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J Am Pharm Assoc (2003). 2012 Jul-Aug;52(4):515-8, 1 p following 518. doi: 10.1331/JAPhA.2012.11015.

Pharmaceutical care program for elderly patients with uncontrolled hypertension.

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  • 1College of Pharmacy, Federal University of Sergipe, Brazil.

Abstract

OBJECTIVE:

To evaluate the effect of a pilot pharmaceutical care program developed for elderly patients with uncontrolled hypertension.

METHODS:

Nonrandomized single intervention pre/posttest blood pressure study in a community pharmacy in Aracaju, Brazil. This study enrolled elderly patients diagnosed with essential hypertension and uncontrolled blood pressure. Monthly visits were scheduled during a 10-month period. Pharmaceutical interventions were focused on health education and monitoring of drug-related problems. Primary outcomes included target blood pressure control, reduction in blood pressure, pulse pressure, medication adherence, and reduction of anthropometric indices.

RESULTS:

35 of 51 patients completed the study. After 10 months of intervention, 57.2% of elderly patients achieved blood pressure control (P = 0.000) and the mean reduction was 26.6 mm Hg (P < 0.0001) for systolic blood pressure, 10.4 mm Hg (P < 0.0001) for diastolic blood pressure, and 15.7 mm Hg (P < 0.0001) for pulse pressure. Medication adherence also improved (P = 0.0000); however, anthropometric indices remained unchanged.

CONCLUSION:

The pharmaceutical care program improved outcomes by reducing and controlling blood pressure and improving medication adherence among elderly patients with uncontrolled hypertension.

PMID:
22825232
[PubMed - indexed for MEDLINE]
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