Browsing by Author "Bhusal, Srijana"
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Publication Drug-drug Interactions between Hypoglycemic and Non-hypoglycemic Medication in Diabetic Patients with Comorbidities in a Tertiary Care Center: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Tuladhar, Lujaw Ratna; Shrestha, Shirish Lal; Bimali, Sneha; Bhusal, Srijana; Khadka, PingalaAbstract: Introduction: Drug-drug interaction is one of the causes of adverse drug reactions. Generally, drug-drug interaction is common in multidrug therapy. Diabetic patients, particularly due to associated comorbidities tend to have various drug-drug interactions due to the effect of multiple drugs. The objective of this study was to find out the prevalence of drug-drug interactions in diabetic patients. Methods: It was a descriptive cross-sectional study that was conducted among previously diagnosed diabetic patients visiting the outpatient department of medicine at a tertiary care hospital between March 2021 and August 2021. Ethical approval was taken from the institutional review committee (Ref no: 030-076/077). Data was collected from diabetic patients presenting to the outpatient department of medicine using a preformed self-constructed questionnaire. Convenient sampling was done. Statistical Package for Social Sciences version 21 and Microsoft Excel were used for data analysis. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Results: The prevalence of drug-drug interaction between hypoglycemic and non-hypoglycemic medication was 56 (44.1%) (35.5-52.7 at 95% Confidence Interval) of the patients out of which at least one drug-drug interaction was seen in 48 (37.8%) of the patients. Conclusions: Our study showed the prevalence of drug-drug interactions in diabetic patients to be higher than other studies done in similar settings. Based on the severity, we observed two types of drug-drug interactions; close monitoring drug-drug interactions and minor drug-drug interactions.Publication Maternal Satisfaction towards Spinal Anesthesia for Cesarean Section(Institute of Medicine, 2022) Thapa, Chitra; Gauchan, Sabin; Bimali, Sneha; Bhusal, SrijanaABSTRACT Introduction: Patient satisfaction has become an important parameter to assess an overall quality of health care. We conducted this study to evaluate the level of maternal satisfaction with our anesthetic technique and to identify factors that compromise maternal satisfaction. Methods: A descriptive cross-sectional study was conducted in two hundred patients who underwent cesarean section under spinal anesthesia after receiving ethical approval from the Institutional Review Committee. Preset questionnaires were asked in a face-to-face interview within 6 to 24 hours of cesarean section. Descriptive statistics was used to show frequency distribution and percentage of variables. Results: The overall satisfaction level was 99%, with the lowest satisfaction level reported for pain therapy (88.5%). Subscale-wise, 90.5% of the patients were satisfied with the preoperative assessment and evaluation, 95% of the patients were satisfied with the intraoperative care and attention they received from their anesthetist, 97% of the patients were satisfied with their relationship with the anesthetist. More than 97% of the patients were satisfied with the level of care they received from their anesthetist. Conclusion: In general, the overall maternal satisfaction towards spinal anesthesia was high in our population. To further increase our patient satisfaction we need to extend our services to the postoperative period as well. Keywords: Cesarean section, maternal satisfaction, spinal anesthesia