運用健康識能發展糖尿病人連續性藥事照護模式

Background: Diabetes management includes diet control, regular exercise, and medication therapy. An effective patient self-management education program was developed to increase personal self-care ability. It resulted in prevention of chronic complications, and reducing the risk of an accident, medical expenditure, and resources consumption. Objective: This study was To explore the effect of a pharmacist intervention on patient's disease knowledge and the level of disease improvement after pharmaceutical care. Methods: A randomized, single-blind study was conducted with 200 outpatients with type 2 diabetes. The health literacy tool including demographics was used and lab results were assessed. Two stages of intervention education group were implemented using the designed cartoon education program including patient self-management, knowledge of the disease and administration of medication. For the conventional group, no intervention was provided. Both groups were evaluated for health literacy, disease knowledge, compliance behavior and changes in lab results six months later. Results: Compared with the conventional group, the intervention group's overall health literacy (14% vs. 5%, Δp ＜ 0.001) and disease knowledge (14% vs. 1%, Δp ＜ 0.001) were significantly improved after the pharmacist's involvement. The analysis of patients' compliance behaviors indicated that with respect to healthy eating, the intervention group showed a statistically significant improvement (Δp ＜ 0.05). In addition, HbA1c (-0.31% vs. 0.01%, Δp = 0.061) and fasting blood glucose (FBG) (-21.43 mg/dL vs. -3.68 mg/dL, Δp = 0.063) value had improved for the intervention group as compared to the conventional group. Conclusions: Pharmaceutical Continuity Care for Diabetes was effective in improving pharmaceutical care for patients with health literacy.