|Asha Sara Stephen, Kshama Indoria, Venkateswara Rao S and Rama P
|Posters: J Pharmacovigilance
|Management of renal disease may include pharmacotherapy, dialysis, lifestyle modifications, organ transplants and
immunosuppressive therapy. Lack of adherence and proper perception towards prescribed renal failure treatment is
a major contributor to poor outcome. This prospective, open labelled, interventional study, which included 60 patients on
hemodialysis was conducted with an objective to evaluate the degree of adherence, perception towards various treatment
recommendations and to study the effect of patient counselling in improving adherence among patients on hemodialysis. In
this study patient perception and adherence towards treatment was assessed using the ESRD-AQ (End Stage Renal Disease-
Adherence Questionnaire) scored questionnaire, where subjects were evaluated before and after counselling with a follow up
period of forty five days and their response was scored. The scored response from 58 subjects who completed the study were
assessed which indicated better patient perception towards dialysis and lesser towards mediation diet and fluid. Adherence
towards dialysis scored high followed by mediations and diet recommendations while fluid restriction was identified to be least
followed by the patients. Upon completion of patient counselling, improvement was observed in perception and adherence
towards diet and medication. The data analyzed for other parameters were not statistically significant but clinically comparable.
The common reason cited by study subjects for non-compliance was forgetfulness (17. 24%). From this study it can be concluded
that patient counselling has a positive impact clinically on patient?s perception and adherence.
|Asha Sara Stephen is currently pursuing Doctor of Pharmacy Program (PharmD) Internship in PSG College of Pharmacy, affiliated to Dr. MGR Medical University
Chennai, Tamil Nadu. She has published one article in an international journal. She has attended many national and international conferences and has presented
a poster in a national level symposium.
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