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Provedor de dados:  BJPS
País:  Brazil
Título:  Pharmaceutical consultation as a tool to improve health outcomes for patients with type 2 diabetes
Autores:  Zubioli,Arnaldo
Silva,Maria Angélica Rafaini Covas Pereira da
Tasca,Raquel Soares
Curi,Rui
Bazotte,Roberto Barbosa
Data:  2013-03-01
Ano:  2013
Palavras-chave:  Pharmaceutical care
Type 2 diabetes/treatment
Type 2 diabetes/pharmaceutical care
Pharmaceutical consultation
Glycated hemoglobin
Diabetes education
Pharmacy
Resumo:  This study develops and evaluates a pharmaceutical consultation program (PCP) to improve treatment for Type 2 diabetes patients (T2DP) and reduce risk factors for diabetic complications with possible application in other chronic diseases. We recruited T2DP receiving conventional medical treatment but with fasting glycemia &gt;140mg/dl and/or glycated hemoglobin &gt;7%. The PCP includes strategies obtained from Dader's method, the PWDT (Pharmacist's Workup of Drug Therapy method) model of pharmaceutical care, the SOAP (Subjective data, Objective data, Assessment, and Plan of care) method, and concepts based on a nursing care model. The PCP evaluated lifestyle, pharmacotherapy and monitoring it using laboratory tests, vital signs, and anthropometry. These procedures were repeated every 4 months for 1 year. Data obtained in each consultation were used to provide patient education focusing on healthy lifestyles and medications. Fifty patients completed the PCP. There were reductions in glycemia (P<0.0001), glycated hemoglobin (P=0.0022), cholesterolemia (P=0.0072), triacylglycerolemia (P=0.0204) and blood pressure (P<0.0001). Increased concordance with drug treatment and correction of drug-related problems contributed to improved treatment. We can therefore conclude that our PCP was suitable for improving health outcomes in T2DP by reducing risk factors for diabetic complications.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502013000100010
Editor:  Universidade de São Paulo, Faculdade de Ciências Farmacêuticas
Relação:  10.1590/S1984-82502013000100010
Formato:  text/html
Fonte:  Brazilian Journal of Pharmaceutical Sciences v.49 n.1 2013
Direitos:  info:eu-repo/semantics/openAccess
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