Objective: To assess the knowledge with a diabetic foot ulcer, to evaluate the severity and grade of diabetic foot ulcer, to study the self-care behaviour and medication adherence in a patient with diabetic foot ulcer and to counsel the patients. Methods:The KAP, self-care foot behaviour and MMAS-8 questionnaire were given during interview; severity using Wagner's scale was assessed. Knowledge, attitude, self-care foot practice and adherence was measured based on various parameters such as demographic factors, clinical characteristics, and medication taking characteristics. It was measured before and after the patient counselling to see improvement in the quality of life. Results:In the study period of 6 mo 111 cases were gathered. There were 74 (66%) patients who were illiterate; the patients with low economic status were 63 (56%). Patients who are illiterate have poor knowledge and poor self-care behaviour, in our study 74 (66%) are illiterate which improved after counselling and 59 patients with high knowledge. Medication adherence is also associated with the education of the patient. After counselling and providing knowledge most of the patients are having high KAP scores. Wagner's scale for the study of the severity shows that most of the patients 30 out of 111 are having Grade 4 of the score which shows the need of counselling and education towards foot care. Improvement in the self-care practice and on safety and prevention was seen after counselling. Conclusion:Knowledge, attitude, self-care practice and adherence of the patient can be improved by establishing a good patient-provider relationship and giving proper patient counselling to the patient or their relatives.
Objectives: To assess knowledge attitude and practice regarding hypertension and secondary objective was to improve the health related quality of life by means of patient counselling. Methods: It was a prospective interventional study which was carried out for six months. Patient's demographic details like were collected in a pre-designed data entry form. KAP questionnaire was used to assess patient's knowledge, attitude and practice components before and after giving counselling session. SPSS18.0 was the statistical software used to analyses the data. Results: In a total of 120 male patients were (51.7%) and belong to the age group of 41-60 years. In this study, the pre-counselling KAP was assessed in which 30(25%), 60(50%) and 69(57.5%) patients had good score of knowledge, attitude and practice of Hypertension whereas the post counselling KAP showed that 103(85.83%), 116(96.66%) and 117(97.5%) score respectively. It shows that the patient counselling has a great impact on quality of life. Conclusion: It has been observed that hypertension affects the health of patients and education has a major role in improving the health care outcomes. This study concluded that before giving counselling session participants had inadequate information regarding complications of disease which led to worsening of health conditions. After giving intervention these patients showed marked improvement in quality of life.
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