Determining the Impact of Clinical Pharmacist-Provided Patient Education on Quality of Life (QOL) Outcome in Type II Diabetes Mellitus in Rural Population | Chapter 10 | Challenges and Advances in Pharmaceutical Research Vol. 7

 Background: Throughout the world one of the major causes of complex problems and impairments is diabetes mellitus. In order to maintain the glycemic level good knowledge is therefore normally highly important. Diabetes management is an essential component that has a direct impact on a patient's quality of life.

The primary goal of the study is to determine how patient education delivered by clinical pharmacists affects quality-of-life results.

Methodology: In a tertiary care hospital's general medicine division a prospective randomised control trial was carried out. Based on inclusion and exclusion criteria patients were enrolled and randomised into control and intervention groups. From the baseline a total of three follow-ups were conducted. Both groups received questionnaires and blood glucose readings at each check-up. At each stage of the intervention provide the intervention group a patient information leaflet (PIL) and at the final follow-up give the control group formal counselling. Observations and Discussion One hundred thirteen patients in all were enrolled. In comparison to the control group there was a statistically significant improvement in the intervention group's QOL KAP and adherence scores (P value 0.05). A Significant change in blood glucose levels was observed in the intervention group but not in the control group. The study's findings suggest that pharmacists are crucial in helping patients learn how to maintain their quality of life.

Author(s) Details:

K. V. Ramanath
Department of Pharmacy Practice SAC College of Pharmacy B.G.Nagara India and Suryadatta college of Pharmacy healthcare & Research (SCPHR) Pune Maharastra India.

Y. L. Santhosh
Department of Pharmacy Practice SAC College of Pharmacy B.G.Nagara India and Suryadatta college of Pharmacy healthcare & Research (SCPHR) Pune Maharastra India.

Please see the link here: https://stm.bookpi.org/CAPR-V7/article/view/8373

Quality of Life (QOL) among Stroke Patients | Chapter 11 | Current Topics in Medicine and Medical Research Vol.3

 

Background: Stoke is a long-term condition. It is known as the most common cause of disability
among adults. The measurement of Health-Related Quality of Life (HRQOL) is important to
understand the actual status of the patients. Our aim was to assess HRQOL among stroke patients.
Materials and Methods: A cross-sectional study was applied to 65 strokes outpatients. Assessment
of QOL was done by the use of Barthel index, SF36, and Stroke Specific Quality of Life (SSQOL)
questionairs by personal interview.
Results: Our patients had low mean scores in all SF36 domains, the lowest was for RE with 3.46 ±
9.1 and GH was the best mean (51.7 ± 12.99). As regards SSQOL, patients had low mean scores on
the lowest subscale in productivity (6.72 ± 3.21), whereas the language was the least affected (15.86
± 6.26). There was a significant difference between the means of PCS and SSQOL in post-stroke
duration which was significantly higher in >24 months (37.21± 8.59 and p = 0.007and 141.57 ± 36.12
and p = 0.052 respectively) than in the shorter durations. The independent patients had significantly
higher PCS and SSQOL mean scores than who need assistance and immobile ones (26.79 ± 5.09
and p< 0.0001 and 101.93 ± 22.16 and p< 0.0001 respectively). Age and mobility were significantly
negative correlated with PCS, SSQOL, and Barthel scores while there was a significant positive
correlation between ULVC and LLVC testing grades and PCS, MCS, SSQOL and Barthel index
scores. In the linear regression model, duration, mobility and voluntary control of lower limbs were
predictors for PCS of SF-36 (p = 0.045, 0.000 and 0.036 respectively). There were no significant
predictors on MCS. On the other hand Mobility and voluntary control of lower limbs were significant
predictors for SSQOL (p = 0.001 and 0.051 respectively).
Conclusion: Stroke patient had poor QOL. A need for post-stroke care programs for improving the
physical, mental and social quality of life for those patients is mandatory.

Author(s) Details

Dr. Samar H. Goma
Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut University Hospital, Egypt.

Dr. Safaa A. Mahran

Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut University Hospital, Egypt.

Prof. Dalia G. Mahran
Department of Public Health and Community Medicine, Assiut University Hospital, Assiut, Egypt.

Dr. Eman H. El-Hakeim
Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut University Hospital, Egypt

Dr. Abeer M. Ghandour
Department of Rheumatology, Rehabilitation, and Physical Medicine, Assiut University Hospital, Egypt.

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