The Development of Medication Management Model on Type 2 Diabetic Patients In Chiang Kwan District Health Network, Roi-Et

Abstract

Purposes : To develop and evaluate a medication management model on type 2 diabetic patients in Chiang Kwan district health network, Roi-Et.

Study design : Action research

Materials and methods : 18 of key informants were type 2 diabetic patients and a multidisciplinary team and 51 of  samples were patients with type 2 diabetic patients in the outcome evaluation step, who met the inclusion criteria. Data were collected by in-depth interview, drug counseling record form and the evaluation form for the medication adherence scores. Data were analyzed using a frequency, percentage, mean, standard deviation, and paired –samples t-test. 

Main findings : Medication management model were consisted of awareness raising activities, counseling by pharmacists, the use of innovation in medicine, and participation on network, and the evaluation of results found that: the most of problems with drug use were decreased. After using the intervention, it was found that type 2 diabetic patients had a statistically significant increase in mean score on medication adherence (p<.001), with an increase in medication  adherence equals 9.52 scores (95%CI;8.34, 10.71), and type 2 diabetic patients had a statistically significant reduced in a mean fasting blood sugar (p<.001), with a 111.65 mg/dl reduced in fasting blood sugar (95%CI;131.85, 91.44).

 Conclusion and recommendations : The results of this study suggest that medication management model results medication adherence in type 2 diabetes were increase, and problems with use and fasting blood sugar levels were decreased.