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Clinical Pharmacist and Patient Counselling on Health Related Quality of Life in Hypertensive Patients

Author: 
Laigy Ann George
Subject Area: 
Health Sciences
Abstract: 

Hypertension is a major risk factor to many diseases like myocardial infarction, stroke, heart failure, renal failure, and retinopathy which is a leading cause of death. This study aims to provide patient counseling regarding risk factors, life style modifications and pharmacological therapy by orally and through patient information leaflet which will improves knowledge, attitude, practice(KAP) and Health related quality of life in hypertension. At baseline there was no significant difference between the mean blood pressure, HRQoL score and KAP of the test and control groups At final follow up test group patients had significantly (p=0.021) higher QoL scores than at baseline. Patient in the test group had very significant improvement in the KAP score. At the end of the study the patients in the test group had better blood pressure control values and better scores in all six subscales of the SF-36v health survey questionnaire. These patients also showed improved KAP scores at the final follow up. Our study concludes that clinical pharmacist can play an important role in improving the treatment outcomes and quality of life of patients with hypertension. Only two-thirds of patients with hypertension are aware of their status, which means that a large segment of the population has hypertension that is unrecognized and untreated. Regarding risk factors, life style modifications, pharmacological therapy & medication adherence in hypertension which in turn improves HRQoL. The pharmacist is in an ideal position to assist with patient education and monitoring to improve medication and life style adherence. Poor medication adherence and lack of knowledge and awareness on hypertension are the major reasons for poor BP control which is largely related to deterioration in a patient's quality of life. Patient counseling is an essential component of clinical pharmacy practice in hospitals and in community pharmacy settings. Counselling enhances the patient understanding of their illness and its treatment, and may improve adherence and therapeutic outcome. It allows pharmacists to gain firsthand knowledge of medication use from patient's perspective. The treatment of hypertension is usually long term, and its success will depend on the effects of the drug regimen on the patient's quality of life.

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