Development of a Medication Management Model by Pharmacists in Collaboration with Village Health Volunteers for Diabetic Patients with a History of Uncontrolled Blood Sugar During Ramadan Fasting : Case Study in Pa Rai Subdistrict, Mae Lan District, Pattani Province
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Abstract
Objective: To develop a Medication Therapy Management (MTM) model for diabetic patients with a history of uncontrolled blood sugar during Ramadan fasting in Pa Rai Sub-district, Mae Lan District, Pattani Province and evaluate such model. Methods: Action research consisted of 4 phases. Planning phase involved group discussions among village health volunteers (VHVs) to obtain an MTM service model for diabetic patients in the community with their participation. Second phase was the implementation of the MTM service model during Ramadan to care for diabetic patients with a history of uncontrolled blood sugar.The evaluation phase was assessment of outcomes including blood sugar of patients before and after Ramadan fasting, medication adherence assessed by from pill counting and the Medicine Adherence Scale for Thais (MAST) of patients before and after using the MTM model (1st and 4th week of Ramadan), and patient satisfaction with the MTM service model. The fourth phase was the reflection after model implementation by pharmacists and VHVs on key success factors, problems and barriers in the implementation and suggestions for improvement. Results: The developed MTM service model was designed to resolve the problems on patient care in the community through cooperation between pharmacists and VHVs. A total of 30 patients participated in the study. After the implementation of the MTM service, mean blood sugar level after fasting in Ramadan significantly decreased from 170.17 ± 20.07 mg/dL to 147.90 ± 16.96 mg/dL (P < 0.05). Proportion of patients with good medication adherence as assessed by pill counting increased from 15.38 to 66.67%. Number of patients with good medication adherence as assessed the MAST significantly increased by 20 patients or 66.67% (P < 0.05). Patients were very satisfied with the MTM service (4.59 ± 0.50 out of 5). Conclusion: The implementation of the MTM service model for diabetic patients with a history of uncontrolled blood sugar during Ramadan fasting is able to decrease blood sugar levels and increase medication adherence.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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