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Type: Artigo de periódico
Title: Effect of pharmaceutical care on blood pressure control and health-related quality of life in patients with resistant hypertension
Author: De Souza, WA
Yugar-Toledo, JC
Bergsten-Mendes, G
Sabha, M
Moreno, H
Abstract: Purpose. Verification of whether pharmacotherapeutic follow-up improves arterial blood pressure (BP) was conducted, and whether this improvement alters the quality of life of patients with resistant hypertension in a university teaching hospital in Brazil was determined. Methods. A prospective survey of 44 patients was carried out over a period of 20 months. Each patient was followed up for 12 months. Pharmaceutical care was assessed using the following methods: measurement of the office BP and ambulatory BP monitoring, adherence to therapy, drug-related problems, and the use of health care facilities (urgent care visits and hospital admissions). The health-related quality of life (HRQOL) of patients was also assessed using the 36-Item Short Form Health Survey (SF-36) questionnaire and a physical symptoms profile. Results. The majority (95.5%) of patients adhered to the treatment throughout the study, and there was a significant reduction in BP (p < 0.05). Nearly all of the domains of HRQOL assessed by SF-36 remained unchanged during the follow-up except for a significant improvement in social functioning (p = 0.041). There was a significant reduction in moderate and severe physical symptoms (p = 0.005). There were also significant reductions in the number of urgent care visits (p = 0.0001) and hospital admissions (p = 0.006). Conclusion. The pharmaceutical care provided by a pharmacist in an ambulatory care clinic in Brazil improved BP, adherence to anti hypertensive medications, and the social functioning of patients with resistant hypertension.
Subject: ambulatory care
data collection
pharmaceutical care
quality of life
Country: EUA
Editor: Amer Soc Health-system Pharmacists
Citation: American Journal Of Health-system Pharmacy. Amer Soc Health-system Pharmacists, v. 64, n. 18, n. 1955, n. 1961, 2007.
Rights: fechado
Identifier DOI: 10.2146/ajhp060547
Date Issue: 2007
Appears in Collections:Unicamp - Artigos e Outros Documentos

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