药学服务干预对中国原发性高血压患者血压和药物依从性的影响

Jinping Wang, Jianlong Wu, Junfen Yang, Yi Zhuang, Jialin Chen, W. Qian, Jie Tian, Xiaoyan Chen, Dingping She, Fei Peng
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引用次数: 14

摘要

本研究的目的是评估药学服务干预对中国原发性高血压患者血压和药物依从性的影响。共有60名原发性高血压患者参加了为期12个月的试验。参与者按1:1的比例随机分为对照组和干预组。随访期间,对照组患者接受常规医疗护理,干预组患者接受药学护理。收集基线人口统计数据、药物清单、药物依从性测量和血压值。统计学分析采用t检验或χ2检验。随访12个月后,干预组患者24小时血压分别下降9.75 mmHg(7.1%)和5.88 mmHg(6.6%),差异有统计学意义(p 0.05)。干预组患者在12个月时的高依从性比例较高(72.41%),而对照组在用药依从性方面几乎没有变化。综上所述,药学服务干预可能有助于更好地控制血压,并提高患者的用药依从性。
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Effects of pharmaceutical care interventions on blood pressure and medication adherence of patients with primary hypertension in China
The objective of this study was to assess the effects of pharmaceutical care interventions on blood pressure (BP) and medication adherence of patients with primary hypertension in China. A total of 60 patients with primary hypertension were enrolled in the trial for a 12-month period. Participants were randomized to either control group or intervention group in a 1:1 ratio. During the follow-up period, patients in the control group were given regular medi-care, while patients in the intervention group accepted pharmaceutical care. The dates of baseline demographics, medication lists, measurement of medication adherence, and BP values were collected. Statistical analyses were conducted using t-test or χ2 test. After 12 months follow-up, 24-h BP was significantly decreased by 9.75 mmHg (7.1%) for systolic blood pressure (SBP) and 5.88 mmHg (6.6%) for diastolic blood pressure (DBP) in the intervention group (p < 0.05) compared with their initial visit, while there was no significant change in the control group (p > 0.05). The intervention group demonstrated a higher percentage of patients with high adherence (72.41%) at 12 months, whereas the control group hardly had changes in medication compliance. In conclusion, the results indicate that pharmaceutical care intervention might contribute to better BP control of primary hypertension, and could enhance medication compliance of patients.
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