Abstract

EVALUATION OF ANTI- DIABETIC THERAPY, OUTCOMES AND IMPACT OF PATIENT COUNSELLING ON QUALITY OF LIFE IN TYPE-2 DIABETES MELLITUS PATIENT IN A TERTIARY CARE TEACHING HOSPITAL

*Dr. Jagrit Koirala, Dr. Peter Kandel, Dr. Dipendra Thapa and Dr. R. Parthasaradhi Reddy

Abstract

Background: The aim of the study is to evaluate anti- diabetic therapy, its outcomes and impact of patient counselling on QOL IN Type- II DM patients. Method: The observational study included 120 diabetics. Patient were interviewed using structural questionnaire developed by researchers, during the period of 6-months from December-may (2016-2017). The data was collected using proforma of patient data collection form and proforma to assess KAP which contains 25 questionnaire and the data were analysed statistically using Microsoft excel. Anti-diabetic therapies were evaluated using treatment chart review, proforma of patient data collection form. Outcome and impact of patient counselling were measured assessing the response of KAP and RBS. Result: Out of 120 patient 52 were male and 68 were female. The majority of patient, 30% were on the age group 51-60 years. The patient with age group >50years were more affected. The majority of patient 52(43.33%) were diseased for a period of 6-10 years 32(26.66%) were diseased for a period of 1-5 years, 16 (13.33%) were diseased for a period of 11 -15 years, 12 (10%) were diseased for a period of above 15 years and 8 (6%) below 1 year. Total number of drugs prescribed were 810 with an average of 6.75 drugs per prescription. The most commonly prescribed anti-diabetic drugs were biagunides(25%), insulin(20.8%), sulphonylurea(7.5%), a-glucosidase inhibitor(5.83%). Second commonly prescribed drugs were antibiotics(22.83%) and cardiovascular drugs(16.66%). Blood glucose values were measured before and after patient counselling during the time of admission and follow up. After counselling there was decrease in glucose value which was clinically significant but statistically not significant (p>0.05). The KAP score of the patient in pre-counselling, knowledge score was 5.13±2.91, attitude 1.4±0.748 and practice 2.26±0.378 and overall score was 8.81±4.378. In post counselling the KAP score of patient, knowledge 6.8±3.05, attitude 3.3±1.25, practice 2.63±0.480 and the overall score was 12.63±4.78. Conclusion: Educational intervention is necessary to improve knowledge, attitude and practices of diabetes patient for health benefits. As evidenced by study patient who followed pharmacist counselling on medication, diabetic diet, exercise and practice have achieved better health and quality of life.

Keywords: Hyperglycemia, Intervention, Counselling, Quality of life.