Evaluating the role of clinical pharmacists in providing pharmaceutical care to improve adherence in hypertensive patients at a rural hospital in southern chile: A pilot study

Objective: The majority of patients who receive antihypertensive treatment do not achieve adequate blood pressure (BP) outcomes. Adherence to antihypertensive therapy contributes to adequate control of BP and is a substantial reason for therapeutic success. This study aims to evaluate the role of cl...

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Main Authors: Yolanda Espinosa, Pia M Córdova, Pola B Fernández, Felipe E Morales, Lorenzo A Villa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Research in Pharmacy Practice
Subjects:
Online Access:http://www.jrpp.net/article.asp?issn=2319-9644;year=2019;volume=8;issue=4;spage=214;epage=219;aulast=Espinosa
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author Yolanda Espinosa
Pia M Córdova
Pola B Fernández
Felipe E Morales
Lorenzo A Villa
author_facet Yolanda Espinosa
Pia M Córdova
Pola B Fernández
Felipe E Morales
Lorenzo A Villa
author_sort Yolanda Espinosa
collection DOAJ
description Objective: The majority of patients who receive antihypertensive treatment do not achieve adequate blood pressure (BP) outcomes. Adherence to antihypertensive therapy contributes to adequate control of BP and is a substantial reason for therapeutic success. This study aims to evaluate the role of clinical pharmacists in improving patient adherence to pharmacological treatment and in improving BP outcomes. Methods: A pre- and postpharmaceutical care interventional study was provided to hypertensive patients in the Cardiovascular Health Program of the Family Health Community Hospital in rural Coelemu, Chile. Patients received pharmaceutical care in three individualized sessions over 6 months. Written educational materials including basic information on high BP were provided to each patient in every session using easy-to-understand language. BP was measured at the beginning and end of each session using an electronic tensiometer, and patients reported their adherence to therapy using indirect, self-reported measures. Findings: Over the study period, patients experienced average decreases in systolic and diastolic BP of 7.68 mmHg (P < 0.001) and 2.91 mmHg (P < 0.001), respectively. Patient adherence to medication, according to self-reported measures, increased from 22% to 60% over the study period. Conclusion: Pharmaceutical care, including education about hypertension, healthy lifestyle habits, and adherence, was associated with improved adherence to antihypertensive drug treatment and control of BP in hypertensive patients at a rural hospital in Chile.
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spelling doaj.art-e9542798b45744778781b4d2498a5d982022-12-22T01:58:59ZengWolters Kluwer Medknow PublicationsJournal of Research in Pharmacy Practice2319-96442279-042X2019-01-018421421910.4103/jrpp.JRPP_19_17Evaluating the role of clinical pharmacists in providing pharmaceutical care to improve adherence in hypertensive patients at a rural hospital in southern chile: A pilot studyYolanda EspinosaPia M CórdovaPola B FernándezFelipe E MoralesLorenzo A VillaObjective: The majority of patients who receive antihypertensive treatment do not achieve adequate blood pressure (BP) outcomes. Adherence to antihypertensive therapy contributes to adequate control of BP and is a substantial reason for therapeutic success. This study aims to evaluate the role of clinical pharmacists in improving patient adherence to pharmacological treatment and in improving BP outcomes. Methods: A pre- and postpharmaceutical care interventional study was provided to hypertensive patients in the Cardiovascular Health Program of the Family Health Community Hospital in rural Coelemu, Chile. Patients received pharmaceutical care in three individualized sessions over 6 months. Written educational materials including basic information on high BP were provided to each patient in every session using easy-to-understand language. BP was measured at the beginning and end of each session using an electronic tensiometer, and patients reported their adherence to therapy using indirect, self-reported measures. Findings: Over the study period, patients experienced average decreases in systolic and diastolic BP of 7.68 mmHg (P < 0.001) and 2.91 mmHg (P < 0.001), respectively. Patient adherence to medication, according to self-reported measures, increased from 22% to 60% over the study period. Conclusion: Pharmaceutical care, including education about hypertension, healthy lifestyle habits, and adherence, was associated with improved adherence to antihypertensive drug treatment and control of BP in hypertensive patients at a rural hospital in Chile.http://www.jrpp.net/article.asp?issn=2319-9644;year=2019;volume=8;issue=4;spage=214;epage=219;aulast=Espinosahospitalhypertensionpatient compliancepatient outcomes assessmentpharmaceutical servicepharmacistrural
spellingShingle Yolanda Espinosa
Pia M Córdova
Pola B Fernández
Felipe E Morales
Lorenzo A Villa
Evaluating the role of clinical pharmacists in providing pharmaceutical care to improve adherence in hypertensive patients at a rural hospital in southern chile: A pilot study
Journal of Research in Pharmacy Practice
hospital
hypertension
patient compliance
patient outcomes assessment
pharmaceutical service
pharmacist
rural
title Evaluating the role of clinical pharmacists in providing pharmaceutical care to improve adherence in hypertensive patients at a rural hospital in southern chile: A pilot study
title_full Evaluating the role of clinical pharmacists in providing pharmaceutical care to improve adherence in hypertensive patients at a rural hospital in southern chile: A pilot study
title_fullStr Evaluating the role of clinical pharmacists in providing pharmaceutical care to improve adherence in hypertensive patients at a rural hospital in southern chile: A pilot study
title_full_unstemmed Evaluating the role of clinical pharmacists in providing pharmaceutical care to improve adherence in hypertensive patients at a rural hospital in southern chile: A pilot study
title_short Evaluating the role of clinical pharmacists in providing pharmaceutical care to improve adherence in hypertensive patients at a rural hospital in southern chile: A pilot study
title_sort evaluating the role of clinical pharmacists in providing pharmaceutical care to improve adherence in hypertensive patients at a rural hospital in southern chile a pilot study
topic hospital
hypertension
patient compliance
patient outcomes assessment
pharmaceutical service
pharmacist
rural
url http://www.jrpp.net/article.asp?issn=2319-9644;year=2019;volume=8;issue=4;spage=214;epage=219;aulast=Espinosa
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