药物信息服务对印尼巴东地区2型糖尿病患者临床预后的影响

L. Lailaturrahmi, Fuji Araswati, A. Armenia, Rahmi Yosmar
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摘要

2型糖尿病(T2DM)一直是世界范围内的健康负担,包括印度尼西亚。然而,T2DM治疗需要一个漫长而复杂的过程,患者往往不赞成,从而使他们不按指示服药,对临床结果产生负面影响。本研究旨在了解药物信息服务对2型糖尿病患者临床转归的影响。本准实验研究采用一组前-后测试设计。作为临床结果,测量干预前后的空腹血糖水平。通过对患者的直接讲解,为患者提供药品信息服务。对社会人口统计数据进行描述性分析。采用Wilcoxon sign -rank检验评估干预前后空腹血糖的差异。40名患者参与了这项研究。大多数参与者为女性(N=34;85%),并接受二甲双胍和磺脲类双药联合治疗(N=32;77.5%)。虽然干预后空腹血糖水平有所下降(174.92±59.561 vs 184.20±49.768),但干预前与干预后空腹血糖水平无显著差异(p < 0.05)。综上所述,药物信息服务后患者血糖水平虽有明显下降,但对血糖控制的作用并不显著。
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Effect of Drug Information Service on Clinical Outcome of Patients with Type 2 Diabetes Mellitus in Padang, Indonesia
Type 2 diabetes mellitus (T2DM) has been a health burden worldwide, including Indonesia. However, T2DM therapy needs a long and complex process, which patients often do not favor, thus making them does not take medications as instructed and negatively affecting clinical outcomes. This study aimed to understand the effect of Drug Information Service provision on the clinical outcome of T2DM patients. This quasi-experimental study was conducted using one group pre-post-test design. As the clinical outcome, the fasting blood glucose levels were measured before and after the intervention. A drug information service was provided through direct explanation to the patients. Sociodemographic data were analyzed descriptively. The difference in fasting blood glucose before and after the intervention was assessed using Wilcoxon signed-rank test. Forty patients participated in this study. Most participants are female (N=34; 85%) and receive two-drugs combination therapy of metformin and sulfonylureas (N=32; 77.5%). Although there is a decrease in mean fasting blood glucose level after intervention (174.92±59.561 vs. 184.20±49.768), there is no significant difference between fasting blood glucose levels pre-intervention and post-intervention (p>0.05). It is concluded that despite the noticeable decline of blood glucose level after drug information service, its effect on blood glucose control is not significant.
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