African Journal of
Pharmacy and Pharmacology

  • Abbreviation: Afr. J. Pharm. Pharmacol.
  • Language: English
  • ISSN: 1996-0816
  • DOI: 10.5897/AJPP
  • Start Year: 2007
  • Published Articles: 2191

Full Length Research Paper

Enhancing health care for type 2 diabetes in Northern Brazil: A pilot study of pharmaceutical care in community pharmacy

Blície Jennifer Balisa-Rocha1, Viviane Gibara Guimarães1, Alessandra Rezende Mesquita1, Patrícia Melo Aguiar2, Ines Krass3 and Divaldo Pereira de Lyra Jr.1*
1Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Federal University of Sergipe, Brazil. 2Faculty of Pharmaceutical Sciences, University of São Paulo, Brazil. 3Faculty of Pharmacy, The University of Sydney, S346, Pharmacy and Bank Building A15, NSW 2006, Australia.
Email: [email protected] or [email protected]

  •  Accepted: 10 August 2012
  •  Published: 22 September 2012

Abstract

To evaluate the impact of a medication therapy management (MTM) program on the clinical outcomes and the quality of life (QoL) of a group of elderly patients with type 2 diabetes mellitus (DM). The study was conducted in a community pharmacy in Aracaju, Brazil, from February to November 2009. A quasi-experimental, longitudinal, prospective study was conducted by intervention. The group patients received medication therapy management from a clinical pharmacist. A sample of convenience was obtained for patients of both genders aged from 60 to 75 years. Monthly visits were scheduled over 10 months. At these consultations, sociodemographic, clinical data were obtained. QoL assessment was conducted using a generic instrument—the Medical Outcomes Studies 36-item Short Form Survey (SF-36®). In total, 34 completed the study. The mean age of the patients was 65.9 (4.7) years. In total, 117 DRPs were identified. Patients’ baseline and final evaluation measures for glycosylated hemoglobin, capillary blood glucose, blood pressure, and waist circumference were significantly different (p < 0.05). The domains of QoL assessed by the SF-36® also shows significant differences between patients’ baseline and final evaluation scores. The co-responsibility and active participation on the part of the elderly may have helped pharmacotherapy achieve its clinical and humanistic aims.

 

Key words: Medication therapy management, diabetes mellitus, elderly.