Abstract

IMPACT OF PATIENT COUNSELLING AND EFFECT OF PHARMACIST INTERVENTION IN BRONCHIAL HYPER-RESPONSIVE (BHR) PATIENTS USING KNOWLEDGE, ATTITUDE AND PRACTICE (KAP) QUESTIONNAIRE

Joise Anna Issac*, Sharayne B. Lukose, Ananthakrishnan V. R., Basavaraj K. Nanjwade

ABSTRACT

Aim: To evaluate the impact of patient counselling and effect of pharmacist intervention in bronchial hyper-responsive (BHR) patients using KAP (Knowledge, Attitude and Practice) questionnaire. Objective: To evaluate the impact of patient counselling in bronchial hyper-responsive (BHR) patients using KAP questionnaire and to analyze the prescription pattern. Methodology: The prospective, observational and interventional study was carried out for a period of 6 months among inpatients in the General Medicine Department. A total of 140 cases were collected in which patients of both the sex and of above 18 years without co-morbidities were included. Patients who are below 18 years and patients with co-morbid conditions were excluded from the study. All the necessary and relevant data were obtained from the medical records of the patient which mainly included age of the patient, reason for admission, past medical and medication history, social history, relevant laboratory reports, progress sheets, discharge summary, nurse’s records, prescription, doctor’s order and baseline knowledge of the patient of illness was assessed by KAP questionnaire. Results: In the study period of six months, 140 asthma cases were collected. Of these, 95 were males and 45 females. The highest frequency of asthma disease occurrence was in the age group of 31-50 years i.e. 37.8%. Among the study population 37.8% were smokers, 35% were non-smokers and 27.1% were ex-smokers. We found that 29.3% (41) patients suffered from mild persistent asthma while 27.85% (39) patients suffered from moderate persistent asthma while 21.42% with exacerbations, 15.71% with severe persistent asthma and only 5.72% had intermittent asthma. The baseline knowledge, attitude and practice was assessed using interventional questionnaire to both the groups and then only the study group was given counselling and found to be statistically significant. Conclusion: The study concluded that there was an improvement in patient knowledge, attitude and practice assessment of their illness due to pharmacist intervention through patient counselling. It was observed that Xanthine derivatives were the most frequently prescribed among anti-asthmatic drugs. Inhalations and injections were preferred over oral dosage forms.

Keywords: BHR (Bronchial hyper-responsive), KAP (Knowledge, attitude and practice), patient counselling, prescription pattern.