Effect of Pharmacist Mediated Counselling on Knowledge, Attitude and Practice (KAP), Health Related Quality of Life (HR-QoL) and Glycaemic Control in Diabetic Patients on Insulin Therapy

摘要

Education of the patients regarding KAP management has shown to improve patient outcomes in various health care settings across the world.Aim: To assess the impact of patient counselling by the pharmacist on KAP, Health related Quality of life and glycaemic control.Materials and Methods: A prospective observational study was conducted in hospitalised patients of various departments of the tertiary care hospital during the period of November 2016 to April 2017. Patient counselling was given by pharmacist at baseline visit and first follow-up (after three months). Patients were followed for six months with first follow-up at third month and with second follow-up at sixth month and KAP and HR-QoL were assessed using WHO-BREF QoL and KAP questionnaire respectively in all visits. Similarly, glycaemic control (HbA1C) values were noted at each visit.Results: A total of 50 patients were recruited in the study. KAP score at baseline visit, follow up-1 and follow up-2 were found to be 87.92±7.82, 117.47±6.98 and 119.9±5.30 respectively. Data analysis indicated that KAP score was improved at follow up-1 (p<0.001) and follow up-2 (p<0.001). HR-QoL has been significantly improved in all the domains during follow-ups. However, more degree of significance was observed in Domain 2 (psychological) and Domain 4 (environmental). HbA1C levels at baseline visit, follow up-1 and follow up-2 were found to be 9.1±1.65, 8.27±2.79 and 7.66±1.719 respectively. HbA1C levels were significantly decreased at follow up-1 (p<0.05) and follow up-2 (p<0.001).Conclusion: The study results support that pharmacist mediated patient counselling could remarkably influence on knowledge, attitude and practice and in turn patient?s quality of life and glycaemic control.