Evaluation of hypertensive patients after care provided by community pharmacists in a rural setting.
Annual meeting of the American College of Clinical Pharmacy. St Louis, USA, 1994/08/02.
We evaluated blood pressure control, quality of life, quality of care, and satisfaction of patients who were monitored by specially trained community pharmacists in a group medical practice.
After participating in an intensive skill development program, pharmacists performed in an interdisciplinary team in a rural clinic.
The primary objective was assessed by evaluating outcome variables at 6 months compared with baseline in 25 patients randomly assigned to a study group.
A control group of 26 patients was also evaluated to determine if outcome variables remained constant from baseline to 6 months.
Systolic blood pressure was reduced in the study group (151 mm Hg baseline, 140 mm Hg at 6 mo, p<0.001) and diastolic blood pressure was significantly lower at 2,4, and 5 months compared with baseline.
Ratings from a blinded peer review panel indicated significant improvement in the appropriateness of the blood pressure regimen, going from 8.7 ± 4.7 to 10.9 ± 4.5 in the study group (p<0.01), but they did not change in the control group.
Several quality of life scores improved significantly in the study group after 6 months (p<0.05).
These included physical functioning (61.6 vs 70.7), physical role limitations (56.8 vs 72.8), and bodily pain (60.0 vs 71.7) at baseline and 6 months, respectively.
There were no significant changes in the control group.
Patient satisfaction scores were consistently higher in the study group at the end of the study. (...)
Mots-clés Pascal : Chimiothérapie, Traitement, Pharmacien, Hypertension artérielle, Recommandation, Pression artérielle, Qualité vie, Education santé, Interdisciplinaire, Satisfaction, Homme, Formation professionnelle, Appareil circulatoire pathologie, Suivi thérapeutique médicamenteux
Mots-clés Pascal anglais : Chemotherapy, Treatment, Chemist, Hypertension, Recommendation, Arterial pressure, Quality of life, Health education, Interdisciplinary field, Satisfaction, Human, Occupational training, Cardiovascular disease, Therapeutic drug monitoring
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0053584
Code Inist : 002B30A05. Création : 14/05/1998.