Pharmaceutical Care Practice and Consequences on Quality of Life and Satisfaction of Diabetic Patients
A Randomized Clinical Trial
DOI:
https://doi.org/10.1590/s2175-97902022e19500Keywords:
Pharmaceutical Services, Diabetes Mellitus, Type 2, Quality of Life, Patient SatisfactionAbstract
The pursuit of quality of life, which has become marked in recent years, has translated into important population health benefits. This study assessed the quality of life of patients with type 2 diabetes (T2DM) who received pharmaceutical care, and their satisfaction with the service provided in community pharmacies. This single blind, randomized controlled clinical trial included 100 patients. The intervention group (N=47) received pharmaceutical care by a clinical pharmacist and the control group (N=42) received standard care. The Quality of Life Diabetes Questionnaire (DQOL) was used to measure all participants´ quality of life at study enrollment and six months later. Satisfaction of the participants in the intervention group was measured using a validated 14-items questionnaire. At the end of the study, participants in the intervention group had a statistically significant improvement in DQOL scores ( -0.62 x 1.57, p < 0.001) and were highly satisfied with the intervention (96% excellent satisfaction scores). Pharmaceutical care practice was associated with high satisfaction and increased quality of life scores in T2DM patients. These results underscore the important role of pharmacists to improve the health of diabetic patients.
Downloads
References
Akranaviciute D, Ruzeviciu J. Quality of life and its components’ measurement. Engineering Economics. 2015;52(2):11-34.
Callegari J, Sidia M. Bioestatística princípios e aplicações. Porto Alegre: Artmed; 2003.
Carina H, Roland R, Juergen MK, Andreas HJ. Health- related quality of life after ischemic stroke: the impact of pharmaceutical interventions on drug therapy (Pharmaceutical Care concept). Health Qual Life Outcomes. 2010;18(6):8-59.
Carter BL. Evolution of clinical pharmacy in the USA and future directions for patient care. Drugs Aging. 2016;33(3):169-77.
Cipolle RJ, Strand LM, Morley PC. Pharmaceutical care practice: The clinician’s Guide. New York: McGraw-Hill; 2004.
Correr CJ, Pontarolo R, Melchiors AC, Rossignoli P, Fernandez-Llimos F, Radominski RB. Translation to portuguese and validation of the diabetes quality of life measure (DQOL-Brazil). Arq Bras Endocrinol Metabol. 2008;52(3):515-22.
Correr CJ, Pontarolo R, Souza RAP, Venson R, Melchiors AC, Wiens A. Effect of a pharmaceutical care program on quality of life and satisfaction with pharmacy services in patients with type 2 diabetes mellitus. Braz J Pharm Sci. 2009;45(4):809-17.
Dreischulte T, Fernandez-Llimos F. Current perceptions of the term clinical pharmacy and its relationship to pharmaceutical care: a survey of members of the European Society of Clinical Pharmacy. Int J Clin Pharm. 2016;38(6):1445-56.
Fernandes SSC, Damascena RS, Portela FS. Adherence to pharmacological treatment of the elderly carriers of type II diabetes mellitus accompanied in one pharmacy network of Vitória da Conquista - Bahia. Rev Mult Psic. 2019;13(43):241-263.
Guiar PM, Santos APAL, Brito GC, Lyra Junior DP, Storpistis S. Investigating sources of heterogeneity in randomized controlled trials of the effects of pharmacist interventions on glycemic control in type 2 diabetic patients: a systematic review and meta-analysis. Plos One. 2016;3(10):1-23.
Hajj MSE, SHammad A, Afifi HA. Pharmacy students’ attitudes toward pharmaceutical care in Qatar. Ther Clin Risk Manag. 2014;10:121-29.
Hamid RP, Mahmood HS, Mohamad SZ, Norjaya MY, Abdelbary E. The impacts of second generation e-prescribing usability on community pharmacists outcomes. Res Soc Adm Pharm. 2015;11(3):339-51.
Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47(3):533-43.
Larson LN, Rover JP, MacKeigan LD. Patient satisfaction with pharmaceutical care: update of validated instrument. J Am Pharm Assoc. 2002;42(1):44-50.
Lima SIVC, Diniz RS, Egito EST, Azevedo PRM, Oliveira AG, Araujo IB. Rationality of antimicrobial prescriptions in community pharmacy users. Plos One . 2015;10(10):1-9.
Lyra Junior DP, Abriata JP, Amaral RT, Pelá IR. A satisfação como resultado de um programa de atenção farmacêutica para pacientes idosos em Ribeirão Preto - São Paulo (Brasil). Seguim Farmacoter. 2005;3(1):30-42.
Lyra Junior DP, Kleir N, Abriata JP, Rocha CE, Santos CB, Pelá IR. Impact of pharmaceutical care interventions in the identification and resolution of drug-related problems and on quality of life in a group of elderly outpatients in Ribeirão Preto (SP), Brazil. Ther Clin Risk Manag . 2007;3(6):989-98.
Malta DC, Andrade SSCA, Oliveira TP, Moura L, Prado RR, Souza MFM. Probability of premature death for chronic non-communicable diseases, Brazil and regions, projections to 2025. Rev Bras Epidemiol. 2019;22:1-13.
Melchiors AC, Correr CJ, Venson R, Pontarolo R. An analysis of quality of systematic reviews on pharmacist health interventions. Int J Clin Pharm . 2012;34(1):32-42.
Moon J, Kolar C, Brummel A, Ekstrand M, Holtan H, Rehrauer D. Development and validation of a patient satisfaction survey for comprehensive medication management. J Manag Care Pharm. 2016;22(1):81-6.
Radovanovic CAT, Bevilaqua CA, Molena-Fernandes CA, Marcon SS. Intervenção multiprofissional em adultos com hipertensão arterial: ensaio clínico randomizado. Rev Bras Enferm. 2016;69(6):1069-73.
Salazar-Ospina A, Carrascal V, Benjumea D, Amariles P. Clinical pharmacy pharmaceutical care: concepts, philosophy, professional practice and its application to the Colombian context. Vitae (Medellin). 2012;19(1):109-29.
Saleem F, Hassali MA, Shafie AA, Haq NU, Farooqui M, Aljadhay H. et al. Pharmacist intervention in improving hypertension-related knowledge, treatment medication adherence and health-related quality of life: a non-clinical randomized controlled trial. Health Expect. 2015;18(5):1270- 81.
Silva DAM, Mendonça SAM, O´Dougherty M, Oliveira DR, Chemello C. Autoethnography as an instrument for professional (Trans) formation in pharmaceutical care practice. Qualitative Report. 2017:22(11)6:926-942.
Spinewine A, Fialova D, Byrne S. The role of the pharmacist in optimizing pharmacotherapy in older people. Drugs Aging . 2012;29(6):495-510.
Viswanathan M, Kahwati LC, Golin CE, Blalock SJ, Coker-Schwimmer E, Posey R. et al. Medication therapy management interventions in outpatient settings: a systematic review and meta-analysis. JAMA Intern Med. 2015;175(1):76-87.
Zhang C, Zhang L, Huang L, Luo R, Wen J. Clinical pharmacists on medical care of pediatric inpatients: a single- center randomized controlled trial. Plos One . 2012;7(1):86-93.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Brazilian Journal of Pharmaceutical Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
All content of the journal, except where identified, is licensed under a Creative Commons attribution-type BY.
The on line journal has open and free access.
