Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
Int. j. cardiovasc. sci. (Impr.)
;
35(3): 318-326, May-June 2022. tab, graf
Article
in English
| LILACS
| ID: biblio-1375642
ABSTRACT
Abstract Background:
Uncontrolled blood pressure has been associated with poor adherence to drug treatment.Objectives:
To assess blood pressure control in hypertensive patients attending primary health centers after implementation of a pharmaceutical follow-up program in a city of the north of Brazil.Methods:
Observational, cross sectional, descriptive study with 163 hypertensive patients attending public primary health care centers - one located on the riverside and one in the urban area of the city of Santarem, western Pará, Brazil. Adherence to the anti-hypertensive treatment was assessed using the eight-item Morisky test. Pharmacotherapy follow-up (Dader method) of patients with uncontrolled hypertension and non-adherent to anti-hypertensive treatment was performed. Results of the normality test showed that the data did not follow a normal distribution. Continuous variables were then compared using the Wilcoxon signed-rank test, and categorical variables by the likelihood ratio and the McNemar tests. Statistical significance was set at 5%.Results:
Of the total sample, 94.5% were not adherent to anti-hypertensive drug therapy and 77.2% had uncontrolled hypertension. Adherence rate was higher in men than women (p=0.006). Pharmacotherapy follow-up improved blood pressure levels, particularly systolic blood pressure (p<0.001).Conclusion:
An individualized pharmacotherapeutic follow-up, considering regional and cultural specificities, can contribute to the treatment of hypertensin in the primary care.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pharmacists
/
Pharmaceutical Services
/
Primary Health Care
/
Medication Adherence
/
Hypertension
Type of study:
Observational study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Int. j. cardiovasc. sci. (Impr.)
Journal subject:
Cardiology
Year:
2022
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal de Mato Grosso/BR
/
Universidade Federal do Oeste do Pará/BR
/
Universidade Municipal de São Caetano do Sul/BR
/
Universidade de São Paulo/BR
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