Impact of Pharmacist Intervention on Improving Knowledge, Attitude and Practice among Hypothyroid Patients

A. Yadav, Sunita Gupta, R. Piryani
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Abstract

BACKGROUND Hypothyroidism causes considerable morbidity. Lack of awareness can lead to poor disease management. This study aimed to investigate the effect of pharmacist-provided counselling in terms of knowledge, attitude, and practice outcomes in hypothyroid patients. METHODS This was a prospective interventional study conducted in a tertiary care hospital of Nepal from September 2019 to February 2020. Based on the inclusion and exclusion criteria, a total of 94 hypothyroid patients were enrolled in this study. Simple Random sampling technique was used. The study population was divided into a test group and control group. The knowledge, attitude, and practice of patients regarding hypothyroidism were assessed and recorded at baseline using questionnaire and counselling was done. After one-month follow-up patients were again assessed using same questionnaire. Data was analyzed using Statistical Package for the Social Sciences version 25. RESULTS The mean knowledge, attitude, and practice scores before intervention of the test group were 6.16±2.14, 18.90±2.29 and 4.53±1.12 respectively, and these scores were changed to 12.48±1.53, 22.04±0.92 and 6.00±0.00 respectively, after the intervention (p < 0.05). Likewise, the mean knowledge, attitude, and practice scores of the control group at baseline were 8.90 ± 3.69, 18.85 ± 2.01 and 4.71 ± 1.29 respectively, and after one-month follow-up the mean scores were changed to 7.88 ± 0.77, 11.50 ± 1.59 and 4.40 ± 0.76 respectively. CONCLUSION The pharmacist-provided counselling is useful in enhancing the knowledge, attitude, and practice of hypothyroid patients.
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药师干预对改善甲状腺功能减退患者知识、态度和行为的影响
背景:甲状腺功能减退症的发病率很高。缺乏认识可能导致疾病管理不善。本研究旨在探讨药师提供的咨询对甲状腺功能减退患者的知识、态度和实践结果的影响。方法本研究是2019年9月至2020年2月在尼泊尔一家三级医院进行的前瞻性介入研究。根据纳入和排除标准,本研究共纳入94例甲状腺功能减退患者。采用简单随机抽样技术。研究人群分为试验组和对照组。通过问卷调查和咨询,评估和记录患者关于甲状腺功能减退的知识、态度和行为。随访1个月后,再次使用相同的问卷对患者进行评估。数据分析使用统计软件包的社会科学版本25。结果实验组干预前知识、态度、实践得分均值分别为6.16±2.14、18.90±2.29和4.53±1.12,干预后分别为12.48±1.53、22.04±0.92和6.00±0.00,差异有统计学意义(p < 0.05)。对照组的知识、态度和实践得分在基线时分别为8.90±3.69分、18.85±2.01分和4.71±1.29分,随访1个月后分别为7.88±0.77分、11.50±1.59分和4.40±0.76分。结论药师辅导有助于提高对甲状腺功能减退患者的认识、态度和行为。
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