ASSESSMENT OF PATIENT COUNSELLING IN DIABETIC AND HYPERTENSIVE PATIENTS IN TERMS OF PATIENT KNOWLEDGE ABOUT THEIR MEDICATION, DISEASE STATE AND LIFESTYLE MODIFICATIONS BY PHARMACY PERSONNEL AT LDF CLINIC IN MASERU
DOI:
https://doi.org/10.22159/ijpps.2018v10i3.24291Keywords:
Diabetes mellitus, Hypertension, Patient counselling, Medication knowledge, lifestyle modifications, Pharmacy personnelAbstract
Objective: To investigate if diabetic and hypertensive patients were being adequately counselled by pharmacy personnel about their medication, disease states and lifestyle modifications at Lesotho defence force (LDF) clinic in Maseru.
Methods: A cross-sectional study was conducted among diabetic and hypertensive patients treated at LDF clinic in Maseru from March to May 2017. A semi-structured questionnaire was used to collect data in a face-to-face interview with patients. Microsoft Excel 2010 was used to analyse collected data.
Results: The study population consisted of 222 participants; 22 (28.2%) of diabetic. respondents had inadequate knowledge of diabetes mellitus complications and 56 (71.8%) had no knowledge of complications. 153 (78.8%) of hypertensive respondents had inadequate knowledge of hypertension complications and 33 (17.1%) had no knowledge of complications. 56 (25.2%) had adequate knowledge of lifestyle modifications of diabetes mellitus and hypertension and 164 (73.9%) had inadequate knowledge. 182 (82.0%) had adequate knowledge of their anti-hypertensive and anti-diabetic medicines names, 20 (9.0%) had inadequate knowledge and 20 (9.0%) had no knowledge. 63 (28.4%) had adequate knowledge of their medicines strengths, 17 (7.7%) had inadequate knowledge and 142 (64.0%) had no knowledge. 199 (89.6%) respondents had adequate knowledge of dosing frequency and 20 (9.0%) had inadequate knowledge.
Conclusion: Hypertensive and diabetic patients' knowledge about medication, disease states and lifestyle modifications were inadequate due to poor patient counselling on such aspects by pharmacy personnel at LDF clinic in Maseru.
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References
World Health Organization. Non-communicable diseases fact sheet; 2015. http://www.who.int/mediacentre/factsheets/fs355/en/. [Last accessed on 11 Apr 2016].
World Health Organization. Non-communicable diseases (NCDs) country profile; 2014. http://www.who.int/nmh/ countries/lso_en.pdf. [Last accessed on 28 Feb 2017]
World Health Organization. Non-communicable diseases progress monitor; 2015. http://apps.who.int/iris/bitstream/ 10665/184688/1/9789241509459_eng.pdf. [Last accessed on 28 Feb 2017].
Renuga E, Ramakrishnan SR, Vanitha RN, Thennarasu P, Kannan G. Impact of continuous patient counselling on knowledge, attitude, and practices and medication adherence of diabetic patients attending outpatient pharmacy services. Asian J Pharm Clin Res 2016;9:364-9.
Obirikorang Y, Obirikorang C, Anto EO, Acheampong E, Batu EN, Stella AD, et al. Knowledge of complications of diabetes mellitus among patients visiting the diabetes clinic at Sampa Government Hospital, Ghana: a descriptive study. BMC Public Health 2016;16:637.
Adepu R, Madhu S. Influence of post-discharge counselling on health outcomes in diabetic and hypertensive patients. Asian J Pharm Clin Res 2011;4:28-33.
Naveen B, Mahaboojan M, Padmanabha YR, Narayana G. Impact of clinical pharmacist mediated patient counselling on health-related quality of life in hypertensive patients. Indian J Pharm Pract 2014;7:34-40.
Nnaemeka OR, Kingsley NC. Evaluation of patient’s anti-diabetic medication counselling provided in a tertiary health care setting Nigeria. Int Res J Pharm 2012;3:319-23.
Inamdar SZ, Kulkarni RV, Karajgi SR, Manvi FV, Ganachari MS, Mahendra Kumar BJ. Medication adherence in diabetes mellitus: an overview on pharmacist role. Am J Adv Drug Delivery 2013;1:238-50.
Hughes JD, Wibowo Y, Sunderland B, Hoti K. The role of the pharmacist in the management of type 2 diabetes: current insights and future directions. Int Pharm Res Pract J 2017;6:15-27.
Antoine SL, Pieper D, Mathes T, Eikermann M. Improving the adherence of type 2 diabetes mellitus patients with pharmacy care: a systematic review of the randomized rolled trial. BMC Endocr Disord 2014;14:53.
Bollu M, Nalluri KK, Prakash AS, Lohith MN, Venkataramarao N. Study of knowledge, attitude, and practice of general population of Guntur toward silent killer diseases: hypertension and diabetes. Asian J Pharm Clin Res 2015;8:74-8.
Akoko MB, Fon NP, Ngu CR, Ngu BK. Knowledge of hypertension and compliance with therapy among hypertensive patients in the Bamenda health district of Cameroon: a cross-sectional study. Cardiol Ther 2017;6:53–67.
American Heart Association. Understanding blood pressure readings; 2016. http://www.heart.org/HEARTORG/Conditions/ HighBloodPressure/KnowYourNumbers/Understanding-Blood-Pressure-Readings_UCM_301764_Article.jsp#.Wdtj6I-CzIU. [Last accessed on 09 Oct 2017]
Dekker MA, Amick EA, Scholcoff C, Doobay-Persaud A. A mixed-methods needs assessment of adult diabetes mellitus (type II) and hypertension care in Toledo, Belize. BMC Health Serv Res 2017;17:171.
Nepal C, Vyas P, Bhattarai R, Acharya B, Thapa K, Shrestha SJ, et al. Knowledge, attitude and practice of type 2 diabetic patients of selected outreach clinic, Dharan, Nepal. Al Ameen J Med Sci 2017;10:78-85.
The Global Diabetes Community. Blood sugar level ranges; 2017. http://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html. [Last accessed on 09 Oct 2017]
Almas A, Godil SS, Lalani S, Samani AZ, Khan HA. Good knowledge about hypertension is linked to better control of hypertension; a multicentre cross-sectional study in Karachi, Pakistan. BMC Res Notes 2012;5:579.
Familoni OB, Ogun AS, Aina OA. Knowledge and awareness of hypertension among patients with systemic hypertension. J Natl Med Assoc 2004;96:620-4.
Fairchild CP, Nathan GA, Quinn M, Huang SE, Laiteerapong N. Patients’ future expectations for diabetes and hypertension treatments: through the Diet… I think this is going to go away. J Gen Intern Med 2016;32:49–55.
Obirikorang Y, Obirikorang C, Anto OE, Acheampong E, Batu NE, Stella DA, et al. Knowledge of complications of diabetes mellitus among patients visiting the diabetes clinic at Sampa Government Hospital, Ghana: a descriptive study. BMC Public Health 2016;16:637.
Adepu R, Somashekar MA. Influence of structured patient education on therapeutic outcomes in diabetes and hypertensive patients. Asian J Pharm Clin Res 2010;3:174-8.
Abd El-Hay AS, El Mezayen ES. Knowledge and perceptions related to hypertension, lifestyle behaviour modifications and challenges that facing hypertensive patients. J Nurs Health Sci 2015;4:15-26.
Bollampally M, Chandershekhar P, Kumar KP, Surakasula A, Srikanth S, Reddy TRM. Assessment of patient’s knowledge, attitude and practice regarding hypertension. Int J Res Med Sci 2016;4:3299-304.
Manobharathi M, Kalyani P, John William Felix A, Arulmani A. Factors associated with therapeutic non-compliance among type 2 diabetes mellitus patients in Chidambaram, Tamilnadu, India. Int J Community Med Public Health 2017;4:787-91.