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医生-药剂师协作药物治疗管理在儿科高血压
Bryan J Donald1, Terry D King2, Brandon L Phillips2
1School of Clinical Sciences (BJD), University of Louisiana Monroe College of Pharmacy, Monroe, LA.
概括
在儿科高血压护理中,医生和药剂师的合作改善了血压控制和预约遵守. 这种协作药物治疗管理 (CDTM) 方法显示出对患有高血压的儿童有更好的结果的希望.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 儿科高血压影响到美国2%至5%的儿童和青少年,往往治疗不足.
- 患病率增加和医生短缺使治疗复杂化.
- 医生和药剂师的合作改善了成人高血压的结果.
研究的目的:
- 评估小儿高血压协作药物治疗管理 (CDTM) 的有效性.
- 评估医生和药剂师的合作是否能改善儿童的血压控制.
主要方法:
- 在一个儿科心脏病诊所进行的回顾性研究,将CDTM (2020-2021) 与传统护理 (2018-2019) 进行比较.
- 主要结局:目标血压在3,6,12个月,以及控制时间.
- 二次结果:任命的坚持和不良事件.
主要成果:
- 54%的CDTM患者在12个月内达到目标血压,而在传统护理中为36% (OR,2.09).
- 在CDTM组中,不遵守预约的比例较低 (9.4%对16%).
- 不良事件在各组之间是相似的.
结论:
- 在儿科患者中,CDTM显著提高了达到目标血压的比率.
- 医生和药剂师的合作是改善儿科高血压管理的可行策略.
- 在没有增加安全问题的情况下,CDTM提供了更好的结果.
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