scholarly journals Study the clinical phamacist influence on medication adherence & quality of life of rural type-2 diabetes mellitus patients in a tertiary care hospital

2012 ◽  
Vol 3 (2) ◽  
pp. 170 ◽  
Author(s):  
KV Ramanath ◽  
M Bhanuprakash ◽  
CH Nagakishore ◽  
SMahesh Kumar ◽  
D.B.S.S Balaji
Author(s):  
Raghavendra N. ◽  
R. G. Viveki ◽  
Akash Gadgade

Background: ‘Quality of life’ (QOL) evaluation has emerged as an important outcome measure for chronic disease management. Type 2 diabetes mellitus (T2DM) has a number of chronic effects, including disability, cardiovascular disease, kidney disease, and blindness.Methods: A cross-sectional study was conducted in Non Communicable Disease (NCD) Clinic of tertiary care hospital Belagavi. The data was collected by interviewing 210 Type 2 DM patients, using a pre designed structured questionnaire. QOL was assessed by using World Health Organization Quality of life questionnaire – short version (WHOQOL-BREF).Results: Of the 210 study subject’s, majority of them were males. The mean and standard deviation scores for physical, psychological, social relationship and environmental domains were 62.36±15.09, 61.84±14.04, 54.92±18.27, 63.61±12.28 respectively. Overall 68.1% of them had good perceived QOL whereas measured QOL was good in only 48.6% of them. Per capita income was positively correlated whereas age and other continuous variables like blood pressure, random blood sugar etc. were negatively correlated with all the four domains of WHOQOL-BREF.Conclusions:More than half of the study participants (51.4%) had poor QOL. DM had significantly affected Hr-QOL especially the social relationship domain. Participants with older age, obesity, longer duration of DM had poor QOL.  


Author(s):  
PRUDENCE A. RODRIGUES ◽  
DAWN TESLIN DAMIEN ◽  
MARY CECIL K. T. ◽  
NARESH KUMAR M. ◽  
RESHMA S. S. ◽  
...  

Objective: The objective of this study is to evaluate prescribing pattern, analyze drug-related problems, identify co-morbidities and complications in Type 2 Diabetes Mellitus patients and also to perform cost analysis of Biguanides, Sulfonylureas, Dipeptidyl Peptidase Inhibitors Methods: A Prospective observational study was done in General Medicine and Endocrinology Departments of PSG Hospitals. A total of 200 study subjects, including both inpatients and outpatients, above 18 y of age, prescribed with OHAs (Biguanides, Sulfonylureas and DPP4 inhibitors) were included in the study. Results: Diabetes was more prevalent among males. OHAs were most prescribed in the age group of 51-60 y. Hypertension (71%) was the most common comorbidity and Diabetic neuropathy (23%) was the most common complication found in the patients. Multidrug therapy (72.5%) was most prescribed in diabetic patients, followed by Biguanides. Hypoglycemia was the most prevalent ADR. Cost analysis showed that T. Linagliptin was of high cost and T. Glimepiride being the low cost. Using WHO core indicators prescribing patterns were assessed. Feedback was collected and results were reported to the physicians which showed rational utilization of drugs. Conclusion: The study on drug utilization conducted in a tertiary care hospital helped us to find out that prescribing trends seems to be progressing towards combination therapy, predominantly two-drug therapy


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