加强药房服务对高血压患者遵守药物的影响
Paloma Garcia1, Ashwini Zolekar1, Andrew Donnelly1
1Department of Pharmacy Practice, University of Illinois Chicago College of Pharmacy, Chicago, IL, USA.
概括
UI TEAM RX计划显著改善了接受宁-血管素系统抗剂 (RASA) 的高血压患者的药物坚持. 这种药房护理模式也显示出更好的血压控制的积极趋势.
科学领域:
- 药物经济学 药物经济学
- 医疗保健服务研究 医疗服务研究
- 心脏病学 心脏病学
背景情况:
- 高血压管理需要始终坚持药物治疗,以获得最佳的患者结果.
- 基于药房的增强服务模式旨在改善患者护理和药物服药.
- 素-血管素系统抗剂 (RASA) 通常用于高血压.
研究的目的:
- 为了评估UI TEAM RX计划的影响,基于药房的增强护理模型.
- 为了评估UI TEAM RX对高血压患者药物坚持的影响,他们开了RASA.
主要方法:
- 一个回顾性,观察性队列研究在一个学术卫生系统.
- 在UI TEAM RX计划 (干预) 中的患者与未注册患者 (控制) 的患者的比较.
- 根据索引日期,年龄,性别和种族匹配的队列;主要结果:覆盖日数比例 (PDC) 的六个月平均变化.
主要成果:
- UI TEAM RX干预组在6个月的随访后显示了平均PDC的统计学上显著改善 (P < 0.01).
- 更高比例的干预患者实现了PDC高于0.8,尽管在统计学上并不显著.
- 在干预组中,患者达到血压目标的比例增加了16.4%,但这在统计学上并不显著.
结论:
- UI TEAM RX 计划证明了对高血压患者的药物坚持 (PDC) 具有统计学意义的积极影响.
- 该计划显示了改善血压控制的趋势,需要进一步调查.
相关概念视频
01:23Hypertension V: Nursing Management
12
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
12
01:28Drug Therapy
73
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
73
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
17
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
17
01:25Errors occurring during blood pressure monitoring
773
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
773
01:26Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
465
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
465
01:15Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
92
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
92