IAI SPECIAL EDITION: Evaluation of pharmacist-led structured counselling on glycemic control and clinical outcomes of Type 2 diabetes mellitus patients at a health centre in East Jakarta, Indonesia
DOI:
https://doi.org/10.46542/pe.2022.222.194199Keywords:
Booklet, Counselling, Glycemic control, Pharmacist, Type 2 diabetes mellitusAbstract
Background: The researchers developed structured counselling for Type 2 diabetes mellitus (T2DM) patients, comprised of an introduction to T2DM and how to manage it and its complications.
Aim: This study aimed to evaluate structured counselling on its ability to improve glycemic control and the clinical outcomes of T2DM outpatients.
Methods: A quasi-experimental study was conducted from August to December 2019 involving T2DM patients at health centers in East Jakarta, who met the criteria and had completed informed consent. The patients were divided into the intervention group (IG, n = 33), which received counselling and booklets, and the control group (CG, n = 32), which received booklets.
Results: Counselling showed significant results in decreasing HbA1c levels and improving fasting blood glucose (FBG), total cholesterol (TC), and low-density lipoprotein cholesterol (LDL-c) levels in the IG compared to the CG. Moreover, counselling in the IG reduced HbA1c 7.596 times more than in the CG.
Conclusion: Pharmacist-led structured counselling significantly improves glycemic control and clinical outcomes in T2DM patients.
References
American Diabetes Association. (2020). Facilitating behavior change and well-being to improve health outcomes: Standards of Medical Care in Diabetes-2020. Diabetes Care, 43(January), S48–S65. https://doi.org/10.2337/dc20-S005
Bhowmik, B., Siddiquee, T., Mujumder, A., Afsana, F., Ahmed, T., Mdala, I.A., Nayla, N.C., Khan, A.K.A., Hussain, A., Holmboe-Ottesen, G., & Omsland, T.K. (2018). Serum lipid profile and its association with diabetes and prediabetes in a rural Bangladeshi population. International Journal of Environmental Research and Public Health, 15(9), 1–12. https://doi.org/10.3390/ijerph15091944
Butt, M., Mhd Ali, A., Bakry, M.M., & Mustafa, N. (2016). Impact of a pharmacist led diabetes mellitus intervention on HbA1c, medication adherence and quality of life: A randomised controlled study. Saudi Pharmaceutical Journal, 24(1), 40–48. https://doi.org/10.1016/j.jsps.2015.02.023
Erku, D.A., Ayele, A.A., Mekuria, A.B., Belachew, S.A., Hailemeskel, B., & Tegegn, H.G. (2017). The impact of pharmacist-led medication therapy management on medication adherence in patients with type 2 diabetes mellitus: A randomised controlled study. Pharmacy Practice, 15(3), 1–7. https://doi.org/10.18549/PharmPract.2017.03.1026
Hughes, J., Wibowo, Y., Sunderland, B., & Hoti, K. (2017). The role of the pharmacist in the management of type 2 diabetes: current insights and future directions. Integrated Pharmacy Research and Practice, Volume 6, 15–27. https://doi.org/10.2147/iprp.s103783
Kementerian Kesehatan Republik Indonesia. (2017). Fakta dan Angka Diabetes. Kementerian Kesehatan Republik Indonesia. www.p2ptm.kemkes.go.id/dokumen-ptm/fakta-dan-angka-diabetes
Kementerian Kesehatan Republik Indonesia. (2018). HASIL UTAMA RISKESDAS 2018 Kesehatan [Main Result of Basic Heatlh Research]. In Riskesdas. http://www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Hasil Riskesdas 2018.pdf
Lambrinou, E., Hansen, T.B., & Beulens, J.W.J. (2019). Lifestyle factors, self-management and patient empowerment in diabetes care. European Journal of Preventive Cardiology, 26(2_suppl), 55–63. https://doi.org/10.1177/2047487319885455
Nazar, C.M.J., Bojerenu, M.M., Safdar, M., Marwat, J. (2016). Effectiveness of diabetes education and awareness of diabetes mellitus in combating diabetes in the United Kingdom; a literature review. Journal of Nephropharmacology, 5(2), 110-115
Shao, H., Chen, G., Zhu, C., Chen, Y., Liu, Y., He, Y., & Jin, H. (2017). Effect of pharmaceutical care on clinical outcomes of outpatients with type 2 diabetes mellitus. Patient Preference and Adherence, 11, 897–903. https://doi.org/10.2147/PPA.S92533
Shareef, J., Fernandes, J., & Samaga, L. (2015). Evolving role of clinical pharmacist in the management of diabetes mellitus. International Journal of Research in Medical Sciences, 3(6), 1305–1308. https://doi.org/10.18203/2320-6012.ijrms20150136
Sherwani, S.I., Khan, H.A., Ekhzaimy, A., Masood, A., & Sakharkar, M. K. (2016). Significance of HbA1c test in diagnosis and prognosis of diabetic patients. Biomarker Insights, 11, 95–104. https://doi.org/10.4137/Bmi.s38440
Wang, L.L., Wang, Q., Hong, Y., Ojo, O., Jiang, Q., Hou, Y.Y., Huang, Y.H., & Wang, X.H. (2018). The effect of low-carbohydrate diet on glycemic control in patients with type 2 diabetes mellitus. Nutrients, 10(6). https://doi.org/10.3390/nu10060661
