Exploring the extended role of the community pharmacist in improving blood pressure control among hypertensive patients in a developing setting

Marfo, Afia Frimpomaa Asare; Owusu-Daaku, Frances

doi:10.1186/s40545-017-0127-5

Cited by 30 publications

(52 citation statements)

References 15 publications

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“…Post‐transplant hypertension and hyperglycaemia increase the risk of fatal or non‐fatal cardiovascular events and are highly significant predictors of long‐term kidney graft outcome . Like other studies, our study also found that the pharmacist improved BP control rate and the SBP level among patients …”

Section: Discussionsupporting

confidence: 82%

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Impact of pharmacist‐led post‐transplant medication management for kidney transplant recipients: A retrospective pre‐ and post‐intervention study

Yang

Li²,

et al. 2019

J Clin Pharm Ther

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Summary What is known and objective The roles of pharmacists in medication management for transplant recipients have received limited attention. This study comprehensively assessed the impact of pharmacist‐led post‐transplant medication management. Methods A retrospective pre‐ and post‐intervention study was conducted in the urology ward in a general hospital. Patients receiving kidney transplants from May 2015 to April 2017 were enrolled. Eligible subjects were assigned into two groups (pre‐intervention group and post‐intervention group) according to the date (1 May 2016) when the pharmacist commenced participation in the post‐transplant management for kidney transplant recipients. The outcomes included intervention analysis, cost‐saving effect, outcomes of immunosuppressive drug level monitoring, antibiotic outcomes, safety outcomes, and blood pressure (BP) and plasma glucose (PG) outcomes. Results and discussion A total of 299 patients were admitted to our hospital for kidney transplantation. Two hundred and four patients met inclusion criteria for this study (84 patients were in pre‐intervention group, and 120 patients were in post‐intervention group). Out of 630 pharmacist interventions in the medication order, 97.1% were accepted by the physicians. The average cost of medications per patient decreased from 4661.64 Ren Min Bi (RMB) to 3051.33 RMB. The percentage of patients who maintained tacrolimus (TAC) levels within the target concentration range was higher in the post‐intervention group on post‐operative day (POD) 7 (75.00% vs 87.50%, P = 0.021). There was a significant decrease in antibiotic use density (AUD) and duration of antibiotic treatment in the post‐intervention group. Post‐intervention group showed lower levels in systolic blood pressure (SBP) (141.55 ± 14.62 vs 136.04 ± 13.17, P = 0.01) with higher BP control rate (67.50% vs 90.70%, P = 0.00) on discharge day compared to pre‐intervention group. What is new and conclusion Pharmacists played a comprehensive role in the management of kidney transplant recipients in the inpatient setting, with some evidence of enhanced clinical outcomes.

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Section: Discussionsupporting

confidence: 82%

“…[25][26][27] Like other studies, our study also found that the pharmacist improved BP control rate and the SBP level among patients. 4,28 In China, policy emphasizes the importance of pharmacists.…”

Section: Discussionmentioning

confidence: 99%

Impact of pharmacist‐led post‐transplant medication management for kidney transplant recipients: A retrospective pre‐ and post‐intervention study

Yang

Li²,

et al. 2019

J Clin Pharm Ther

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“…The study findings reveal that there was a significant reduction in the mean SBP and DBP in the intervention group (138 ± 10.5; 82.3 ± 7.2) compared to the control group (146.0 ± 8.2; 87.2 ± 5.4) at final follow-up visit with a P-value of 0.039 and 0.047. A similar type of significant improvement in BP was observed in various pharmacist mediated intervention studies [14][15][16] .…”

Section: Resultssupporting

confidence: 75%

Untitled

2019

IJPSR

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Pharmacists play a vital role in providing counseling to the hypertensive patients to understand disease, risk factors, medications, and nonpharmacological measures required in controlling Blood Pressure (BP). This study aims to evaluate the impact of pharmacist delivered counseling services on KAP levels and control of BP in hypertensive patients. A prospective, openlabeled, randomized control trial was conducted among hypertensive patients attending medical outpatient department of Non-governmental Organization (NGO) Hospital located in rural settings in Anantapur district, Andhra Pradesh, India. The study was performed after getting ethical clearance from the Institutional Review Board with a registration number of RIPER/IRB/2018/038 and in accordance with ICH-GCP and CONSORT guidelines. The study was carried out for a period of one year from February 2018 to January 2019. The findings of the study reveal that there was a significant difference in the mean systolic and diastolic BP levels in intervention (138 ± 10.5, 82.3 ± 7.2) and control group (146.0 ± 8.2, 87.2 ± 5.4) at final follow-up visits. The mean percentage of knowledge, attitude, and practice towards hypertension management were significantly improved in the intervention group compared to control group. The study concludes that pharmacist is an integral part of the health care team to improve the health outcomes in hypertension. The study shows that patients had positive attitude levels regarding the management of hypertension. Due to lack of knowledge and awareness, the patients were under irrational practices. Finally, the pharmacist mediated counseling had significantly improved the KAP levels and BP control.

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“…These findings are similar to previous literature demonstrating the impacts of pharmacist led education program to improve medication adherence. 15,44,45 A meta-analysis of randomised control trials conducted by Cheema et al reported that 6 out of 7 studies had significantly increased in medication adherence from 56% to 68% in the intervention groups compare to control groups (Odds ratio 12.1, 95% CI 4.2-34.6; P<0.001). 18 Medication adherence could be improved by understanding to the nature of the disease and the rationale of the medication.…”

Section: Discussionmentioning

confidence: 99%

The Role of Pharmacist in Managing Hypertension in the Community: Findings from a Community Based Study

Tan¹,

Hassali²,

Fen³

2019

IJPER

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Introduction: Pharmacist led health education programs have been initiated to improve Blood Pressure (BP) control in the community and patients' knowledge on a disease and therapy, lifestyle changes and medication adherence among hypertensive patients. This study aimed to evaluate pharmacist led health education program among hypertensive patients, in local community-based setting, by assessing the changes in blood pressure control, beliefs about medicine, antihypertensive medications adherence and quality use of medication. Methods: This study was prospective convenient sampling, with communitybased health education study involving 45 participants at the Community Service Hall in Bukit Mertajam, Penang, Malaysia. Participants received health education program over 4 months period: Introduction of hypertension, pharmacological management of hypertension, quality use of medication and diet and lifestyle changes. Outcomes included the changes Blood Pressure (BP) level, Malaysian Medication Adherence Assessment (MALMAS), Beliefs about Medicines Questionnaire (BMQ) and Quality Use of Medication (QUM). Results: Both systolic BP (146.6 ± 11.1 mmHg, P<0.001) and diastolic BP (87.6 ± 9.6 mmHg, P=0.002) decreased significantly after the 2-months intervention. Systolic BP was successfully reduced significantly to 140.1 ± 10.7 mmHg (P<0.001) after the 4-months intervention. Medication adherents increased significantly from baseline (29.3%) to 2-months interventions (58.5%, P=0.005) and 4-months interventions (70.7%, P<0.001). Significant improvement was also noticed in BMQ and QUM. Conclusion: Pharmacist led health education program has significantly desirable effects on improvement of blood pressure, better beliefs about medicine, improvement of medication adherence and better rational use of medication

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Exploring the extended role of the community pharmacist in improving blood pressure control among hypertensive patients in a developing setting

Cited by 30 publications

References 15 publications

Impact of pharmacist‐led post‐transplant medication management for kidney transplant recipients: A retrospective pre‐ and post‐intervention study

Impact of pharmacist‐led post‐transplant medication management for kidney transplant recipients: A retrospective pre‐ and post‐intervention study

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The Role of Pharmacist in Managing Hypertension in the Community: Findings from a Community Based Study

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