Abstract

“ASSESMENT OF HEALTH-RELATED QUALITY OF LIFE AND MEDICATION ADHERENCE AMONG DIABETIC FOOT ULCER PATIENT’S IN TERITARY TRAUMA CARE CENTRE USING SF-36 QUESTIONNAIRE”

Dr. Nitya N.*, Dr. Elavarasi B., Preethi R.

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Abstract

Background: Diabetic foot ulcer (DFU) severely impacts physical and emotional well-being, with poor medication adherence contributing to delayed recovery. Objective: To evaluate the effect of pharmacist-led counseling on medication adherence and health-related quality of life (HRQoL) among DFU patients. Methods: A prospective observational study was conducted on 100 DFU patients, divided into a Counseled Group (CG) and a Standard Care Group (SCG). Adherence was assessed using the MMAS-8 and pill-count methods, while HRQoL was evaluated using the SF-36 questionnaire at baseline and after six months. Results: The CG showed a marked improvement in adherence (26% → 60%) and reduced non-adherence (46% → 12%), while the SCG showed minimal change. SF-36 scores were higher in adherent patients, particularly in physical and emotional domains. Conclusion: Pharmacist counseling significantly improved adherence and quality of life, underscoring its importance in DFU management.

Keywords: Diabetic foot ulcer (DFU), health related quality of life(HRQOL), SF-36 (Short form -36)