Blood pressure control in hypertensive patients: impact of an Blood pressure control in hypertensive patients: impact of an.
Loading...
Date
2014-09
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Hypertension is poorly managed in Egypt due to low rates of awareness about the disease. The aim of this study
was to describe the role of the pharmacist as a health care provider and the implementation of a pharmaceutical
care model to improve medications adherence, BP control, knowledge and quality of life (QOL) in a sample of
Egyptian patients suffering from hypertension. A total of 280 hypertensive adults, whether their BP was
controlled or not, were enrolled in the study and randomly classified into either control group (CG) or
intervention group (IG); both received the usual hospital care and kept on their antihypertensive. Patients in the
IG, beside the usual hospital care, received a pharmaceutical care program described in the methods. All patients
visited the clinic monthly up to three months for check and evaluation. Significant improvements were observed
in the studied parameters for the IG compared with the CG, at the end of the study, although there was no
significant difference (P > 0.05) between them in demographics and characteristics at the baseline. At the end of
the study, a significant lower SBP (-8.2 mmHg, P = 0.003) and DBP (-5.4 mmHg, P = 0.001) levels were
observed in the IG with significantly higher BP control (P=0.018). Also, medication adherence was significantly
higher (P = 0.002) in the IG (27.2%, 52.8%, 20.0% vs 48.6%, 33.6%, 17.8% for low, intermediate and high
adherence, respectively). Similarly, patients’ knowledge, attitude and practice were significantly improved (P =
0.001) in IG ((20.5+1.8), (4.7+1.0), (4.7+1.0), respectively) vs ((13.7+7.2), (3.8+1.8), (2.9+2.0), respectively) for
the CG. While end of study QOL for the IG, increased significantly compared with the CG (P = 0.001, 0.001,
0.020, 0.010 and 0.016 for patients’ rate of QOL, enjoy, energy, sleep and access to health system, respectively),
most of QOL dimensions were decreased significantly from their baseline in the CG. Conclusion: Pharmacist
intervention can significantly improve BP control, medication adherence, patients’ knowledge, attitude, practice
and QOL in hypertensive Egyptian patients treated with antihypertensive agents.
Description
Keywords
Hypertension, Blood Pressure Control, Medication, adherence, Pharmaceutical care, Pharmacist intervention, Egypt
Citation
Ebid Abdel-Hameed I, Ali Zina T, Ghobary Mohamed A F. Blood pressure control in hypertensive patients: impact of an Blood pressure control in hypertensive patients: impact of an. Journal of Applied Pharmaceutical Science. 2014 Sept; 4(9): 93-101.