Impact of Patient Counselling on The Knowledge, Attitude, Practice and Quality of Life in Patients with Hypertension with Diabetes Mellitus-II

Abstract:

Context: The most important role of patient counselling is to improve quality of life and provide quality care for patients. The occurrence of drug related problems such as adverse effects, side effects, drug interactions and errors in use of medication can be minimised. Aims: The main aim of this study was to assess the impact of pharmacist provided patient counselling on treatment outcomes and quality of life (QOL) in hypertensive and diabetes mellitus type-II patients, improving their knowledge, attitude and practice. Methods and Material: It is a Prospective interventional study. Patients selected were divided into control and test groups. Patients in the test group were counselled and given information about the management of disease, whereas control group received the information only at the end of the study. The follow-up was carried out over a period of 6 months in which the KAP and quality of life of the patients was assessed. The scores were evaluated and statistically analysed. Results: It was found that patient counselling had improved quality of life with respect to Physical component summary. The MCS was not affected by patient counselling. Mean scores of systolic, diastolic blood pressure and blood sugar levels before and after counselling for test groups were found to be significantly different. Conclusion: Our study confirms that improvement in knowledge of the disease and its management had positive impact on treatment outcomes and quality of life. It is noticed that counselling had no effect on mental component summary of the patient’s quality of life.

Key words: Quality of Life, Hypertension, Diabetes Mellitus, Patient Counselling, Type II Diabetes.