapy

317

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...

317

01:22

Diabetes Mellitus: Type 2 and Gestational

2.5K

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...

2.5K

01:22

Diabetes Mellitus: Overview and Type I Subtype

2.8K

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...

2.8K

01:30

Primary Healthcare Services

1.4K

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...

1.4K

01:26

Methods Of Healthcare Delivery System

3.3K

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...