Effect of Pharmacist Home Visits on Knowledge and Skills in Using Insulin Syringe Injection in Diabetic Patients
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Abstract
Errors in self-administration of insulin injection with syringe are often occurred. These can result in harm and ineffective treatment. Therefore, pharmacist must play an active role by visiting patients at home to monitor drug use, provide drug counseling and educate patients about knowledge and skills in using insulin syringe injection in diabetic patients with uncontrolled blood sugar level. Objectives: To compare knowledge and skills in using insulin syringe in diabetic patients with uncontrolled blood sugar level before and after pharmacist home visit and measure change in blood sugar level. Methods: This study was a pretest-posttest quasi-experimental design in 30 syringe insulin-using patients with uncontrolled blood sugar level who received medical services at Tambon Health Promoting Hospitals in Aumphur Muang, Sisaket between July through September 2021. Data on knowledge and skills in using insulin syringe injection was collected by closed-ended checklist questionnaire. Data were analyzed by using paired samples t-test. Results: After pharmacist home visit, the mean knowledge score on insulin use (91.17% ± 6.32) was statistically significantly higher than the mean score before home visit (64.67% ± 11.06 vs, p<0.001). The mean score on insulin preparing skills and injection skills were statistically significantly increased from the baseline (pretest 43.89% ± 15.31 vs posttest 71.67% ± 16.32, p<0.001) and (pretest 60.51% ± 12.08 vs posttest 91.79% ± 10.29, p<0.001), respectively. In addition, the mean fasting blood sugar measured by capillary blood glucose test was statistically significantly decreased from the baseline value (pretest 159.62 ± 28.57 mg/dL vs posttest 134.24 ± 27.44 mg/dL, p<0.001). Conclusion: This study showed that pharmacist home visits improved knowledge and skills in using insulin syringe injection in diabetic patients and reduced blood sugar to reach controlled blood sugar level.
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