Role of Counselling to Improve Compliance in the Management of Type 2 Diabetic Mellitus, an Experience of 61 Cases at Tertiary Care Facility Hyderabad Sindh

Abstract

Objective: To assess role of counselling to improve compliance in management of T2 Diabetic Mellitus patients.

Study Design: Cross sectional study.

Place and Duration of Study: This study was conducted at the Department of Medicine, Isra University Hospital Hyderabad from January 2018 to September 2018.

Materials and Methods: Sample size was 61 cases, informed consent was obtained from all patients enrolled, proforma was designed and filled for each patient. Data was analyzed on SPSS version 21, Chi – square test was applied for statistical significance.

Results: In our study gender distribution of patients in the study population, males 27 (44.24%) and females 34 (55.71%), the commonest age group 50 – 59 years, males 12 (19.67), females 20 (32.78%), rural 44(72.12%) urban 17 (27.86%). Out of 61 patients 5 lost follow up, one death due to fatal complication of DM and 55 were followed up. Out of 55patients40 (72.72%) improved compliance after counselling male 21 (38.18%) and female 19(34.54. %) respectively, mean of HbA1c was8.1 +.2.Out of 55 patients 15 (27.27%) did not improve in compliance after counselling, male 5 (9,09%) and female 10 (18.18%), mean of HbA1c was 11.4 + .3. Chi – square value was significant (p-value <0.05)

Conclusion: There is significant improvement in compliance level after counselling in T2DM patients. Health care providers, pharmacists and other professionals should play their role to improve the patient’s knowledge of disease and treatment of T2DM.