A Study on Impact of Pharmacist Interventions on Therapeutic Outcomes of Type II Diabetic Patients in a Tertiary Care Teaching Hospital

ABSTRACT

Background:The management of type II diabetes mellitus is a complex, which requires continuous medical care by the health care professionals and good self-care efforts by patients. Pharmacist interventions programs delivered by the pharmacists are known to help the patients with diabetes benefited in achieving treatment goals, improving outcomes. Objectives: To study the impact of pharmacist interventions on therapeutic outcomes, determined by hemoglobin A1c (HbA1c) and secondarily on blood glucose levels, blood pressure, medication adherence, self-care activities and health related quality of life. Materials and Methods: A Prospective randomized controlled study is conducted with 150 type II diabetic patients. Of those, 75 patients were in intervention group received the pharmacist interventions over a period of 4 months and 75 patients were in control group, whereas control group do not receive interventions. The primary outcome measure was change in HbA1c and secondary outcomes were changes in fasting blood glucose, blood pressure, medication adherence, self-care activities and health related quality of life.Results:A population of 150 patients completed the study. The intervention patients exhibited a significant reduction in HbA1c values than the control group, the intervention group showed a greater reduction in the fasting blood glucose and blood pressure levels between baseline and end of the 4 months than the control group. Improvements were observed in Quality of life, self-reported medication adherence, self-care activities in the intervention group. Conclusion:A pharmacist interventions program resulted in better glycemic control, quality of life, medication adherence and self-care of type II diabetic patients over a 4-month period.

KEYWORDS

• Type II Diabetes
• Pharmacist interventions
• HbA1c
• Quality of life
• Adherence

Showing references and in-text citations exactly as published.

• DOI10.5530/ijopp.13.3.42Copy

RELATED ARTICLES

Matched on section and article type within this issue of IJPP.

• Article · VOLUME 13, ISSUE 3Cutaneous Adverse Drug Reactions (CADRs) at a Quaternary Care Hospital in South India: Focus on Reaction Time and Treatment CostPriya Karunakaran, Anuradha Kakkanatt, Jyothi Bai · pp. 222–227Research ArticleSame type: Article
• Article · VOLUME 13, ISSUE 3Assessment of Knowledge, Attitude and Practice about Self Medication among Rural Areas in Erode DistrictSivasakthi K, Koshila KS, Sajeer Mohammed K, Viswa S · pp. 228–231Research ArticleSame type: Article
• Article · VOLUME 13, ISSUE 3Incidence of Undiagnosed Diabetes Mellitus in Rural Community, Edo South, Benin CityMonday Ikponmwosa Osarenmwinda, Patrick Omonua Erah, Peter Edokpiawe Eromhonsele · pp. 232–239Research ArticleSame type: Article
• Article · VOLUME 13, ISSUE 3Assessment of Diabetes Risk And Nutritional Status: A Cross Sectional Epidemiological Study on Students of Graduation and Under Graduation From GunturAlan Rose Janga, Naga Sri Koka, Swapna Moparthi, Jyothi Naga Mohana, Siva Bharath Gavini, Ramarao Nadendla · pp. 240–245Research ArticleSame type: Article