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Arun KP, Murugan R, Kanna MR, et al. The impact of pharmaceutical care on the clinical outcome of diabetes mellitus among a rural patient population. Int J Diabetes Dev Ctries. 2008;28(1):15-8doi: 10.4103/0973-3930.41981.
Arun, K. P., Murugan, R., Kanna, M. R., Rajalakshmi, S., Kalaiselvi, R., & Komathi, V. (2008). The impact of pharmaceutical care on the clinical outcome of diabetes mellitus among a rural patient population. International journal of diabetes in developing countries, 28(1), 15-8. https://doi.org/10.4103/0973-3930.41981
Arun, K P, et al. "The impact of pharmaceutical care on the clinical outcome of diabetes mellitus among a rural patient population." International journal of diabetes in developing countries vol. 28,1 (2008): 15-8. doi: https://doi.org/10.4103/0973-3930.41981
Arun KP, Murugan R, Kanna MR, Rajalakshmi S, Kalaiselvi R, Komathi V. The impact of pharmaceutical care on the clinical outcome of diabetes mellitus among a rural patient population. Int J Diabetes Dev Ctries. 2008 Jan;28(1):15-8. doi: 10.4103/0973-3930.41981. PMID: 19902034; PMCID: PMC2772000.
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Int J Diabetes Dev Ctries. 2008 Jan;28(1):15-8. doi: 10.4103/0973-3930.41981.

The impact of pharmaceutical care on the clinical outcome of diabetes mellitus among a rural patient population.

International journal of diabetes in developing countries

K P Arun, R Murugan, M Rajesh Kanna, S Rajalakshmi, R Kalaiselvi, V Komathi

Affiliations

  1. Department of Pharmacy Practice, Kamalakshi Pandurangan College of Pharmacy, Tiruvannamalai - 606 603, Tamil Nadu, India.

PMID: 19902034 PMCID: PMC2772000 DOI: 10.4103/0973-3930.41981

Abstract

AIM: To evaluate the impact of pharmaceutical care on the clinical outcomes of patients enrolled in a pharmacist-coordinated diabetes management program in a rural health setup.

SETTINGS AND DESIGN: Patients were registered into 'control' and 'intervention' groups by randomization at three primary health centers. The study was an open-label parallel study.

MATERIALS AND METHODS: Medical records were prospectively reviewed. Capillary blood glucose level, blood pressure and demographic data were collected at baseline and at the follow-up visits. Pharmacists gave counseling to the intervention group during every visit and their health-related quality of life (HRQoL) was assessed with the Ferrans and Powers questionnaire.

STATISTICAL ANALYSIS: Single factor ANOVA and the t-test were used to compare the results using SPSS version 0.9 software and MS Excel worksheets.

RESULTS: The intervention group (n = 104) showed well-controlled BMI, whereas the control group (n = 50) showed significant increase in the BMI. Mean blood glucose level in the intervention group reduced to 25 units from baseline (P = 0.0001) but was significantly increased in the control group (P = 0.0001). ANOVA showed that from the second follow-up onward there was significant decrease in blood glucose levels. Overall, the HRQoL scores increased by 45% in the intervention group and decreased by 2% in the control group.

CONCLUSIONS: The pharmaceutical care program was effective in improving the clinical outcome and HRQoL of diabetes patients in rural India. Such 'pharmaceutical care' models should be fine-tuned and implemented widely.

Keywords: Diabetes mellitus; Indian population; health-related quality of life; patient counseling; pharmaceutical care

References

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