[Evaluation of a programme to monitor drug therapy in type-2 diabetics].

Abstract:

OBJECTIVES:To evaluate the results of pharmaceutical intervention in a programme to monitor the drug therapy of type-2 diabetics; and to assess the improvement of the indicators, glycosylated haemoglobin, basal glycaemia, lipid profile, albumin/creatinine, blood pressure, BMI, medication-related problems and adherence. DESIGN:Randomised clinical trial. SETTING:14 local pharmacies in the province of Pontevedra (Galicia), Spain. SUBJECTS:126 type-2 diabetics, over 18 years old and who joined voluntarily a monitoring programme, distributed 50-50 into intervention and control groups. VARIABLES:The main variable was HbA1c. Other variables were: clinical indicators of metabolic control (mean basal glycaemia, lipid profile), blood pressure, BMI, medication-related problems, understanding of the illness and its complications, adherence to medical treatment and to changes in life-style, and incidence of complications. METHODS:Introduction and randomisation of patients. Recording of the initial status of the research variables, study and assessment stage, pharmaceutical interventions to detect and resolve any passing medication-related problems and educational activities. Referral to family doctor if his/her intervention required. Follow-up lasted 12 months with monthly scheduled visits and on-demand visits, after which the variables were assessed once more. The stages of study, evaluation, intervention and education did not occur in the control group. DISCUSSION:The study will enable the role of the chemist in achieving the objectives of controlling type-2 diabetes patients to be achieved through educational intervention and assistance in drug therapy monitoring.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Fornos Pérez JA,Guerra García MM,Andrés Rodríguez NF,Egea Ibernón B

doi

10.1016/s0212-6567(04)79451-2

subject

Has Abstract

pub_date

2004-06-15 00:00:00

pages

48-54

issue

1

eissn

0212-6567

issn

1578-1275

pii

13062827

journal_volume

34

pub_type

临床试验,杂志文章,随机对照试验
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    journal_title:Atencion primaria

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    更新日期:1994-03-15 00:00:00

  • [Job stress and quality of life of primary care health-workers: evidence of validity of the PECVEC questionnaire].

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    journal_title:Atencion primaria

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  • [Delegated prescription by specialists in primary care].

    abstract:OBJECTIVES:To describe the qualitative-quantitative features of Primary Care prescriptions originated by specialists. DESIGN:A crossover descriptive study. SETTING:Txantrea Health Centre (Pamplona). PATIENTS AND OTHER PARTICIPANTS:All the prescriptions originated by out-clinic or hospital specialists over a two-mont...

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    doi:

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    更新日期:1995-11-30 00:00:00

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  • [Reliability of Primary Care computerised medication records].

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    journal_title:Atencion primaria

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  • [Learning concepts of diagnosis in family medicine: the "mark robinson sign" - the traces that should not be there].

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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  • [Program to improve care in chronic illnesses: application of the model of care in chronic illness].

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    journal_title:Atencion primaria

    pub_type: 杂志文章

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    更新日期:2004-09-15 00:00:00