Seguimiento farmacoterapéutico en pacientes con Diabetes Mellitus del Servicio de Geriatría del Hospital General de Latacunga.

Abstract

Pharmacotherapeutic follow-up (SFT) was carried out on 25 diabetic patients, who attended the Geriatrics area of the General Hospital of Latacunga in the period November 2018 – February 2019; in order to identify, prevent and solve problems related to medicines (PRM), and negative results associated with drugs (RNM). For the SFT the Dader method was applied, consisting of seven phases: service offer, first interview, status of situation, study phase, evaluation phase, intervention phase and successive interviews; at the beginning and at the end of the intervention, clinical and anthropometrics parameters (basal glucose, postprandial glucose, glycosylated hemoglobin, total cholesterol, triglycerides, BMI) were evaluated and the Morisky Green Levine test was applied to determine the percentage of adherence to treatment. 104 PRMs were detected that caused 74 RNMs, of which 29.7% corresponded to need, 59.5% effectiveness and 10.8% to safety; the most frequent being the lack of treatment and drug interactions among: hypoglycemic agents, antihypertensive agents, thyroid hormones and medicinal plants. It was possible to increase the total adherence to the treatment from 12% to 64%, eliminating the low and mediating adherence. Of to 100% of RNMs detected, 92% were resolved through pharmaceutical-medical and pharmaceutical-patient interventions. Through the application of the t-Student test for related sample, a basal glucose p=0.003, postprandial glucose p=0.028, glycosylated hemoglobin p=0.006, cholesterol p=0.001 and triglycerides p= 0.034 were obtained, values lower than the level of significance a=0.05, showing that the SFT had a positive impact, improving disease control and increasing the quality of life of patients, however, it is necessary to apply a continuous pharmacotherapy follow-up to achieve better results.