Outcome of Pharmaceutical Care in Type 2 Diabetes Mellitus Patients in NCD High Risk in Padang Besar Hospital

Abstract

Background: Diabetes patients that cannot control blood sugar levels resulting in various complications. Pharmaceutical care in NCD high-risk clinics plays a vital role in medication use, such as checking patient adherence to medication use through 2 main criteria: the amount of medication left each time and adherence to medication use via MMAS criteria.

Objectives : To find problems arising from drug use, Drug Related Problems (DRPs), and how to solve drug use problems, compare FBS and HbA1C levels before and after receiving advice from pharmacists in NCD high-risk clinics, compare patient adherence to prescribed medication use before and after receiving advice from pharmacists in NCD high-risk clinics, compare knowledge of diabetes diseases and medications before and after receiving advice from pharmacists in NCD high-risk clinics, and measure the satisfaction after receiving advice from pharmacists in NCD high-risk clinics.

Materials and Methods: This research was a quasi-experimental. The sample in this research study was 89 type 2 diabetes patients, collected data from the HoSXP database, Padang Besar hospital, Padang besar subdistrict, Sadao district, Songkla province between February and May 2024.

Results: The results of the study found that the average FBS level before the research was 218.40±8.46 and after the research, the average decreased to 142±5.71. When comparing FBS before and after the research, it was found that there was a statistically significant difference p<0.05. Similarly, HbA1C before the research was 9.65±1.7 and after the research, the average decreased to 8.14±1.67 and the statistically significant difference p<0.05. The adherence to medication use was significantly higher p<0.05. The knowledge scores of diabetes and medication used of the patients before and after the research were not different, with an average of 3.90±1.07 and 3.80±0.96, respectively. The satisfaction was good, with an average of 4.39±1.06.

Conclusion: The results of pharmaceutical care resulted in higher adherence to medication for patients. However, the knowledge scores level were not different after finished project Satisfaction after receiving the service is good.