Effectiveness Of Pharmaceutical Interventions In Type 2 Diabetes Mellitus: A Systematic Review

Isi Artikel Utama

Vintha Sari Uly
Yelfi Anwar

Abstrak

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder whose global burden continues to rise, placing considerable pressure on patients and healthcare systems. Successful therapeutic outcomes in Type 2 Diabetes Mellitus (T2DM) are largely contingent upon patient compliance with prescribed regimens and robust self-management practices. However, suboptimal medication adherence remains a persistent barrier to achieving glycemic targets and preventing complications. To enhance medication adherence and clinical indices, diverse pharmaceutical strategies encompassing telepharmacy, structured patient counseling, health education, and ongoing medication therapy monitoring are frequently implemented by pharmacists. A systematic literature review was conducted to evaluate the influence of pharmaceutical interventions on medication adherence and clinical outcomes in patients diagnosed with Type 2 Diabetes Mellitus (T2DM). Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, this study examined peer-reviewed articles published from 2019 to 2026. A rigorous bibliographic search was executed across prominent national and international electronic repositories, namely PubMed, ScienceDirect, Google Scholar, and SINTA. Identified records were screened by title and abstract, followed by full-text assessment against predefined eligibility criteria, and data from the included studies were extracted and synthesized qualitatively. The findings indicate that pharmaceutical strategies such as pharmaceutical care, patient counseling, home pharmacy care, telepharmacy, and health education consistently enhance glycemic regulation, therapeutic compliance, and overall quality of life, while simultaneously mitigating the frequency of drug-related problems (DRPs). Ultimately, current literature validates the effectiveness of pharmaceutical interventions in improving clinical parameters and medication adherence among individuals diagnosed with Type 2 Diabetes Mellitus (T2DM), underscoring the necessity for the broader integration of patient-centered pharmaceutical care to secure long-term clinical success.

Rincian Artikel

Cara Mengutip
Vintha Sari Uly, & Anwar, Y. (2026). Effectiveness Of Pharmaceutical Interventions In Type 2 Diabetes Mellitus: A Systematic Review. Medical : Jurnal Kesehatan Dan Kedokteran, 3(1), 94–109. https://doi.org/10.69836/medical-jkk.v3i1.1005
Bagian
Bagian Kebijakan

Referensi

Abdullah, Amin, A., F. Catur Yuliani, P. Studi Ilmu Keperawatan, and F. Ilmu Kesehatan. “Pengaruh Edukasi Kesehatan Terhadap Kepatuhan Minum Obat pada Pasien Diabetes Melitus Tipe II Rawat Jalan di Rumah Sakit Islam Sultan Hadlirin Jepara.” Jurnal Multidisiplin Ilmu Akademik 2, no. 5 (2025): 194–199. https://doi.org/10.61722/jmia.v2i5.6506.

Alkhoshaiban, A., Y. Hassan, M. Loganathan, M. Alomary, D. E. Morisky, and B. Alawwad. “Type II Diabetic Patients’ Satisfaction, Medication Adherence, and Glycemic Control after the Application of Pharmacist Counseling Program.” 10, no. 4 (2019): 127–136.

Besemah, N. A., R. A. D. Sartika, and R. Sauriasari. “Effect of Pharmacist Intervention on Medication Adherence and Clinical Outcomes of Type 2 Diabetes Mellitus Outpatients in Primary Healthcare in Indonesia.” Journal of Research in Pharmacy Practice 9, no. 4 (2021): 186–195. https://doi.org/10.4103/jrpp.JRPP_20_59.

Damanik, C. S., K. Khairunnisa, and W. Wiryanto. “Implementasi Asuhan Kefarmasian dalam Meningkatkan Outcome Terapi dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 / Implementation of Pharmaceutical Care to Improve Therapeutic Outcomes and Quality of Life in Type 2 Diabetes Mellitus.” 2026.

Dharmawan, N. N., D. M. Virginia, and N. Priyatni. “The Effect of Pharmacist Intervention through Telepharmacy Services on Compliance and Fasting Blood Sugar Levels in Diabetes Mellitus Type 2 Patients at Natalia Farma Pharmacy.” Jurnal Farmasi Sains dan Praktis 11, no. 3 (2025): 200–209.

Eliza, D., N. F. Syafhan, R. Andrajati, and S. W. Fitriani. “Pharmacist Monitoring Intervention via Telepharmacy on Clinical Outcomes and Quality of Life in Patient with Type 2 Diabetes Mellitus: Pragmatic, Prospective Non-Randomized Controlled Trial.” Research Journal of Pharmacy and Technology 17, no. 9 (2024): 4282–4290. https://doi.org/10.52711/0974-360X.2024.00662.

Fatiha, C. N., and F. B. Sabiti. “Peningkatan Kepatuhan Minum Obat Melalui Konseling Apoteker pada Pasien Diabetes Mellitus Tipe 2 di Puskesmas Halmahera Kota Semarang.” JPSCR: Journal of Pharmaceutical Science and Clinical Research 6, no. 1 (2021): 41. https://doi.org/10.20961/jpscr.v6i1.39297.

Fitriana, I., H. Utami Ramadaniati, Y. Anggriani, and Yuliani. “Pengaruh Pelayanan Home Care Apoteker pada Pengetahuan, Kepatuhan, Kualitas Hidup, dan Outcome Klinis Pasien Diabetes Melitus Tipe 2 di Puskesmas Kota Tangerang.” Pharmacoscript 7, no. 1 (2024): 60–89.

Katadi, S., T. M. Andayani, and D. Endarti. “Hubungan Kepatuhan Pengobatan dengan Outcome Klinik dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2.” Jurnal Manajemen dan Pelayanan Farmasi 9, no. 1 (2019): 19–26.

Kementerian Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/302/2026 tentang Pedoman Nasional Pelayanan Klinis Tata Laksana Diabetes Melitus Tipe 2 Dewasa. Jakarta: Kementerian Kesehatan Republik Indonesia, 2026.

Khairunnisa, K., K. Rawitri, W. Wiryanto, and S. Wahyuni. “Pengaruh Asuhan Kefarmasian terhadap Outcome Klinis dan Kualitas Hidup pada Pasien Diabetes Melitus Tipe 2.” JFIOnline 13, no. 2 (2021): 118–128. https://doi.org/10.35617/jfionline.v13i2.18.

Kutluay, N. B., M. Y. Bektay, B. Sumbul-Sekerci, A. Sekerci, and F. V. Izzettin. “Impact of Clinical Pharmacist Integration on Diabetes Management: A Prospective Cohort.” BMC Health Services Research 25, no. 1 (2025). https://doi.org/10.1186/s12913-025-12233-7.

Nufus, H., A. Dalimunthe, and W. Wiryanto. “The Effect of Pharmacist Counseling on Adherence to Antidiabetic Medications and Glycemic Control.” Jurnal Sains Farmasi & Klinis 12, no. 2 (2026): 178–185. https://doi.org/10.25077/jsfk.12.2.178-185.2025.

Okta, T., P. Bangsawan, M. T. Ghozali, M. Thesa, and others. “Pengaruh Edukasi Pasien Berbasis Video Edukasi terhadap Kepatuhan Pasien Diabetes Tipe 2 di Puskesmas Pasar Simpang, Lampung (The Impact of Video-Assisted Patient Education on Medication Adherence in Type-2 Diabetes Patients in Public Health Center of Pasar Simpang, Lampung).” Jurnal Farmasi AS-SYIPPA 17, no. 1 (2025).

Pencegahan, P. D. A. N., and D. I. Indonesia. Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia 2024. 2024.

Prabowo, N. A., T. D. Ardyanto, R. Myrtha, H. Apriningsih, A. T. Indriani, F. Dyanneza, N. D. A. Kuncorowati, N. A. Nugroho, A. Suwandono, M. G. Kamenyangan, and L. Shofiyah. “Peningkatan Pengetahuan dan Kualitas Hidup Pasien Diabetes Mellitus di Rumah Sakit UNS.” Smart Society Empowerment Journal 2, no. 3 (2022): 66. https://doi.org/10.20961/ssej.v2i3.63868.

Rina, H., A. Nasution, and K. Khairunnisa. “The Effect of Pharmacist Counseling on the Clinical Outcome of Type 2 Diabetes Mellitus Patients Outpatient at Asahan Regional General Hospital.” International Journal of Science, Technology & Management 4, no. 5 (2025): 1159–1164. https://doi.org/10.46729/ijstm.v4i5.906.

Saswita, N., L. Aditama, and A. Lorensia. “Pengaruh Telefarmasi terhadap Kepatuhan dan Target Pengobatan Pasien DMT2.” MPI (Media Pharmaceutica Indonesiana) 5, no. 2 (2023): 124–133. https://doi.org/10.24123/mpi.v5i2.5479.

Syafitri, I. W., N. M. Yasin, and I. P. Sari. “Pengaruh Edukasi oleh Apoteker dengan Metode Brief Counseling terhadap Pengetahuan, Kepatuhan dan Glukosa Darah Pasien DM Tipe 2 di Puskesmas Kabupaten Pemalang.” Jurnal Manajemen dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice) 13, no. 1 (2023): 12. https://doi.org/10.22146/jmpf.74821.

Syifannisa, R., A. Muthoharoh, W. A. Ningrum, and S. Rahmatullah. “Konseling Apoteker Meningkatkan Kepatuhan Pengobatan dan Menurunkan Kadar Gula Darah Pasien DM Tipe 2.” Jurnal Ilmiah Kesehatan 15, no. 2 (2022): 93–102.