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RESUMENObjetivos: Conocer la situación actual, en cuanto a utilización de medicamentos, realización de controles, estado de salud y percepción que tienen sobre su enfermedad los diabéticos españoles que acuden a las farmacias comunitarias.Métodos: Estudio descriptivo transversal (enero-marzo 2014) en farmacias comunitarias españolas. Sujetos: personas diagnosticadas de diabetes, que acudían a la farmacia para retirar su tratamiento. La hoja de registro de datos incluía utilización de medicamentos, realización de controles periódicos, cuestionario de conocimiento sobre la enfermedad (Berbés), de conocimiento y cumplimiento del tratamiento y de satisfacción con la medicación (DTSQ). El tamaño muestral mínimo se estimó en 385 personas diabéticas.Resultados: 652 pacientes diabéticos, 49,5% hombres y 50,5% mujeres, 54,6% mayores de 65 años, 73,0% con dos o más factores de riesgo cardiovascular. El 84,1% utilizan ADO, el 38,0% insulina y el 22,9% ambos. 146 pacientes presentaron uno o más episodios de hipoglucemia en el último año. El 65,3% de los pacientes con insulina reutiliza las agujas. El 91,6% manifiesta no tener ningún problema en la realización del autoanálisis y el 72,8% reutiliza las lancetas. Conocían adecuadamente su tratamiento 196 (34,1%) y lo cumplían 432 (76,3%). La satisfacción con el tratamiento es buena (24,6±6,6 puntos sobre 36) (82,8% de pacientes satisfechos).Conclusiones: La utilización de medicamentos no se adecúa suficientemente a las guías clínicas. Las revisiones y los autocontroles que realizan son insuficientes. El conocimiento sobre la enfermedad y la medicación es bajo. El cumplimiento y la satisfacción con los tratamientos es alta, menor en los usuarios de insulina. Diabetes in Spain from the perspective of the community pharmacy: knowledge, compliance, and satisfaction with treatment ABSTRACTObjectives: To know the current situation, in terms of use of medicines, controls, health status and perception they have about their disease Spanish diabetics who come to community pharmacies.Methods: Descriptive cross-sectional study (January to March 2014) in community pharmacies in Spanish. Subjects: people diagnosed diabetes who came to the pharmacy to withdraw his treatment. Data sheet included use of drugs, carrying out regular checks, knowledge about the disease (Berbés) questionnaire, knowledge and compliance with treatment and satisfaction with medication (DTSQ). The minimum sample size was estimated at 385 people with diabetes.Results: 652 diabetic patients, 49.5% men and 50.5% female, 54.6% over the age of 65, 73,0% with two or more cardiovascular risk factors. 84,1% use ADO, 38.0% insulin and 22.9% both. 146 patients had one or more episodes of hypoglycemia in the last year. 65.3% of the patients with insulin, reused needles. He 91.6% appears not to have any problems in the realization of self-analysis and 72.8% reuse lancets. Properly knew his treatment 196 (34.1%) and 432 did it (76.3%). Satisfaction with the treatment is good (24, 6±6, 6 points out of 36) (82.8% of satisfied patien...
RESUMENObjetivos: Conocer la situación actual, en cuanto a utilización de medicamentos, realización de controles, estado de salud y percepción que tienen sobre su enfermedad los diabéticos españoles que acuden a las farmacias comunitarias.Métodos: Estudio descriptivo transversal (enero-marzo 2014) en farmacias comunitarias españolas. Sujetos: personas diagnosticadas de diabetes, que acudían a la farmacia para retirar su tratamiento. La hoja de registro de datos incluía utilización de medicamentos, realización de controles periódicos, cuestionario de conocimiento sobre la enfermedad (Berbés), de conocimiento y cumplimiento del tratamiento y de satisfacción con la medicación (DTSQ). El tamaño muestral mínimo se estimó en 385 personas diabéticas.Resultados: 652 pacientes diabéticos, 49,5% hombres y 50,5% mujeres, 54,6% mayores de 65 años, 73,0% con dos o más factores de riesgo cardiovascular. El 84,1% utilizan ADO, el 38,0% insulina y el 22,9% ambos. 146 pacientes presentaron uno o más episodios de hipoglucemia en el último año. El 65,3% de los pacientes con insulina reutiliza las agujas. El 91,6% manifiesta no tener ningún problema en la realización del autoanálisis y el 72,8% reutiliza las lancetas. Conocían adecuadamente su tratamiento 196 (34,1%) y lo cumplían 432 (76,3%). La satisfacción con el tratamiento es buena (24,6±6,6 puntos sobre 36) (82,8% de pacientes satisfechos).Conclusiones: La utilización de medicamentos no se adecúa suficientemente a las guías clínicas. Las revisiones y los autocontroles que realizan son insuficientes. El conocimiento sobre la enfermedad y la medicación es bajo. El cumplimiento y la satisfacción con los tratamientos es alta, menor en los usuarios de insulina. Diabetes in Spain from the perspective of the community pharmacy: knowledge, compliance, and satisfaction with treatment ABSTRACTObjectives: To know the current situation, in terms of use of medicines, controls, health status and perception they have about their disease Spanish diabetics who come to community pharmacies.Methods: Descriptive cross-sectional study (January to March 2014) in community pharmacies in Spanish. Subjects: people diagnosed diabetes who came to the pharmacy to withdraw his treatment. Data sheet included use of drugs, carrying out regular checks, knowledge about the disease (Berbés) questionnaire, knowledge and compliance with treatment and satisfaction with medication (DTSQ). The minimum sample size was estimated at 385 people with diabetes.Results: 652 diabetic patients, 49.5% men and 50.5% female, 54.6% over the age of 65, 73,0% with two or more cardiovascular risk factors. 84,1% use ADO, 38.0% insulin and 22.9% both. 146 patients had one or more episodes of hypoglycemia in the last year. 65.3% of the patients with insulin, reused needles. He 91.6% appears not to have any problems in the realization of self-analysis and 72.8% reuse lancets. Properly knew his treatment 196 (34.1%) and 432 did it (76.3%). Satisfaction with the treatment is good (24, 6±6, 6 points out of 36) (82.8% of satisfied patien...
AimThe aim of this study was to identify published evidence to inform the development of expanded practice services in rural community pharmacies.Data sourcesThe search strategy was applied to the following electronic databases: MEDLINE, CINAHL, Emcare, Cochrane and Google Scholar.Study selectionIn all, 508 studies were evaluated against inclusion and exclusion criteria, with 29 eligible studies finally included in the review. Services provided needed to meet the described definition of ‘expanded practice’ and be applied in a rural community pharmacy setting. Expanded services were evaluated against at least one of the following: effectiveness, enablers, barriers and feasibility.ResultsThe studies included in this review were conducted in the US (n = 15), Australia (n = 8), Canada (n = 2), New Zealand (n = 1), England (n = 1), Croatia (n = 1) and Ghana (n = 1). All studies were conducted within the past 22 years, with 11 published since 2015. Cardiovascular disease (n = 7), diabetes/metabolic syndrome (n = 4), respiratory disease (n = 6) and vaccinations (n = 5) were the most common diseases or health service targeted in the interventions. Study design varied, reflected in the methodological quality, which included experimental studies (n = 27) and retrospective observational cohort studies (n = 2). Expanded pharmacy services identified included delivery of immunisations and the screening and management of chronic and infectious diseases, such as osteoporosis, asthma, chronic obstructive pulmonary disease, malaria, diabetes and cardiovascular and kidney disease.ConclusionsPharmacists providing these services have an opportunity to improve health outcomes for rural populations.
Norwegian pharmacists report that they are involved in a wide range of diabetes related services, although only 37% report to have read the diabetes declaration. The pharmacists generally wish to actively support patients with diabetes, and further research should concentrate on identifying the areas where their involvement is most productive.
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