Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
| Autor: | Ilvia Silva Gomes, Elaine Menezes Rossi, Samara Jamile Mendes, Brigitte Rieckmann Martins dos Santos, Wilson Sabino |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | International Journal of Cardiovascular Sciences, Issue: ahead, Published: 25 FEB 2022 International Journal of Cardiovascular Sciences, Volume: 35, Issue: 3, Pages: 318-326, Published: 25 FEB 2022 International Journal of Cardiovascular Sciences v.35 n.3 2022 International Journal of Cardiovascular Sciences Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
| ISSN: | 2359-5647 2359-4802 |
| DOI: | 10.36660/ijcs.20200257 |
| Popis: | 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 |
| Databáze: | OpenAIRE |
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