Original Research

Knowledge and Attitude Towards Decompensated Liver Disease Patients Assessment Amongst Health Care Providers of a Tertiary Care Hospital- A Cross Sectional Study

Bilal Saeed
Combined Military Hospital Peshawar
Arshad Hayat
Combined Military Hospital Peshawar
Asma Asghar
Combined Military Hospital Peshawar
Usama Ashfaq
Combined Military Hospital Peshawar
Wasif Anwar
Combined Military Hospital Peshawar
Sana Izhar
Combined Military Hospital Peshawar

✉ Correspondence: Bilal Saeed Email: ayubian2019@gmail.com

DOI https://doi.org/10.70302/jpsim.v5i3.2449
Volume: 5, Issue 3 Pages: 605–608 Published: 30 Aug 2024
Received: 04 Mar 2024 Accepted: 07 Aug 2024 Published Online: 30 Aug 2024

Abstract

Objective

To assess the knowledge and attitude of healthcare workers towards assessment of decompensated liver disease patients.

Methods

This cross-sectional observational study was conducted in the Department of Gastroenterology, Combined Military Hospital Peshawar from September 2023 to November 2023. Non-probability consecutive sampling technique was used and included. All the patient’s fulfilling inclusion and exclusion criteria were observed during the study period. A preformed excel sheet was used to collect data including age, gender, education level, occupation, duration of illness, duration of treatment, etiology, medications. Patients of both genders from ages 18-84 years with known decompensated chronic liver disease admitted indoor or visited outpatient department during the study period. Frequency and percentages were calculated for quantitative variables and mean ± SD. P-value of < 0.05 was considered statistically significant.

Results

Mean age of the patients was 53.16 (± 12.70) years. Out of 95 patients, 30 (32.70%) were females while 65 (67.30%) were males. Mean duration of Chronic Liver Disease was 5.15 (± 1.85) months. Child Pugh scoring was performed for 26 (27.40%) patients only. 29(90%) of the doctors had knowledge of assessing DCLD patients by using Child Pugh score, 5(15%) were used to calculate CPT score while assessing DCLD patients. Regarding medication, 78% were prescribing inappropriate drugs without any assessment and indications of drugs i.e. rifixamine, beta blockers, proton pump inhibitors, lactulose, antibiotics, ulsanic acid, furosemide, and spironolactone. Frequency of more than 5 drugs prescription was 80%.

Conclusion

Careful assessment and managing decompensated liver disease patients not only slows down the disease progression but can also decrease morbidity and mortality related to decompensated liver disease.

Keywords
Attitude knowledge liver disease health care workers

How to Cite This Article

Saeed B, Hayat A, Asghar A, Ashfaq U, Anwar W, Izhar S. Knowledge and Attitude Towards Decompensated Liver Disease Patients Assessment Amongst Health Care Providers of a Tertiary Care Hospital- A Cross Sectional Study. J Pak Soc Intern Med. 2024;5(3):605–608. doi:10.70302/jpsim.v5i3.2449

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

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Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2024 Journal of Pakistan Society of Internal Medicine.
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