scholarly journals A CROSS SECTIONAL STUDY OF KNOWLEDGE, ATTITUDE AND PRACTICE AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS AT A TERTIARY CARE HOSPITAL

2014 ◽  
Vol 3 (19) ◽  
pp. 5317-5321
Author(s):  
Satyanarayana T B ◽  
Mahendrappa S K
Author(s):  
Sujeet A. Divhare ◽  
Satyashil Ingale

Background: Potential importance of drug –drug interactions (DDIs) is increasing as polypharmacy becomes more prevalent. Because additional data on the incidence and pattern of potential DDIs among diabetic patients are lacking in India, and supplemental pharmacodynamic or clinical outcome information is needed to address importance of a drug- drug interaction. Aim and objectives: To identify and analyze the pattern of DDIs in patients being prescribed anti-diabetic drugs in a tertiary care hospital. Material and Methods: This prospective cross-sectional study was carried out for a period of three months in 200 Type 2 diabetes mellitus (Type 2 DM) patients who were taking at least one antidiabetic agent during the period of past six months, of any age and either sex admitted in medicine ward of a tertiary care teaching hospital. Only one prescription was included for each patient on his/her 3rd day of hospitalization in the ward. Results: A total of 1217 drugs were prescribed in 200 prescriptions, resulting in an average of 6.1 drugs per prescription. A total of 637 potential DDIs were noted. The majority were seen in middle aged and elderly people. No overall difference was detected in the patients on insulin or metformin therapy taking or not taking additional drugs with the potential to interact. Worse control was found in the group of patients on sulphonylurea therapy taking interacting drugs (P <0.05). This difference was most marked in the group of patients over 60 years of age, who also had the highest intake of potentially interacting drugs (57%; <35 years-37%). Conclusion: Antidiabetic drugs have numerous interactions. A good practice is to use a drug­–drug interaction checker if any questions arise, several are available online. Quality care starts with the clinician obtaining a complete medication list for each patient at the start of each visit. Keywords: diabetes mellitus, drug interactions, hypoglycemic agents, drug therapy, co-morbidity, polypharmacy


2019 ◽  
Vol 6 (2) ◽  
pp. 371
Author(s):  
Nilesh S. Sonawane ◽  
Chaitanya R. Patil

Background: Tuberculosis is major public health problem especially in the low and middle income countries like India. We conducted a study to assess the knowledge, attitude and practice related to tuberculosis among the patients attending our tertiary care institute.Methods: A cross sectional study was conducted in a tertiary care hospital on the patients attending OPD of tertiary care hospital in Maharashtra. The patients with debilitating illness or bed bound patients and those diagnosed and cured of tuberculosis or were on treatment of tuberculosis were excluded from the study. A pretested and designed questionnaire was used to assess the knowledge, attitude and practice about the cause, clinical features and treatment of tuberculosis.Results: The mean age of the study subjects was 43.34±11.23 years with male: female ratio of 1.45. About 16.67% of the subjects stated that cause of TB is bacteria, 51.33% reported that cough was the most common symptom, 58.67% believed that it spreads from person to person and among the people who said it spreads 58.67% said that it can be preventable.Conclusions: About 1/5th of the study subjects expressed the cause of TB is bacteria or germs, and more than ½ believed that TB spreads from person to person. About 2/3rd of the patients felt that TB was a very serious disease; more than ½ of them expressed fear if they were diagnosed with TB but more than ½ of them also expressed rejection if they have a TB patient as a closed one.


2021 ◽  
Vol 3 (2) ◽  
pp. 17-35
Author(s):  
Simon Javed ◽  
Muhammad Hussain ◽  
Kausar Parveen ◽  
Muhammad Afzal

Purpose: Nursing is a profession who belong to care of community, a universal perception. Nurses job criteria belongs to many distractions and obstacles in performing their job. Interruption is considered to be part of workplace. The nursing profession responsibility and reliability are of high concerns because it deals with the life of human beings. Interruption at workplace compromises the patient safety. The study sought to explore the knowledge, attitude, and practices regarding nursing interruption among nurses. Methodology: Descriptive cross-sectional study design used. Questionnaire a tool used to collect data from tertiary care hospital (n=115). The tool contains a dimension of knowledge attitude and practice scoring of questionnaires as knowledge 50 score, attitude 45 and practice 28, respectively number questions each domains knowledge 10, attitude 9 and practice 7. Results: The KAP regarding interruption among Pakistani nurses score range (26-123). The means of knowledge attitude and practices respectively 31.2957 ± 7.21229, 33.1478 ± 5.68507, 19.5826 ± 3.86841. the collective mean and standard deviation of knowledge attitude and practice 84.0261 ± 16.76577. correlation statistically significant in KAP (p<0.05). Coefficient of correlation knowledge enhance practices. The combined KAP of respondents was 69%.  Unique contribution to theory, practice and policy: Knowledge attitude and practice prime parameters of confirming the quality of understanding and performance. Study concluded that nurses have moderate level of knowledge attitude and practice 69%. The knowledge and attitude positive coefficient correlation, enhance each other. Gender, increased academic qualification, attention of leader and experience correlation with KAP. Experience and age group 10-15 years possess a high degree of knowledge attitude and practice. There is a need for interruption management training moreover requiring leader attention. Basic understating about interruption on a clinical place not considerably efficient. The dependent variable causes a 20% variance in the criterion variable.  


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