通过药剂师高血压认证计划提高高血压检测和控制:一个集群随机试验 (RxPATH研究)
Kaitlyn E Watson1, Jonathan C H Chan1, Bo Pan1
1EPICORE Centre, Department of Medicine, University of Alberta, Edmonton, Alberta.
概括
完成加拿大高血压专业认证计划 (HC-PCP) 的药剂师显著降低了患者的缩血压4.76 mmHg. 这项在线教育计划显示了改善高血压管理和公共卫生结果的潜力.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 药房教育 教育 药房教育
背景情况:
- 高血压仍然是一个重要的公共卫生问题,需要有效的管理策略.
- 初级保健提供者在高血压控制中发挥着至关重要的作用.
- 针对医疗保健专业人员的教育计划可以提高患者的护理和结果.
研究的目的:
- 评估加拿大高血压专业认证计划 (HC-PCP) 对控制不良的高血压患者静脉血压 (BP) 的影响.
- 评估药剂师在线教育干预措施在改善高血压管理方面的有效性.
主要方法:
- 一个阶段子集群随机试验进行,药房作为随机化单位.
- 药剂师完成了HC-PCP在线教育计划,基于加拿大高血压2020年指南.
- 患有不受控制的高血压 (血压>140/90 mmHg或糖尿病>130/80 mmHg) 的患者被参与药剂师招募并管理.
主要成果:
- HC-PCP干预与3个月内静脉血压显著降低4.76 mmHg (95% CI,2.02-7.50;p < 0.0001) 相关.
- 这项研究共招募了来自59家药房的890名患者.
- 患者对药剂师提供的护理的满意度很高,咨询满意度问卷得分为75.9/90.
结论:
- 药剂师的在线教育计划HC-PCP有效地降低了控制不良的高血压患者的缩血压.
- 这种干预对公共卫生有重大影响,有可能减少心血管和脏疾病的发生率.
- 在患者护理层面评估教育计划为其现实世界的有效性提供了宝贵的见解.
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