Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil

Detalhes bibliográficos
Autor(a) principal: Gomes,Ilvia Silva
Data de Publicação: 2022
Outros Autores: Rossi,Elaine Menezes, Mendes,Samara Jamile, Santos,Brigitte Rieckmann Martins dos, Sabino,Wilson
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Journal of Cardiovascular Sciences (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472022000300318
Resumo: Abstract 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<0.001). Conclusion: An individualized pharmacotherapeutic follow-up, considering regional and cultural specificities, can contribute to the treatment of hypertensin in the primary care.
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spelling Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of BrazilHypertensionRisk FactorsPatient Care ManagementMedication AdherenceEpidemiologyUrban AreaMorbidity and MortalityAbstract 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<0.001). Conclusion: An individualized pharmacotherapeutic follow-up, considering regional and cultural specificities, can contribute to the treatment of hypertensin in the primary care.Sociedade Brasileira de Cardiologia2022-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472022000300318International Journal of Cardiovascular Sciences v.35 n.3 2022reponame:International Journal of Cardiovascular Sciences (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.36660/ijcs.20200257info:eu-repo/semantics/openAccessGomes,Ilvia SilvaRossi,Elaine MenezesMendes,Samara JamileSantos,Brigitte Rieckmann Martins dosSabino,Wilsoneng2022-05-09T00:00:00Zoai:scielo:S2359-56472022000300318Revistahttp://publicacoes.cardiol.br/portal/ijcshttps://old.scielo.br/oai/scielo-oai.phptailanerodrigues@cardiol.br||revistaijcs@cardiol.br2359-56472359-4802opendoar:2022-05-09T00:00International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC)false
dc.title.none.fl_str_mv Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
title Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
spellingShingle Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
Gomes,Ilvia Silva
Hypertension
Risk Factors
Patient Care Management
Medication Adherence
Epidemiology
Urban Area
Morbidity and Mortality
title_short Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
title_full Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
title_fullStr Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
title_full_unstemmed Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
title_sort Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
author Gomes,Ilvia Silva
author_facet Gomes,Ilvia Silva
Rossi,Elaine Menezes
Mendes,Samara Jamile
Santos,Brigitte Rieckmann Martins dos
Sabino,Wilson
author_role author
author2 Rossi,Elaine Menezes
Mendes,Samara Jamile
Santos,Brigitte Rieckmann Martins dos
Sabino,Wilson
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Gomes,Ilvia Silva
Rossi,Elaine Menezes
Mendes,Samara Jamile
Santos,Brigitte Rieckmann Martins dos
Sabino,Wilson
dc.subject.por.fl_str_mv Hypertension
Risk Factors
Patient Care Management
Medication Adherence
Epidemiology
Urban Area
Morbidity and Mortality
topic Hypertension
Risk Factors
Patient Care Management
Medication Adherence
Epidemiology
Urban Area
Morbidity and Mortality
description Abstract 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<0.001). Conclusion: An individualized pharmacotherapeutic follow-up, considering regional and cultural specificities, can contribute to the treatment of hypertensin in the primary care.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472022000300318
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.36660/ijcs.20200257
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia
publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia
dc.source.none.fl_str_mv International Journal of Cardiovascular Sciences v.35 n.3 2022
reponame:International Journal of Cardiovascular Sciences (Online)
instname:Sociedade Brasileira de Cardiologia (SBC)
instacron:SBC
instname_str Sociedade Brasileira de Cardiologia (SBC)
instacron_str SBC
institution SBC
reponame_str International Journal of Cardiovascular Sciences (Online)
collection International Journal of Cardiovascular Sciences (Online)
repository.name.fl_str_mv International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC)
repository.mail.fl_str_mv tailanerodrigues@cardiol.br||revistaijcs@cardiol.br
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