A Prospective Study on Assessment of Prevalence of Depression and Impact of Patient Counseling on Knowledge, Attitude and Practice of Patients with COPD in a Multispecialty Tertiary Care Hospital”

摘要

A hospital based prospective observational study was done at a tertiary care hospital over a period of six months to assess the severity of dyspnoea, depression and knowledge, attitude, and practice (KAP) of COPD patients. About 100 physician diagnosed COPD (Chronic obstructive pulmonary disease) patients were included in the study. Modified medical research council dyspnoea scale, Hamilton depression rating scale and suitably designed KAP questionnaire were used for data collection. Data were collected form case records and direct interview method. A counseling was provided to all the participants about disease, life style modification and medication use. From the study, it was found that majority of the patients (44%) were affected with Grade-3 dyspnoea and 88% patients were affected with depression. A positive correlation between the severity of dyspnoea and depression was identified. A significant relationship between depression with age and smoking status was also identified. After counseling assessment indicated that the KAP was significantly increased comparing with before counseling assessment. This study point out the need of clinical pharmacist along with other health care professionals for implementing adequate therapeutic strategies for the management of co morbid depression in COPD patients for improving clinical outcomes and better quality of life of patients.