Pakistanda Tip 2 Diyabet ile İlgili Hasta Bilgisi üzerinde Eczacı Danışma Etkisi

Eczacılar hasta ve sağlık çalışanları için kolayca ulaşılabilir ve daha diyabet yönetiminde yer alabilir. Bu çalışmanın temel amacı, Pakistan ikiz şehirlerinde diyabetli hastaların ve diyabet eğitimcileri olarak tip 2 diyabet yönetimine yönelik çalışan eczacıların algı ve bilgisini keşfetmektir. Bir tanımlayıcı kesitsel çalışma dizaynı kullanılmıştır. Geniş bir literatür inceleme ve odak grup tartışmaları aracılığıyla Uluslararası Diyabet Federasyonu ve Amerikan Diyabet Birliği yönergeleri referans alınarak bir anket geliştirilmiş ve diyabet eğitimcileri olarak çalışan 20 eczacı ve diyabet 1200 hastadan oluşan bir örneklemde dağıtılmıştır diyabet eğitimcileri tarafından danışmanlık yapılan 600 hasta, danışmanlık almayan 600 hastaya karşı . Veriler toplandıktan sonra, tanımlayıcı analiz ve SPSS-16 parametrik olmayan testler ile veriler değerlendirilmiştir. Tip 2 diyabet yönetimine ilişkin ortalama bileşik bilgi puanları: diyabet eğitimcileri 29.1 ± 2.62 , diyabet eğitimcilerinden danışmanlık alan 36.0 ± 3.70 ve diyabet eğitimcilerinden danışmanlık almayan 35.54 ± 3.75 . Diyabet eğitimcileri tarafından danışmanlık alan veya almayan diyabet hastalarının bilgileri arasında bir fark p ≤ 0.05 bildirilmemiştir. Bu çalışmanın sonuçları, tip 2 diyabet yönetimine ilişkin diyabet eğitimcilerinin yanı sıra hastaların bilgi yetersiz olduğunu gösterdi. Diyabet eğitimcilerinin eğitimi ihmal edilmiştir. Pakistan diyabet eğitim süreci ile ilgili resmi planlama, değerlendirme ve denetim eksikliği var. Yakın gözetim yanı sıra diyabet eğitimcilerine yönelik düzenli ve sürekli eğitim programları hasta eğitimindeki birçok eksikliklerin üstesinden gelmek için bir fırsat sağlayabilir.

Effect of Pharmacist Counseling on Patient’s Knowledge Regarding Type 2 Diabetes in Pakistan

Pharmacists are easily accessible to patients and health care providers and can be involved more in the management of diabetes. The main objective of the present study was to explore the perceptions and knowledge of patients with diabetes and pharmacists working as diabetes educators towards management of type 2 diabetes in twin cities of Pakistan. A descriptive crosssectional study design was used. A questionnaire was developed through extensive literature review and focus group discussions by using the International Diabetes Federation and American Diabetes Association guidelines as a reference and was distributed to a sample of 20 pharmacists working as diabetes educators and 1200 patients with diabetes i.e. 600 counselled by the diabetes educators vs. 600 diabetes patients without any counselling . After data collection, data were analyzed through descriptive analysis and non-parametric tests using SPSS program version 16. The mean composite knowledge score regarding management of type 2 diabetes were: diabetes educators 29.1 ± 2.62 , patients counselled by diabetes educators 36.0 ± 3.70 and patients not counselled by diabetes educators 35.54 ± 3.75 . No significant differences p ≤ 0.05 among the knowledge of diabetes patients counselled and not counselled by diabetes educators were reported. The results of the present study showed that the knowledge of diabetes educators as well as patients regarding management of type 2 diabetes was inadequate. Training of diabetes educators is neglected. There is lack of official planning, evaluation and supervision on diabetes education process in Pakistan. Close surveillance as well as regular and continuous training programs for diabetes educators can provide an opportunity to overcome many shortcomings in patient education.

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