Improving blood pressure control in a pharmacist-managed hypertension clinic
Improving blood pressure control in a pharmacist-managed hypertension clinic
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DOI：
10.1592/phco.22.17.1533.34127
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发表时间：
2002-12-01
期刊：
影响因子：
4.1
通讯作者：
Vivian, EM
中科院分区：
文献类型：
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作者：
Vivian, EM
Objective.为了确定由药剂师管理的高血压诊所提供的药学服务是否比由初级保健医生提供的传统医疗服务更好地治疗结果。前瞻性对照研究。设置。宾夕法尼亚州费城退伍军人事务医疗中心。患者。56例原发性高血压患者; 27例被随机分配到干预组，29例被随机分配到对照组。干预组的患者每月安排与临床药师会面，药师根据高血压检测、评估和治疗联合国家委员会（JNC VI）第六次报告中的高血压指南，对处方药物进行适当变更，调整剂量并提供药物咨询。对照组患者接受医生的标准护理。研究时间为6个月。测量和主要结果。治疗结果通过依从性、血压和患者满意度的变化来衡量。健康调查简表-36和患者满意度调查用于测量患者满意度的变化，依从性评价调查用于测量依从性。干预组中有21名（81%）患者在研究结束时达到了血压低于140/90 mm Hg的目标，而对照组中只有8名（30%）患者达到了血压低于140/90 mm Hg的目标（p
Objective. To determine whether pharmaceutical care provided by a pharmacist-managed hypertension clinic results in better treatment outcomes when compared with traditional health care from a primary care physician.Design. Prospective, controlled study.Setting. Veterans Affairs Medical Center Philadelphia, Pennsylvania.Patients. Fifty six patients with essential hypertension; 27 were randomly assigned to the intervention group and 29 to the control group.Intervention. Patients in the intervention group were scheduled monthly to meet with a clinical pharmacist who made appropriate changes in prescribed drugs, adjusted dosages, and provided drug counseling in accordance with the hypertension guidelines in the sixth report of the joint National Committee on the Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI). Patients in the control group received standard care from their physicians. The study period was 6 months.Measurements and Main Results. Treatment outcomes were measured by changes in compliance, blood pressure, and patient satisfaction. The Short Form-36 health survey and a patient satisfaction survey were used to measure changes in patient satisfaction, and a compliance evaluation survey measured compliance. Twenty-one (81%) patients in the intervention group attained their blood pressure goal of below 140/90 mm Hg at the completion of the study versus only eight (30%) in the control group (p