Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
Int. j. cardiovasc. sci. (Impr.)
; 35(3): 318-326, May-June 2022. tab, graf
Article
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| LILACS
| ID: biblio-1375642
Bibliothèque responsable:
BR1.1
ABSTRACT
Abstract Background:
Uncontrolled blood pressure has been associated with poor adherence to drug treatment.Objectives:
To assess blood pressure control in hypertensive patients attending primary health centers after implementation of a pharmaceutical follow-up program in a city of the north of Brazil.Methods:
Observational, cross sectional, descriptive study with 163 hypertensive patients attending public primary health care centers - one located on the riverside and one in the urban area of the city of Santarem, western Pará, Brazil. Adherence to the anti-hypertensive treatment was assessed using the eight-item Morisky test. Pharmacotherapy follow-up (Dader method) of patients with uncontrolled hypertension and non-adherent to anti-hypertensive treatment was performed. Results of the normality test showed that the data did not follow a normal distribution. Continuous variables were then compared using the Wilcoxon signed-rank test, and categorical variables by the likelihood ratio and the McNemar tests. Statistical significance was set at 5%.Results:
Of the total sample, 94.5% were not adherent to anti-hypertensive drug therapy and 77.2% had uncontrolled hypertension. Adherence rate was higher in men than women (p=0.006). Pharmacotherapy follow-up improved blood pressure levels, particularly systolic blood pressure (p<0.001).Conclusion:
An individualized pharmacotherapeutic follow-up, considering regional and cultural specificities, can contribute to the treatment of hypertensin in the primary care.Mots clés
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Pharmaciens
/
Services pharmaceutiques
/
Soins de santé primaires
/
Adhésion au traitement médicamenteux
/
Hypertension artérielle
Type d'étude:
Observational_studies
/
Risk_factors_studies
Limites du sujet:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Pays comme sujet:
America do sul
/
Brasil
langue:
En
Texte intégral:
Int. j. cardiovasc. sci. (Impr.)
Thème du journal:
CARDIOLOGIA
Année:
2022
Type:
Article