评估药剂师驱动的干预在多学科糖尿病护理:一项准实验研究。

IF 2.2
Jiunn-Bey Pao, Shu-Chuan Wu, Ya-Wun Guo, Wei-Hsiang Huang
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摘要

背景药师主导的多学科照护可提高糖尿病患者的自我管理,但台湾的证据有限。本研究评估了此类干预措施对2型糖尿病患者健康素养、药物依从性和临床结果的影响。方法于2021年4月至12月在台北市医院进行准实验前测后测研究,将70名成人分为药师主导护理组和标准护理组。干预措施包括药物管理、糖尿病教育和有组织的随访。广义估计方程分析了健康素养、药物依从性、体重、低密度脂蛋白胆固醇(LDL-C)、糖化血红蛋白(A1C)、空腹血糖和总胆固醇(TC)的变化。结果干预组患者健康素养提高21.1%,药物依从性提高20.4% (P < 0.01)。体重(B = -0.16, P < 0.01)和LDL-C (B = -12.83, P = 0.02)均有显著降低。A1C、空腹血糖和TC的差异无统计学意义,尽管时间效应表明总体改善。结论药师主导的护理显著提高了2型糖尿病患者的健康素养、依从性和一些临床结果。这些发现突出了将药剂师纳入多学科团队以加强慢性病管理的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating Pharmacist-Driven Interventions in Multidisciplinary Diabetes Care: A Quasi-Experimental Study.

BackgroundPharmacist-led multidisciplinary care may enhance diabetes self-management, yet evidence from Taiwan is limited. This study evaluates the impact of such interventions on health literacy, medication adherence, and clinical outcomes in patients with type 2 diabetes.MethodsA quasi-experimental pretest-posttest study was conducted at Taipei City Hospital (April to December 2021) with 70 adults allocated into a pharmacist-led care group or standard care group. The intervention included medication management, diabetes education, and structured follow-ups. Generalized estimating equations analyzed changes in health literacy, medication adherence, weight, low-density lipoprotein cholesterol (LDL-C), A1C, fasting glucose, and total cholesterol (TC).ResultsThe intervention group achieved a 21.1% increase in health literacy and a 20.4% improvement in medication adherence (P < .01). Significant reductions were observed in weight (B = -0.16, P < .01) and LDL-C (B = -12.83, P = .02). Differences in A1C, fasting glucose, and TC were not statistically significant, although time effects suggested overall improvement.ConclusionsPharmacist-led care significantly improved health literacy, adherence, and some clinical outcomes in patients with type 2 diabetes. These findings highlight the value of integrating pharmacists into multidisciplinary teams to enhance chronic disease management.

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