| Summary: | Diabetes mellitus is a chronic disease that requires continuing medical care,
ongoing patient self-management education, and support to prevent acute
complications and to reduce the risk of long-term complications. Pharmacist
involvement in self-care education is important to help patients understanding their
disease and be able to manage and take the medicines appropriately. This study aimed
to determine the effect of pharmacist education on treatment satisfaction parameters,
medication adherence, and glycemic control.
Patients included in this study were those with type 2 diabetes mellitus who
came as an outpatient in Sardjito hospital, receiving insulin therapy with or without
other diabetes medicines, and with HbA1c range between 7�HbA1c<10. The
intervention group (n=32) compared with the control group (n=29) to measure the
satisfaction index using Patient Satisfaction with Insulin Therapy (PSIT)
questionnaires, medication adherence using Morisky Medication Adherence Scale
(MMAS-8) questionnaires, and glycemic control measured in the levels of HbA1c.
Parameter measurements performed before and three months after the education.
Problems related to the injection technique, insulin storage and time consuming
acarbose encountered when assessing patients' knowledge about drugs that are part of
the educational steps. In the intervention group, insulin therapy satisfaction is
significantly different from the control group p <0.05 (95% CI, 3.180 to 7.397), as
well as on the results of medication adherence p <0.05 (95% CI, 0.611 to 1.995).
Patient satisfaction on insulin therapy associated with medication adherence (95% CI,
p<0.05). However, HbA1c levels before and after the intervention did not differ
significantly both in the intervention group and the control group (CI 95%, p> 0.05).
Education by pharmacists which was done once with booklet given to the patient
has been able to improve the satisfaction of insulin therapy and medication adherence,
but has not been able to improve glycemic control. Insulin therapy satisfaction
associated with medication adherence. A systematic and continuous education is
required to achieve the target of glycemic control.
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