Managing gestational diabetes: the role of patient counselling

Background: Unmanaged gestational diabetes mellitus (GDM) increases the risk of neonatal and fetal complications and the risk of congenital malformations. Apart from the medications used, non-pharmacological agents such as diet modification, exercise, and patient education can improve the quality of life in GDM patients. The present study was aimed to evaluate the role of patient counselling in the management of GDM in patents.Methods: Unmanaged gestational diabetes mellitus (GDM) increases the risk of neonatal and fetal complications and the risk of congenital malformations. Apart from the medications used, non-pharmacological agents such as diet modification, exercise, and patient education can improve the quality of life in GDM patients. The present study was aimed to evaluate the role of patient counseling in the management of GDM in patents.Results: The result showed that there is a slight increase in the QOL of test population with GDM. i.e., there is no significant progression in the disease condition. The result showed that each domain, physical, psychological, social and environmental conditions were improved a lot when compared with the control group.Conclusions: Results suggests a positive impact of patient counseling on the management of GDM in patients.

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A PROSPECTIVE STUDY ON IMPACT OF PATIENT COUNSELLING ON QUALITY OF LIFE AND MEDICATION ADHERENCE IN EPILEPTIC PATIENTS

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i1.13106 ◽

2016 ◽

Vol 10 (1) ◽

pp. 67

Author(s):

Sathesh Kumar Sukumaran ◽

Ayswarya P

Keyword(s):

Quality Of Life ◽

Medication Adherence ◽

Patient Counseling ◽

Chi Square ◽

Patient Counselling ◽

T Score ◽

Epileptic Patients ◽

A Prospective Study ◽

The Impact

ABSTRACTObjective: To study the impact of patient counseling on medication adherence and quality of life (QOL) in epileptic patients and to assess the factorsaffecting medication adherence.Methods: This study is a prospective observational study involving 100 patients with an age limit of 8-60 years and those taking Antiepilepticdrugs for at least 3 months. The study population received patient counseling during their first visit. The impact of patient counseling on QOL andmedication adherence was assessed using self-reported questionnaire QOLIE-31 and MMAS-8 between the first visit and the second visit. Statisticalanalysis (Paired t-test and Paired Chi-square test) was performed to analyze the impact of patient counseling on QOL and medication adherence inepileptic patients.Results: A total of 100 patients were included in the study. After providing patient counseling, it was observed that there was a statistically significant(p<0.05) improvement in all domains of QOLIE-31 and MMAS-8 scores. Before counseling, mean overall T-score of QOLIE-31 was 44.08±2.07whichwas changed to 49.14±1.27 after patient counseling with a mean change of 5.06 in overall T-score. In the case of medication adherence, beforecounseling 77% subjects were nonadherent to therapy, after counseling it was reduced to 41%. The common reasons for medication adherence wereforgetfulness, unawareness, therapy related, and economics related. Out of which forgetfulness along with unawareness was the major one.Conclusion: The study described that patient counseling plays a major role in improving QOL and medication adherence.Keywords: QOLIE-31, MMAS-8, Epilepsy, Antiepileptic drugs, Patient counseling.

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A prospective study on assessment of risk factors and impact of patient counselling in health-related quality of life of patients with coronary artery diseases

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20205124 ◽

2020 ◽

Vol 9 (12) ◽

pp. 1866

Author(s):

Neenu Babu ◽

Shamna C. ◽

Sreelakshmi V. S. ◽

Philip John Sebastian ◽

Prasobh G. R. ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Health Related Quality ◽

Patient Counseling ◽

Lifestyle Modifications ◽

Patient Counselling ◽

Before And After ◽

Related Quality ◽

Health Related

Background: Cardiovascular disease is the most frequent cause of morbidity and mortality throughout the world. The aim of the study was to determine assessment of risk factors and impact of patient counseling in health-related quality of life of the patient.Method: This was a prospective observational study conducted in the department of cardiology. A suitably designed standard SF-36 questionnaire was given to all patients enrolled in the study before and after counseling. All information relevant to the study were collected in suitably designed proforma from case records and discussions conducted with the patients and bystanders during ward rounds. Proper counseling was given to patients and bystanders and the score was analyzed using SAS descriptive analysis.Result: The most common risk factors encountered in the study are diabetes mellitus, hypertension, dyslipidemia, irregular exercise, smoking, alcoholism, obesity and family history. The health-related quality of life of the patients were assessed, a total of 67 patients QOL was improved after counseling and 27 patients with no improvement. We found that patient counseling was effective for majority of patients.Conclusions: We can conclude that the role of clinical pharmacist has a significant role in improving the health-related quality of life of patients through proper counseling. And more than half of the patients have a modifiable risk factor which can be managed through lifestyle modifications.

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A study to evaluate the impact of patient counselling on the quality of life of female patients with recurrent urinary tract infection

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20205125 ◽

2020 ◽

Vol 9 (12) ◽

pp. 1871

Author(s):

Syama Gopinath ◽

Anju P. C. ◽

I. John Wesley ◽

Prasobh G. R.

Keyword(s):

Quality Of Life ◽

Urinary Tract ◽

Patient Counseling ◽

Lifestyle Modifications ◽

Patient Counselling ◽

Female Patients ◽

Recurrent Uti ◽

Tract Infections ◽

The Impact

Background: Recurrence of urinary tract infections (UTI) are either due to re infection or relapse. Overall likelihood of developing UTI is approximately 30 times higher in women than men due to their anatomical peculiarities and are normally treated with antibiotics. To evaluate effectiveness of patient counselling in prevention of recurrent UTI in female patients to reduce the risk of developing Antibiotic resistance and assess the quality of life of patients.Methods: A prospective observational study was carried out for a period of 6 months and samples were taken from the urology department of cosmopolitan hospital, Trivandrum, Kerala. Patient counseling was given regarding the disease, drugs and lifestyle modifications. A suitably validated KAP questionnaire was provided to each patient at their visits. By using an EQ-5D-5L questionnaire the quality of life of patients were assessed and analyzed.Results: 84 patients were analyzed. After the counseling knowledge level significantly improved to good from 6.9% to 72.4%, the positive attitude level was improved from 35.6 to 57.5% and the practice level was improved to good from 25.3 to 43.7%. The QOL improved to best from 1.2 to 71.4%. After counseling incidence rate was decreased to zero. The mostly observed risk factor was decreased water intake (69%). The common age group observed was 31-50 (41.7%).Conclusions: Patient counseling had an important impact on medication adherence and QOL of female patients with recurrent UTI. Effective patient counseling and better compliance decreased the incidence of recurrence and improved the quality of life of patients.

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