孟加拉国和巴基斯坦社区药房健康促进计划对高血压的有效性:集群随机对照试验的研究协议

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Md Mizanur Rahman¹, Ryota Nakamura^1,2, Md Monirul Islam^3,4

¹Research Center for Health Policy and Economics, Hitotsubashi University, Tokyo 186-8601, Japan.

Healthcare (Basel, Switzerland)

|July 26, 2024

概括

这项研究评估了在孟加拉国和巴基斯坦的高血压管理中以药房为基础的健康促进. 干预措施包括教育和咨询,旨在降低血压 (BP) 并改善患者的治疗结果.

科学领域:

公共卫生公共卫生
心血管疾病研究研究
医疗保健服务研究医疗服务研究

背景情况:

高血压是一个重大的全球健康挑战,需要有效的基于社区的管理策略.
社区药房为卫生干预提供了可访问的点,特别是在资源较少的环境中.
优化高血压控制需要多方面的方法,包括患者教育和护理协调.

研究的目的:

评估一项为期12个月的,以药房为基础的健康促进计划在孟加拉国和巴基斯坦高血压患者中降低血压 (BP) 的有效性.
评估该计划对二次结果的影响,包括血压控制,治疗坚持,生活质量和健康利用.
确定干预措施改善与健康相关的生活质量的成本效益.

主要方法:

一个多国,集群随机试验,涉及孟加拉国和巴基斯坦的社区药房.
两个并行臂与1:1分配比;干预组接受教育培训,咨询和护理协调.
主要结局:血压变化 (BP). 二次结果:血压控制,坚持,生活质量,死亡率,住院,成本效益,生活方式因素和吸烟状况.

主要成果:

该研究旨在测量血压的变化作为主要结果.
二次结果分析将包括治疗坚持度的改善,生活质量和减少住院病例.
成本效益将根据每增加的质量调整寿命年增加成本来评估.

结论:

基于药房的健康促进有可能改善社区环境中的高血压管理.
该干预旨在提供可扩展和可访问的战略,以减少高血压的负担.
调查结果将为公共卫生政策和临床实践提供有关心血管疾病预防和控制的信息.

关键词:

南亚亚洲南亚亚洲社区药房社区药房经济效益性经济效益性控制高血压控制高血压协议协议协议协议协议

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