To Evaluate the Effectiveness of Patient Education on Clinical Outcome in Hospitalized Diabetic patients by Clinical Pharmacist.

Abstract

The prevalence of the diabetes is increasing particularly in developing countries. Diabetes is a chronic illness that requires continuous medical care and patient education in order to prevent microvascular and macrovascular complications. Diabetes education is the cornerstone of diabetes care. Patients need education about diet, exercise, weight control, blood glucose monitoring, use of medications and adherence, foot and eye care. The objective of the study is to evaluate the effectiveness of patient education on clinical outcome of hospitalized diabetic patients and to assess the baseline knowledge of the patient towards diet, lifestyle modification, disease, medication and medication adherence. A hospital based prospective study conducted at Inpatient Department of Medicine. The result shown that baseline knowledge of the patient towards diet, disease and medication adherence was found to be very low. The lab parameters were observed at baseline and further for two fallow ups, that shows statistically significant improvement from baseline to first and second follow up. The positive improvement in lab parameter as HbA1c, FBS, PPBS, blood pressure (clinical outcome), due to an improvement in patient’s knowledge, dietary modification, lifestyle changes, understanding of disease, medication and improved medication adherence after providing patient education. The study further suggest, patient education by care providers is essential to encourage the patients for regular physical activity, improve dietary habits, to increase medication knowledge and adherence, which helps for improving clinical outcome in diabetic patients as well as other chronic diseases. Key Words: Patient education, Clinical outcome, lab parameters, medication adherence, lifestyle modification.