経口血糖降下剤服用中の糖尿病外来患者に対する個人教育の評価

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We evaluated a one-to-one education program carried out by pharmacists to NIDDM outpatients treated with oral antidiabetic drugs. The subjects consisted of 73 outpatients without any complications who had glycosylated hemoglobin (HbAlc) Ievels of over 7010. They consisted of 32 men and 41 women, all under 70 years of age (average, 56.9±7.2 yr). We provided the one-to-one education program to patients in a medication counseling room. The outcome was later evaluated by a postal qestionnaire survey to evaluate patient satisfaction based on improvements in both the fasting plasma glucose (FPG) and HbAlc. The patients initially had a low level of understanding regarding oral medicinal treatment, with an average score of 2.91!:1.6 out of 6 Items. A survey of our education program showed that 87.l% of respondents were satisfied with our program. The FPG Ievels significantly decreased both 2 months and 4 months after education, from 194.3±l44.8 to 181.8±40.3. 178.0±45.8 mg/dl. respectively. The HbaAlc levels significantly increased before education, but there after significantly decreased 2 months and 4 months after education, from 8.8±l.3 to 8.5±1.3, 8.3±1.1%, respectively. These results suggest that a one-to-one education program given by pharmacists to NIDDM outpatients receiving oral antidiabetic drugs may be useful for improving diabetic control, by promoting a better understanding of the oral medicinal treatments. and may therefore also lead to greater awareness of diabetic therapies.
日本医療薬学会の論文
1997-06-10

経口血糖降下剤服用中の糖尿病外来患者に対する個人教育の評価

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