Diabetes mellitus patients’ fasting blood sugar levels and quality of life following brief pharmacist counseling with reminders and motivational messages
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20214885Keywords:
Blood sugar level, Counselling, Diabetes, Short messages, Quality of lifeAbstract
Background: For chronic disease patients, pharmacist counselling with motivating reminder messages has been developed throughout time to promote the success of patient treatment. Diabetes mellitus is a long-term condition. Blood sugar control and an improved quality of life are therapeutic goals in the treatment of diabetes mellitus. The objective of this study was to determine whether changes in fasting blood sugar and quality of life occurred in individuals with diabetes mellitus who received pharmacist counselling coupled by motivating reminder messages.
Methods: This quasi-experimental study used a pre-test-post-test design with control and intervention groups. Data on patients with type 2 diabetes were obtained prospectively at Jetis 1 primary health care in Bantul, Yogyakarta, Indonesia. Seventy-two respondents who met the inclusion criteria were separated into two groups: the control group (36 participants) and the intervention group (36 participants). The patients’ quality of life was assessed using the 36-item Short Form (SF-36) questionnaire.
Results: Following pharmacist counselling coupled by motivating reminder messages, patients’ mean fasting blood sugar reduced significantly (∆ 34.85±63.36), while their mean quality of life score increased considerably (∆ 13.73±9.22).
Conclusions: Pharmacist counselling combined with motivating reminder messages can help patients with type 2 diabetes lower their fasting blood sugar and enhance their quality of life. The provision of pharmacist counselling followed by brief reminders and motivational messages may be considered to improve type 2 diabetes patient management.
References
International Diabetes Federation. IDF Diabetes Atlas 9th Edition. International Diabetes Federation. 2019.
WHO. Diabetes. World Health Organization. Published 2020. Available at: https://www.who.int/ news-room/fact-sheets/detail/diabetes. Accessed on 1 September, 2020.
American Diabetes Association. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes- 2021. Diabetes Care. 2021;44(1):S211-S20.
Sarac SF, Tutuncuo P, Parildar S, Saygili F, Candeger Y, Tüzün M. Quality of Life in Turkish Diabetic Patients. Turk Jem. 2007;11:48-53.
Teli M. Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Di Puskesmas Se Kota Kupang. Jurnal Info Kesehatan. 2017;15(1):119-34.
Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes. 2017;8(4):120-9.
Ojieabu WA, Bello SI, Arute JE. Evaluation of pharmacists’ educational and counselling impact on patients’ clinical outcomes in a diabetic setting. Journal of Diabetology. 2017;8(1):7-11.
Saputri GZ, Akrom, Dania H, Sari OM. Validation of Diabetes Mellitus Patient Behavior Questionnaire in Primary Health Care Service. IJPHS. 2019;8(4):455-60.
Adepu R, Rasheed A, Nagavi BG. Effect of patient counseling on quality of life in type-2 diabetes mellitus patients in two selected South Indian community pharmacies: A study. Indian Journal of Pharmaceutical Sciences. 2007;69(4):519.
Al Mazroui NR, Kamal MM, Ghabash NM, Yacout TA, Kole PL, McElnay JC. Influence of pharmaceutical care on health outcomes in patients with Type 2 diabetes mellitus. British Journal of Clinical Pharmacology. 2009;67(5):547-57.
Chow EP, Hassali MA, Saleem F, Aljadhey H. Effects Of Pharmacist-led Patient Education On Diabetes-Related Knowledge And Medication Adherence: A Home-Based Study. Health Education Journal. 2016;75(4):1-13.
Shareef J, Fernandes J, Samaga L. Impact of pharmacist’s intervention on improving quality of life in patients with diabetes mellitus. Journal of Diabetes, Metabolic Disorders & Control. 2016;3(4).
Syarifuddin S, Nasution A, Dalimunthe A, Khairunnisa. Impact of Pharmacist Intervention on Improving the Quality of Life of Patients with Type 2 Diabetes Mellitus. Open Access Maced J Med Sci. 2019;7(8):1401-5.
Vallis M, Piccinini-Vallis H, Sharma AM, Freedhoff Y. Clinical review: modified 5 As: minimal intervention for obesity counseling in primary care. Can Fam Physician. 2013;59(1):27-31.
Ariyani H. Multi Profesional Kolaboratif Untuk Meningkatkan Kualitas Hidup Penderita Hipertensi Di Banjarmasin, Kalimantan Selatan, Indonesia. Prosiding Rakernas dan Pertemuan Ilmiah Tahunan Ikatan Apoteker Indonesia. 2016;103-10.
Mulianti R. Pengaruh Brief Counseling dan Short Message Service (SMS) Terhadap Tingkat Perilaku Adhrensi, Kepatuhan Minum Obat dan Hasil Terapi Pasien Diabetes Mellitus Dengan Hipertensi Rawat Jalan Poliklinik Penyakit Dalam RSUD Panembahan Senopati Bantul Yogyakarta. Published online. 2014.
Nurwijayanti A. Brief Counseling and Mobile Phone Short Message Service (SMS) Increase Patient Compliance. International Journal of Pharma Medicine and Biological Sciences. 2015;4(3):175-9.
Saputri GZ, Akrom, Muhlis M, Muthoharoh A. Efek Konseling Menggunakan Brief Counseling 5A Modifikasi Disertai Pesan Motivasional Farmasis dalam Peningkatan Perilaku dan Outcome Klinik Pasien Diabetes Melitus dengan Hipertensi Rawat Jalan di RSUD Panembahan Senopati, Bantul. IJCP. 2019;8(1).
Thakkar J, Kurup R, Laba TL. Mobile Telephone Text Messaging for Medication Adherence in Chronic Disease: A Meta-analysis. JAMA Intern Med. 2016;176(3):340-9.
Alfian R. Layanan Pesan Singkat Pengingat untuk Meningkatkan Kepatuhan Minum Obat dan Kontrol Glikemik Pasien Diabetes Melitus di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Media Farmasi: Jurnal Ilmu Farmasi. 2015;12(1):129-38.
Adikusuma W, Qiyaam N. Adherence Level And Blood Sugar Control Of Type 2 Diabetes Mellitus Patients Who Gets Counseling And Short Messages Service As Reminder And Motivation. Asian J Pharm Clin Res. 2018;11(2):219.
Dahlan S. Besar Sampel Dalam Penelitian Kedokteran Dan Kesehatan. 3rd ed. Salemba Medika. 2013.
Malathy R, Narmadha MP, Jose AM, Ramesh S, Babu DN. Effect of a Diabetes Counseling Programme on Knowledge, Attitude and Practice among Diabetic Patients in Erode District of South India. Journal of Young Pharmacists. 2011;3(1):65-72.
Rafi’ah N, Perwitasari DA, Sh JDS, Korespondensi P. The Association Between Illness Perception With Quality Of Life In Type 2 Diabetes Mellitus Patient With Complications In Abdul Wahab Sjahranie Hospital Samarinda. 2012;16.
Gusmai L de F, Novato T de S, Nogueira L de S. The influence of quality of life in treatment adherence of diabetic patients: a systematic review. Rev esc enferm USP. 2015;49(5):839-46.
Rachmawati Y, Perwitasari DA, Adnan A. Validasi Kuesioner SF-36 Versi Indonesia Terhadap Pasien Hipertensi Di Puskesmas Yogyakarta. Pharmacy: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia). 2014;11(1).
Muthoharoh A. Pengaruh Brief Counseling 5A Dan Pesan Motivatif Dalam Meningkatkan Kualitas Hidup Pasien Diabetes Melitus Dengan Hipertensi Rawat Jalan Poliklinik Penyakit Dalam Di RSUD Panembahan Senopati Bantul. Published online. 2017.
Renuga E, Ramakrishnan S, Rani V, Thennarasu P, Kannan G. Impact Of Continuous Patient Counselling On Knowledge, Attitude, And Practices And Medication Adherence Of Diabetic Patients Attending Outpatient Pharmacy Services. Asian Journal of Pharmaceutical and Clinical Research. 2016;9(1):364-9.
ADA. Diabetes Care-Standards of Medical Care in Diabetes. J Clin and App Res Edc: Diabetes Care. 2020;43(1):16.
Swaroop AM, Varghese C, Jose J. Patient Counseling On Knowledge, Attitude, Practice and Medication Adherence Type 2 Diabetes Mellitus Patients. European Journal of Pharmaceutical and Medical Research. 2016;3(4):231-5.
Solanki JD, Sheth NS, Shah CJ, Mehta HB. Knowledge, attitude, and practice of urban Gujarati type 2 diabetics: Prevalence and impact on disease control. Journal of Education and Health Promotion. 2017;6(1):35.
Kakade AA, Mohanty IR, Rai S. Assessment of knowledge, attitude and self-care activities among type-2 diabetic patients attending a tertiary care teaching hospital. International Journal of Basic & Clinical Pharmacology. 2016;5(6):2458-62.
Septiar HE, Utami P. Pengaruh Konseling Farmasis Terhadap Kualitas Hidup Dan Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2 Di Puskesmas Gedong Tengen Periode Maret-Mei 2014. Jurnal Farmasi Sains dan Praktis. 2015;1(1):29-34.
Nopitasari BL, Adikusuma W, Asamuni GRD. Pengaruh Pemberian Layanan Pesan Singkat Sebagai Pengingat Dan Motivasi Terhadap Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Dengan Terapi Antidiabetik Oral. Jurnal Ilmiah Ibnu Sina. 2018;3(1):179-85.
Stanetic K, Savic C, Racic M. The Quality Of Life Of Patients With Type 2 Diabetes Mellitus. Opsta Medicina. 2012;18(3-4):70-7.
Laoh JM, Tampongangoy D. Gambaran Kualitas Hidup Pasien Diabetes Mellitus Di Poliklinik Endokrin RSUP Prof. Dr. R. D. Kandou Manado. Jurnal Ilmiah Perawat Manado (Juiperdo). 2015;4(1):32-7.
