Upadhyay, Dinesh Kumar
(2013)
Impact Assessment Of Pharmaceutical Care Intervention On
Newly Diagnosed Diabetes Mellitus Patients In A Tertiary
Care Hospital Of A Sub Metropolitan City Of Western Nepal.
PhD thesis, Universiti Sains Malaysia.
Abstract
Poor socioeconomic status and lack of knowledge regarding disease are the major
hurdles to be addressed in management of the disease. Therefore, a randomised control
trial (RCT) study was conducted in five phases with the objectives of evaluating the
impact of pharmaceutical care intervention on knowledge, attitude and practice (KAP),
health-related quality of life (HRQoL), medication adherence and clinical outcomes,
direct healthcare costs and satisfaction of newly diagnosed diabetes mellitus patients in a
tertiary care hospital. A sample size of 162 patients was selected over 6-months duration
(from July 2010 to December 2010) and randomization was done by 1:1:1 in three
parallel groups: control group (n= 54), test 1 group (n= 54) and Test 2 group (n= 54).
Interventions were carried out with the used of specially designed educational materials
and tools. Descriptive and inferential statistics were performed in each part of the study.
Appropriate non-parametric tests such as Kruskal-Wallis, Mann-Whitney U, Friedman
and Wilcoxon signed rank tests (p≤0.05) have been used to find out the differences
while Spearman order correlation test (p≤0.05) was used to find out the association
among different dependent and independent variables. Patients’ age, monthly income,
gender, education and occupation were significantly associated with their knowledge,
attitude and practice scores about diabetes and its management.
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