Impact of Clinical Pharmacist Initiated Patient Counseling in Patients with Metabolic Syndrome in a Tertiary Care Hospital

The contribution of present study was to draw attention to the effects of patient counseling on quality of life (QOL), to improve prevention and treatment strategies for metabolic syndrome. A prospective interventional study with 6 month duration was carried out in inpatient and outpatient of General medicine I department at KIMS AL SHIFA Super Speciality Hospital. A total of 90 patients with a diagnosis of metabolic syndrome, under the age of greater than 18 yrs old meeting up inclusion and exclusion criteria were included for the study. The patient demographics as well as laboratory parameters like Age, Sex, Occupation, BMI, Waist Hip Ratio, Place, Social Habit, Type of food, Number of meals, Food restriction, FBS, PP, HbA1C, Lipid profile, Uric acid, TSH, BP etc. were collected. The collected data were analyzed using statistical package for social science (SPSS) version 20.0. Among 90 patients, 61 were male and 29 were female and majority falls between the age group of 40-50. 41.1% of the study population were overweight, 35.6% were falls into obese category. Most of the patients in our study were nonalcoholic (81.1%) and nonsmokers (67.8%) this may be attributed to higher prevalence of Muslim community in the local region. Most of the study population was following mixed diet (47%) and non vegetarians were least (37.8%). All the laboratory parameters in phase I as (DBP, SBP, FBS, PPBS, HbA1C, TG, TC, HDL, LDL, TSH, uric acid) were compared with the results of phase II and we found that there is a control in the condition. The study provided a complete evaluation, categorization and analysis of metabolic syndrome in the dept. of General medicine -I. High risk metabolic syndrome patients had abnormal laboratory values namely FBS, TC, BP, LDL levels. Abnormal central obesity was found to influence FBS and BP values. Therefore maintenance of healthy weight through proper diet, excises is importance for preventing metabolic syndrome. The key strength of this study was patient counseling which improves the patient understanding about the illness, medication, diet, exercise, lifestyle modification.