A Prospectivestudy on Assessment of Acceptance and Functional Capacity of Chronic Kidney Disease Patients in Tertiary Care Hospital

Chronic kidney disease (CKD) is a type of kidney disease in which there is gradual loss of kidney function over a period of months or years.As there is a continuous rapid rise in the prevalence of various chronic diseases due to poor knowledge and adherence to management, there is a need to improve knowledge to improve quality life and preserve functioning and slow down the process rapid progression into end stage and thus prevent complications. Objectives: (1) To assess and evaluate acceptance of patients regarding their condition in various stages of CKD by Illness Cognition Questionnaire (ICQ). (2) To evaluate the self-sufficiency and functional capacity of CKD patients by Karnofsky Performance Status (KPS). Method: A prospective, observational study was conducted on patients in both inpatient and outpatient Department of Nephrology Sagar Hospitals, Bengaluru for a period of 6months. A total of 100 were patients were enrolled based on inclusion criteria, their demographic details such as age, gender and creatinine levels were collected and interviewed to score the ICQ and KPS questionnaires. Patients were followed up and re-interviewed after a time interval of 2months after giving patient counseling regarding management and maintenance of the disease and re-scored for ICQ. Results: A total of 100 patients were included in the study based on the inclusion and exclusion that were assessed for functioning capacity by Karnofsky Performance Status Scale questionnaire, it had 3 main categories with sub scoring under each category. Patient distribution in Category A (30%), Category B (54%) and Category C (16%). The total study population was interviewed and pre scores of helplessness, acceptance and perceived benefits for ICQ were given before counseling. Out of the total study population 64 patients were again scored after counseling to obtain post scores. Acceptance and perceived benefits was found to have a significant increase in patients before and after counseling (A: P=?0.0001) and (PB: P=?0.0001), but no significant difference was seen in helplessness among the patients (H: P=0.2671). Conclusion: This study concluded that impact of pharmacist interventions by means of patient counseling improved the quality of life in CKD patients.