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Pharmacist-Directed Self-Management of Blood Pressure Versus Conventional Management in Patients with Hypertension: A

Sajad Khiali1, Naser Khezerlo-Aghdam2, Hossein Namdar2

  • 1Department of Clinical Pharmacy, Drug Applied Research Center, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.

High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension
|March 25, 2021
PubMed

Insights

Pharmacist-directed home blood pressure monitoring (HBPM) and usual care showed no significant difference in decreasing blood pressure. Both methods effectively lowered systolic and diastolic blood pressure in patients with uncontrolled hypertension.

Area of Science:

  • Cardiology
  • Clinical Pharmacy
  • Hypertension Management

Background:

  • Pharmacist-led health services are crucial for effective hypertension management.
  • Home blood pressure monitoring (HBPM) is a key component in controlling blood pressure.

Purpose of the Study:

  • To compare the efficacy of pharmacist-directed home blood pressure monitoring (HBPM) against usual care in patients with uncontrolled hypertension.
  • To evaluate blood pressure changes over a six-month period in both intervention and control groups.

Main Methods:

  • A randomized controlled trial involving 126 patients with uncontrolled blood pressure.
  • Patients were randomized 1:1 to either pharmacist-directed HBPM or usual care.
  • The intervention group received training on BP measurement and medication adjustment under pharmacist supervision.

Main Results:

  • Both groups showed significant reductions in systolic and diastolic blood pressure by month one, with no significant difference between them.
  • This trend of similar blood pressure reduction continued through the six-month study period.
  • At six months, both groups achieved comparable blood pressure levels, indicating similar effectiveness.

Conclusions:

  • Pharmacist-directed HBPM did not demonstrate a significant advantage over usual care in reducing blood pressure in this patient cohort.
  • Both intervention and usual care strategies were effective in managing hypertension.
  • Further research may explore long-term outcomes or specific patient subgroups.
Abstract

Keywords:
Blood pressureBlood pressure controlHome blood pressure monitoringHypertensionPharmacist-directed health service

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