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通过药剂师主导的教育赋权糖尿病护理:在低资源环境中进行随机对照试验
Muhammad Daoud Butt1, Siew Chin Ong1, Tooba Malik2
1School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia.
概括
一个药剂师领导的糖尿病自我管理教育计划显著改善了2型糖尿病患者的血糖控制,知识和生活质量. 这种干预为有效管理糖尿病提供了一种有价值的方法.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 2型糖尿病 (T2DM) 构成了重大的全球健康挑战,需要有效的自我管理教育策略.
- 药剂师主导的干预措施越来越多地被认为具有改善慢性疾病管理患者结果的潜力.
研究的目的:
- 评估药剂师领导的糖尿病自我管理教育 (DSME) 计划对T2DM患者临床结果,与健康有关的生活质量 (HRQoL) 和糖尿病知识的影响.
- 在12个月的时间内,评估结构化DSME与标准护理相比的有效性.
主要方法:
- 一个为期12个月的,并行组,随机对照试验,涉及400名T2DM患者.
- 干预组接受了由药剂师领导的DSME;对照组接受了标准的护理.
- 主要结局:糖化血红蛋白 (HbA1c) 和糖尿病知识的变化;次要结局:脂质样本,血压,自我管理行为和HRQoL.
主要成果:
- 与对照组 (9.27%至9.01%;P <.001) 相比,干预组显示HbA1c显著降低 (9.12%至8.02%).
- 在干预组中,糖尿病知识得分,自我管理行为和HRQoL均有显著改善 (P < .001).
- 亚组分析表明,在患有基线风险因子升高的参与者中,脂质样本和缩血压有好处.
结论:
- 药剂师领导的DSME在改善T2DM患者的血糖控制,知识,自我管理和HRQoL方面是有效的.
- 量身定制的药剂师干预措施有望优化结果,特别是在高风险患者群体中.
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