Title |
Impact of clinical pharmacists intervention on management of hyperglycemia in pregnancy in Jordan
|
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Published in |
International Journal of Clinical Pharmacy, November 2017
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DOI | 10.1007/s11096-017-0550-3 |
Pubmed ID | |
Authors |
Razan Adnan Batta, Violet Kasabri, Amal Akour, Dana Hyassat, Abla Albsoul-Younes |
Abstract |
Background and objective Hyperglycemia in pregnancy is a risk factor for cardiovascular disease and postpartum (PP) diabetes. This study aimed to assess the impact of the clinical pharmacist-assisted program (CPAP) of optimizing drug therapy and intensive education on main management outcome measures of patient knowledge about diabetes, Quality of life (QoL) as measured by SF-36 including maternal complications, fasting plasma glucose (FPG) control, and HbA1c. Method This is a randomized controlled study. Pregnant (20-28 weeks) patients with hyperglycemia received CPAP (n = 51) as compared with conventional management (n = 34). Patients were then followed up for 6 weeks pp. Results A significant change was shown in the intervention group for diabetes knowledge (3.47% vs. control 2.03%, P < 0.05) and three aspects of health-related QoL. The need for caesarian delivery (58.8% vs. control 35.3%) and severe episodes of hypoglycemia (0% vs. control 8.8%) were significantly (P < 0.05) reduced in the intervention group. Six weeks PP reduction in HbA1c values was greater in the intervention group (- 0.54% vs. control - 0.08%, P = 0.04) with more FPG-controlled patients during pregnancy (94% vs. control 64.7%). Conclusion Clinical pharmacist assisted services in the management of pregnancy hyperglycemia fundamentally and significantly improve knowledge and disease control. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 120 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 17 | 14% |
Researcher | 11 | 9% |
Student > Postgraduate | 11 | 9% |
Student > Bachelor | 11 | 9% |
Student > Ph. D. Student | 10 | 8% |
Other | 21 | 18% |
Unknown | 39 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 29 | 24% |
Nursing and Health Professions | 13 | 11% |
Pharmacology, Toxicology and Pharmaceutical Science | 11 | 9% |
Unspecified | 9 | 8% |
Biochemistry, Genetics and Molecular Biology | 7 | 6% |
Other | 13 | 11% |
Unknown | 38 | 32% |