Edukasi Home Pharmacy Care terhadap Kepatuhan dan Kontrol Glukosa Darah pada Pasien Diabetes Melitus

Abstract

Diabetes Mellitus (DM) is a chronic disease due to an increase in blood glucose levels. Adherence with taking medication is an important factor in controlling blood glucose levels. One of the interventions that can be carried out by pharmacists comprehensively for chronic diseases is pharmacist education through Home Pharmacy Care (HPC). The purpose of this study was to determine the effect of pharmacist education through HPC in type 2 DM patients in improving fasting blood glucose (FBG) monitoring and control. This study used a quasi-experimental pretest-posttest design with a control group design conducted in August-November 2020. The sample in this study was type 2 DM patients who participated in the Prolanis program at Mlati II Public Health Center Sleman, Yogyakarta. The total sample in this study was 60 patients from 65 patients divided into control and intervention group who were selected by simple random sampling method. Level of adherence was carried out using the ProMAS questionnaire and glucose test instruments to measure FBG levels. Data analysis used the Chi-square test to assess the differences between the patients, the Wilcoxon test to compare the pretest and posttest data in each group, and the Mann Whitney test to compare the level and achievement of FBG in the two groups. The results showed that education through HPC could improve adherence with p= 0.002 (p<0.05) and FBG control with an average reduction in FBG levels in the intervention group was 53.67±24.31 mg/dL and p=0.021 (p< 0.05). This study concludes that education through HPC can improve adherence and attainment of fasting blood glucose levels.