P. Sangamesh*, H. Nagaraju, M. Amzad Khan, Dr. M. Bhavani, Dr. T. Rajavardhan
Department of Pharmacy Practice, Balaji College of Pharmacy,Anantapuramu, Andhra Pradesh, India.
Diabetes mellitus is chronic metabolic disorder characterized by hyperglycemia mainly due to inefficient and insufficient supply of insulin hormone. Diabetes is associated with complications such as hypertension, nephropathy, cardio vascular diseases, and retinopathy, neuropathy, which lead to chronic morbidity and mortality. Pharmacist mediated diabetic care services improves health outcomes in type 2 diabetes mellitus. The objective of the study was to improve knowledge, attitude and practice towards diabetes mellitus through pharmacist mediated patient education and to achieve targeted blood glucose levels. The study was a prospective interventional study, conducted for a period of 6- months in the sabitha diabetic clinic, Anantapuramu. Diabetic patients were enrolled based on inclusion and exclusion criteria. All data regarding demographics, treatment and other medical details was collected in a suitably planned patient data collection form, Base line FBS, PPBS by using glucometer activ, also measured BP, BMI and their disease status. After consenting the patients answered the KAP questionnaire asked by the pharmacist. Pharmacist asked each question in KAP, in easy understandable language and the answer given by the patient was noted in the questionnaire by the pharmacist. The data obtained were entered in Microsoft excel and instat software were analysed. The score of base line was compared with second follow up using Wilcoxon matched pair test. A total of 82 patients meeting the study criteria were compared with base line, 1st follow up and 2nd follow up based on study criteria. Assessment of blood glucose levels, BP, BMI showed that there was improvement in these parameters which attained the target levels. Assessment of KAP showed that there was significant improvement (< 0.0001) in the knowledge, attitude, and practice in the study group showed that patient education by a clinical pharmacist. The finding of this study showed that pharmacist mediated counselling to diabetic patients significantly improved knowledge and attitude of patients and percentage improvement in patients practice. This shows that pharmacist plays a vital role in the multi-disciplinary health care team
Key words: Type-2 diabetes mellitus, KAP, patient counselling.