A non-clinical randomised controlled trial to assess the impact of pharmaceutical care intervention on satisfaction level of newly diagnosed diabetes mellitus patients in a tertiary care teaching hospital in Nepal
Open Access
- 12 February 2015
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Health Services Research
- Vol. 15 (1), 57
- https://doi.org/10.1186/s12913-015-0715-5
Abstract
Patient satisfaction is the ultimate goal of healthcare system which can be achieved from good patient-healthcare professional relationship and quality of healthcare services provided. Study was conducted to determine the baseline satisfaction level of newly diagnosed diabetics and to explore the impact of pharmaceutical care intervention on patients’ satisfaction during their follow-ups in a tertiary care teaching hospital in Nepal. An interventional, pre-post non-clinical randomised controlled study was designed among randomly distributed 162 [control group (n = 54), test 1 group (n = 54) and test 2 group (n = 54)] newly diagnosed diabetes mellitus patients by consecutive sampling method for 18 months. Diabetes Patient Satisfaction Questionnaire was used to evaluate patient’s satisfaction scores at baseline, three, six, nine and, twelve months’ follow-ups. Test groups patients were provided pharmaceutical care whereas control group patients only received their usual care from physician/nurses. The responses were entered in SPSS version 16. Data distribution was not normal on Kolmogorov-Smirnov test. Non-parametric tests i.e. Friedman test, Mann-Whitney U test and Wilcoxon signed rank test were used to find the differences among the groups before and after the intervention (p ≤0.05). There were significant (p < 0.001) improvements in patients’ satisfaction scores in the test groups on Friedman test. Mann-Whitney U test identified the significant differences in satisfaction scores between test 1 and test 2 groups, control and test 1 groups and, control and test 2 groups at 3-months (p = 0.008), (p < 0.001) and (p < 0.001), 6-months (p = 0.010), (p < 0.001) and (p < 0.001), 9-months (p < 0.001), (p < 0.001) and (p < 0.001) and, 12-months (p < 0.001), (p < 0.001) and (p < 0.001) follow-ups respectively. Pharmaceutical care intervention significantly improved the satisfaction level of diabetics in the test groups compare to the control group. Diabetic kit demonstration strengthened the satisfaction level among the test 2 group patients. Therefore, pharmacist can act as a counsellor through pharmaceutical care program and assist the patients in managing their disease. This will not only modify the patients’ related outcomes and their level of satisfaction but also improve the healthcare system.This publication has 22 references indexed in Scilit:
- Patients’ satisfaction with diabetes medications in one hospital, Saudi ArabiaPatient Preference and Adherence, 2012
- What elements of the patient–pharmacist relationship are associated with patient satisfaction?Patient Preference and Adherence, 2012
- Patient satisfaction with pharmaceutical care delivery in community pharmaciesPatient Preference and Adherence, 2012
- Zimbabwean diabetics' beliefs about health and illness: an interview studyBMC International Health and Human Rights, 2010
- Effect of a Pharmaceutical Care Program on quality of life and satisfaction with pharmacy services in patients with type 2 diabetes mellitusBrazilian Journal of Pharmaceutical Sciences, 2009
- Questionnaire to assess patient satisfaction with pharmaceutical care in Spanish languageInternational Journal for Quality in Health Care, 2007
- Outcomes of pharmaceutical care intervention to hypertensive patients in a Nigerian community pharmacyInternational Journal of Pharmacy Practice, 2006
- A randomised controlled trial of a pharmaceutical care programme in high-risk diabetic patients in an outpatient clinicInternational Journal of Pharmacy Practice, 2002
- Investigation of Patients’ Demand for Community Pharmacies:YAKUGAKU ZASSHI, 2001
- Patients' Satisfaction of Health Care Services Provided at Out Patient Department of Dhaka Medical College HospitalIbrahim Medical College Journal, 1970