{"title":"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。","authors":"Jiunn-Bey Pao, Shu-Chuan Wu, Ya-Wun Guo, Wei-Hsiang Huang","doi":"10.1177/26350106251361368","DOIUrl":null,"url":null,"abstract":"<p><p>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 (<i>P</i> < .01). Significant reductions were observed in weight (<i>B</i> = -0.16, <i>P</i> < .01) and LDL-C (<i>B</i> = -12.83, <i>P</i> = .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.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"462-475"},"PeriodicalIF":2.2000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating Pharmacist-Driven Interventions in Multidisciplinary Diabetes Care: A Quasi-Experimental Study.\",\"authors\":\"Jiunn-Bey Pao, Shu-Chuan Wu, Ya-Wun Guo, Wei-Hsiang Huang\",\"doi\":\"10.1177/26350106251361368\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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 (<i>P</i> < .01). Significant reductions were observed in weight (<i>B</i> = -0.16, <i>P</i> < .01) and LDL-C (<i>B</i> = -12.83, <i>P</i> = .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.</p>\",\"PeriodicalId\":75187,\"journal\":{\"name\":\"The science of diabetes self-management and care\",\"volume\":\" \",\"pages\":\"462-475\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The science of diabetes self-management and care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/26350106251361368\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/21 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The science of diabetes self-management and care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/26350106251361368","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/21 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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。
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.