Effects of Education by Pharmacists Supplemented with Pictograms on the Use of Medications in Diabetic Patients
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Abstract
Objective: To evaluate the impact of education by pharmacists supplemented with pictograms of instruction for drug use on clinical outcomes, adherence to medications and knowledge in diabetes patients. Methods: The study design was a randomized controlled trial. Subjects were 145 type 2 diabetes patients attending two primary care units in Trang province. The patients were randomly allocated to the study group (n=72) and the control group (n=73). The study group received knowledge about diabetes and pictograms of instruction on drug use from a pharmacist every 8–13 weeks for a total of 4 times. The control group received usual care. The study period was approximately 10 months. Results: At the end of the study, the study group had significantly lower glycated hemoglobin (HbA1c) and fasting plasma glucose (FPG) levels than the control group (HbA1c=7.88±1.29% vs 8.55 ±1.32% respectively; P=0.002 and FPG=133.81±25.42 mg/dl vs 149.71±26.11 mg/dl respectively; P<0.001). In the study group, blood pressure levels at the end of the study were significantly lower than those at the beginning of the study (P<0.05), but they were not different from those in the control group (P>0.05). Lipid profiles between both groups were not different (P>0.05). Medication adherence scores and diabetes knowledge scores in the study group were significantly higher than those in the control group (medication adherence scores from pill count=90.78±4.92 vs 88.85±5.91 respectively (full score=100); P=0.034 and diabetes knowledge scores=12.15±1.12 vs 10.26±1.85 respectively (full score=13); P<0.001). Conclusion: Patient education by pharmacists supplemented with pictograms of instruction on drug use improved glycemic control, medication adherence and diabetes knowledge in patients with diabetes.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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