Pharmaceutical Care for hypertensive patients provided within the Family Health Strategy in Goiânia, Goiás, Brazil

Martins, Bárbara Posse Reis; Aquino, Aline Teixeira de; Provin, Mércia Pandolfo; Lima, Dione Marçal; Dewulf, Nathalie de Lourdes Souza; Amaral, Rita Goreti

doi:10.1590/s1984-82502013000300023

Cited by 16 publications

(27 citation statements)

References 31 publications

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“…These results were shared by other studies that evaluated the effect of a pharmaceutical intervention on cardiovascular risk in other countries (Al Mazroui et al, 2009;Zhao et al, 2012;Amariles et al, 2012) and in Brazil (Lyra Junior et al, 2011;Firmino et al, 2012;Plaster, Melo, 2012;Martins, Aquino, 2013).…”

Section: Discussionsupporting

confidence: 67%

Cardiovascular risk rate in hypertensive patients attended in primary health care units: the influence of pharmaceutical care

Firmino

Vasconcelos²,

Ferreira³

et al. 2015

Braz. J. Pharm. Sci.

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Cardiovascular complications are relevant due to their frequency and severity on the hypertension scenario. Studies refer Pharmaceutical Care (PC) as capable of decreasing cardiovascular risk rate (%CVR) on hypertensive patients. This study aimed to investigate, through a randomized clinical assay, the influence of PC service on the %CVR of hypertensive patients assisted in a health primary care unit from Fortaleza-Ceará. Two study groups were formed: i. Intervention Group (IG), which received orientation about taking medicines, actions aiming to prevent/solve medicine interactions and adverse effects and non-pharmacological interventions for 9 months and, ii. Control Group (CG), which received traditional assistance of the unit and was monitored during the same period. It was observed a statistically significant reduction on %CVR (10.76 to 7.86; p=0.04) and systolic blood pressure levels (SBP) (137.69 to 131.54; p<0.01) in the IG, while, in the CG, there was no significant alteration. 151 Drug Related Problem (DRP) were identified and it was realized 124 pharmaceutical interventions, with 89.2% of them resulting on solution/prevention of the problem. Our findings indicated that the inclusion of the PC service in the hypertensive health assistance was more effective at the %CVR and the SBP reduction in comparison to the traditional assistance offered.Uniterms: Pharmaceutical care. Cardiovascular risk. Hypertension.As complicações cardiovasculares apresentam relevância devido à sua freqüência e gravidade no contexto da hipertensão. Estudos referem que a prestação do Cuidado Farmacêutico (CF) é capaz de reduzir a taxa de risco cardiovascular (%RCV) em hipertensos. Esse trabalho objetivou investigar, com um ensaio clínico randomizado, a influência da prestação do CF na %RCV em hipertensos atendidos em uma unidade de atenção primária à saúde de Fortaleza-Ceará. Formarm-se dois grupos de estudo: i. Grupo Intervenção (GI), que recebeu orientações sobre tomada dos medicamentos, ações visando prevenir/ resolver interações medicamentosas e reações adversas e intervenções não-farmacológicas por 9 meses e ii. Grupo Controle (GC), que recebeu assistência tradicional da unidade e foi monitorado durante o mesmo período. Observou-se redução estatisticamente significativa nas %RCV (10,76 to 7,86; p=0,04) e nos níveis de pressão arterial sistólica (PAS) (137,69 to 131,54; p<0,01) no GI, enquanto no GC, não houve alteração significativa. Identificaram-se 151 Problemas Relacionados com Medicamentos (PRM) e foram realizadas 124 intervenções farmacêuticas, das quais, 89,2% resultaram em solução/prevenção dos problemas. Nossos achados indicaram que a inclusão do serviço de CF na assistência ao paciente hipertenso foi mais eficaz na redução da %RCV e níveis de PAS em comparação à assistência tradicional.

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Section: Discussionsupporting

confidence: 67%

Cardiovascular risk rate in hypertensive patients attended in primary health care units: the influence of pharmaceutical care

Firmino

Vasconcelos²,

Ferreira³

et al. 2015

Braz. J. Pharm. Sci.

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“…11 Há a proposta de uma lista não exaustiva e nem exclusiva de PRM, sendo estes sempre relacionados à necessidade, efetividade e segurança dos medicamentos. 26 27 Estas intervenções podem ser realizadas através de atuações na educação do doente, na estratégia farmacológica e na quantidade de medicamentos utilizando como via de comunicação a escrita doente/ doente-médico e a verbal doente/ doente-médico.…”

Section: Resultsunclassified

Atenção Farmacêutica em Pacientes com Hipertensão Arterial Sistêmica em uma Unidade de Saúde de Jequié-BA

Ribeiro

Faria

Lemos

2014

J Manag Prim Health Care

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“…In a study carried out in Goiânia with hypertensive patients, we identified 10.1 drug-related problems per patient, and the most recurrent problem was ineffective treatment, and non-adherence was only the fourth most common issue (Martins et al, 2013). In a study conducted by Alano, Correa and Galato (2012) with patients monitored in a pharmaceutical care service of Santa Catarina, an average of 2.7 problems per patient were identified and the most common were related to the drugs' effectiveness and safety.…”

Section: Discussionmentioning

confidence: 99%

Pharmaceutical clinical services in basic care in a region of the municipality of São Paulo

Santos

Silva

Tavares

2018

Braz. J. Pharm. Sci.

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Pharmaceutical care has undergone several transformations in the health context over the years. Thus, the pharmacist has suffered a reconfiguration of his performance, mainly with the incorporation of clinical services and patient approach. The study analyzed the results of the implementation of pharmaceutical clinical services in Primary Health Care, through the use of indicators of supply, demand and productivity, clinical and process quality related to pharmaceutical care. We included all the clinical visits (n=1,833) performed to 1,080 users in 12 Basic Health Unit facilities from May to November 2016, of which 40.8% (n=748) were consultations in the establishments and 50.2% (n=1,085) home visits. Most patients (73.5%) were referred by team and 17.5% were captured through active search. Of the total workload, 12.5% were dedicated to pharmaceutical consultations and 20.0% to home visits. In total, we identified 3,078 pharmacotherapy-related issues, an average of 2.8 per patient, and 6,882 pharmaceutical interventions were performed, equivalent to 6.3 interventions per patient. The problem with adherence to pharmacotherapy and the intervention of medication counseling were the most found. Results reinforce the importance of pharmaceutical clinical services in identifying the control of the most prevalent health conditions and monitoring the therapeutic results associated with drug use.

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Pharmaceutical Care for hypertensive patients provided within the Family Health Strategy in Goiânia, Goiás, Brazil

Cited by 16 publications

References 31 publications

Cardiovascular risk rate in hypertensive patients attended in primary health care units: the influence of pharmaceutical care

Cardiovascular risk rate in hypertensive patients attended in primary health care units: the influence of pharmaceutical care

Atenção Farmacêutica em Pacientes com Hipertensão Arterial Sistêmica em uma Unidade de Saúde de Jequié-BA

Pharmaceutical clinical services in basic care in a region of the municipality of São Paulo

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