越南门诊护理中的抗高血压药物相关问题
Hoang Hai Nguyen1, Le Anh Thu Vu2, Minh-Hoang Tran3,4
1Department of Cardiology, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam.
Scientific reports
|January 27, 2025
概括
添加更多的抗高血压药物并没有增加越南患者的药物相关问题 (aDRP). 医生接受纠正aDRP与不必要的指示或药物相互作用等问题有关,改善高血压治疗.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 公共卫生 公共卫生
背景情况:
- 与抗高血压药物相关的问题 (aDRP) 的证据在亚洲的门诊护理环境中有限.
- 在没有警报疲劳的情况下检测aDRP对于优化高血压管理至关重要.
- 调查添加抗高血压剂对aDRP风险的影响至关重要.
研究的目的:
- 为了确定是否添加更多的抗高血压药物增加越南门诊护理中的aDRP风险.
- 确定与医生接受aDRP纠正相关的因素.
- 改善高血压患者的aDRP检测和治疗结果.
主要方法:
- 对越南高血压患者的门诊处方的横截面研究.
- 标准治疗 (SdT,≤2种药物) 和标准加补充治疗 (SdT+补充,>2种药物) 的比较.
- 多变量波桑回归用于分析aDRP和校正比率的数量.
主要成果:
- 在SdT和SdT+附加组之间的aDRP数量没有显著差异 (IRR=1.11,p=0.393).
- 两组之间DRP调整的可能性没有显著差异 (IRR=0.97,p=0.578).
- 与DRP纠正相关的因素包括不必要的/缺失的指示,药物相互作用,不良反应,不符合性和管理问题.
结论:
- 添加抗高血压剂不会增加aDRP的数量或纠正的可能性.
- 医生接受aDRP纠正与特定问题类型密切相关,包括指示和药物相互作用问题.
- 这些发现可以为更好的DRP警报提供信息,并提高亚洲人群的高血压治疗结果.
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