EFFECT OF CLINICAL PHARMACY SERVICES ON PATIENTS WITH ESSENTIAL HYPERTENSION
EFFECT OF CLINICAL PHARMACY SERVICES ON PATIENTS WITH ESSENTIAL HYPERTENSION
复制标题
DOI：
10.1161/01.cir.48.5.1104
复制
发表时间：
1973-01-01
期刊：
影响因子：
37.8
通讯作者：
BARR, M
中科院分区：
文献类型：
--
作者：
MCKENNEY, JM;SLINING, JM;BARR, M
对药剂师为 25 名原发性高血压研究患者提供的临床服务的效果进行了评估，并与 25 名未接受这些服务的对照高血压患者的疗程进行了比较。结果显示，研究患者对高血压及其治疗的了解显着提高（P<0.001），遵守处方治疗的研究患者数量显着增加（P<0.001），研究期间血压保持在正常范围内的研究患者数量显着增加（P<0.001）。这些研究患者中的大多数以前患有高血压且不依从，并且在研究期结束后恢复到这种状态。 25 名对照患者在研究之前、期间和之后患有高血压且不依从。在研究患者中发现了 59 起疑似抗高血压药物不良反应事件，在那些不依从、高血压或服用逐渐大量抗高血压药物的患者中发生的频率更高。患者接受这项服务，并在 92% 的情况下与药剂师调查员保持预约。讨论了可能有助于治疗成功的所提供的服务。结论是药房临床服务是有益的，药剂师应该更多地参与高血压患者的长期护理。
The effect of clinical services provided by a pharmacist to 25 study patients with essential hypertension was evaluated and compared to the course followed by 25 control hypertensive patients not receiving these services. Results show a significant improvement (P< 0.001) in the study patients' knowledge of hypertension and its treatment, a significant increase (P< 0.001) in the number of study patients who complied with prescribed therapy, and a significant increase (P< 0.001) in the number of study patients whose blood pressures were kept within the normal range during the study period. Most of these study patients had been hypertensive and noncompliant before, and they reverted to this status after the study period. The 25 control patients were hypertensive and noncompliant before, during, and after the study period. Fifty-nine incidents of suspected adverse reactions to antihypertensive drugs were identified in the study patients, occurring more frequently in those patients who were noncompliant, hypertensive, or taking progressively larger numbers of antihypertensive drugs. Patients were receptive to this service and kept appointments with the pharmacist investigator 92% of the time. The services provided which may have contributed to the success of treatment are discussed. It is concluded that pharmacy clinical services are beneficial and that pharmacists should become more involved in the long term care given hypertensive patients.