多学科高血压诊所的治疗和准则遵守:一项前性观察性研究
Julie Hias1, Lise Defieuw2, Thomas Vanassche3
1Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium; Hospital Pharmacy Department, University Hospitals Leuven, Leuven, Belgium.
Vascular pharmacology
|December 30, 2023
概括
一个高血压诊所的访问改善了医生遵守指导方针. 药剂师的参与可能会进一步提高患者的坚持和治疗成功,以更好地控制血压.
科学领域:
- 心脏病学 心脏病学
- 临床药房 临床药房
- 公共卫生 公共卫生
背景情况:
- 高血压是一种普遍的疾病,对心血管疾病发病率和死亡率有重大贡献.
- 尽管有可用的治疗方法,但低于最佳的血压控制仍然是一个常见的挑战.
- 专门的高血压诊所提供了改善治疗结果的潜在策略.
研究的目的:
- 评估患者对抗高血压药物治疗的坚持.
- 评估处方者是否遵守高血压指南.
- 描述药剂师在高血压诊所环境中的干预.
主要方法:
- 在一个学术医院的高血压诊所进行了一项前性观察研究.
- 收集的数据包括患者人口统计学,药物使用,坚持 (BAASIS工具) 和遵守指南 (2018年ESC指南) 的数据.
- 药剂师的干预和建议也被记录下来.
主要成果:
- 包括108名患者;44.2%的人表现出不坚持抗高血压治疗.
- 78.8%的患者血压控制低于最佳水平.
- 处方指南的遵守率从临床后咨询的66.3%增加到77.9% (p=0.0015).
结论:
- 多学科的高血压诊所访问提高了处方方针的遵守和单片药物的组合使用.
- 临床药剂师的参与有望改善患者的坚持和指导方针的遵守.
- 通过专门诊所和药剂师合作,优化高血压管理至关重要.
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