阿拉巴马州佩里县农村药剂师主导的心血管风险降低诊所的有效性

International Journal of Chronic Diseases Pub Date : 2016-01-01 Epub Date: 2016-07-25 DOI:10.1155/2016/4304761
Pilar Z Murphy, Charles Sands, Frances Ford
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引用次数: 3

摘要

背景。阿拉巴马州佩里县的心血管风险降低诊所(CRRC)提供由药剂师主导的免费服务。临床目标包括改善健康结果和减少心血管危险因素。目标。调查CRRC在阿拉巴马州佩里县农村地区的有效性。降低可改变的心血管危险因素,血压和体重指数,评估从基线到最后一次门诊日期的降低。方法。本回顾性图表回顾确定了130例患者,从基线到2010年6月30日至少有两次血压和BMI测量。患者的纸质档案用于收集基线数据和最近的测量数据,这些数据记录在数据收集表上。结果。收缩压降低4.08 mmHg,舒张压降低3.25 mmHg,平均BMI降低0.42 kg/m(2)。在2010年6月30日前的最后一次访问中,59%的高血压患者和35%的糖尿病患者达到了他们的血压目标。结论。药师主导的心血管危险因素患者管理显著降低血压,使更多患者达到高血压治疗目标。尽管幅度不大,但血压和身体质量指数的降低有助于降低整体心血管风险。
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Effectiveness of a Pharmacist-Led Cardiovascular Risk Reduction Clinic in Rural Perry County, Alabama.

Background. The Cardiovascular Risk Reduction Clinic (CRRC) in Perry County, Alabama, provides free pharmacist-led services. Clinic goals include improving health outcomes and reducing cardiovascular risk factors. Objective. To investigate the effectiveness of the CRRC in rural Perry County, Alabama. The reduction of the modifiable cardiovascular risk factors, blood pressure and body mass index, was evaluated to measure a decrease from baseline to last clinic date. Methods. This retrospective chart review identified 130 patients with at least two blood pressure and BMI measurements from baseline to June 30, 2010. The patients' paper files were used to collect baseline data and most recent measurements, which were recorded on a data collection sheet. Results. There was a statistically significant reduction in systolic blood pressure of 4.08 mmHg, 3.25 mmHg reduction in diastolic blood pressure, and 0.42 kg/m(2) reduction in mean BMI. At their last visit prior to June 30, 2010, 59% of hypertensive patients and 35% of diabetic patients were meeting their blood pressure goals. Conclusion. Pharmacist-led management of patients with cardiovascular risk factors significantly reduced blood pressure and allowed more patients to meet their hypertension treatment goals. Despite being modest, reductions in blood pressure and BMI help reduce overall cardiovascular risks.

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审稿时长
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