Impact of Clinical Pharmacists Mediated Counselling on the Glycemic levels of Diabetic Foot Patients: A Prospective Observational Study

Abstract

Introduction: Diabetic foot is one of the most devasting and lethal complications of diabetes mellitus wherein clinical pharmacists play a huge impact in improving the glycemic level and thus improving the quality of life of these patients.

Objectives: To assess the Impact of Clinical Pharmacist-mediated counseling on HbA1C, Knowledge, Attitude, Practice (KAP), Quality of Life (QOL) and Hospital Anxiety Depression Scale (HADS).

Methods: A baseline comparison study was conducted on 360 diabetic foot subjects in a tertiary care teaching hospital to evaluate the effect of above-mentioned intervention by clinical pharmacist over a period of 1 year. Subjects were counseled and the data were obtained at baseline (visit 0) and follow-up after 3 months (visit 1). KAP, QOL and HADS were assessed by KAP questionnaire, The Diabetic Foot Ulcer Scale- short form and Hospital Anxiety Depression Scale respectively. Along with that HbA1C was also assessed pre and post-impact.

Results: A total of 348 subjects completed the study follow-up. Pre & post KAP, QOL, HADS scores were improved significantly from baseline to follow-up. Thus, HbA1C was also improved.

Conclusions: This study presents that clinical pharmacist plays a pivotal role in improving the patient's condition with diabetic foot in terms of KAP, QOL, HADS as well as HbA1C levels.