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首页> 外文期刊>The Journal of pharmacy technology: jPT : official publication of the Association of Pharmacy Technicians >Effect of a Clinical Pharmacist-Managed Service on Blood Pressure in an Underserved Population With Resistant Hypertension
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Effect of a Clinical Pharmacist-Managed Service on Blood Pressure in an Underserved Population With Resistant Hypertension

机译：临床药师管理的服务对抵抗力不足的高血压人群血压的影响

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Background. Evidence indicates pharmacist-managed hypertension clinics are beneficial in reducing blood pressure (BP). There is currently no evidence evaluating the effect of pharmacist-managed resistant hypertension clinics in a medically underserved patient population. Objective. To determine the impact of a pharmacist-managed resistant hypertension service on BP in a medically underserved population. Methods. This was a prospective cohort study evaluating 12 medically underserved patients enrolled in a pharmacist-managed resistant hypertension service at the St Louis County Department of Health. BP was measured in clinic and at home. Follow-up occurred biweekly by phone and in clinic at least monthly while uncontrolled. This study was approved by the St Louis College of Pharmacy Institutional Review Board and St Louis County Department of Health director for clinical and research services. Primary outcome of change in home systolic BP and secondary outcomes of change in home diastolic BP and clinic systolic and diastolic BP were evaluated. Results. Twelve patients were included in the analysis (2 patients did not receive home BP monitors). Home systolic BP was reduced from the first encounter, 140 (12) mm Hg, to last contact, 130 (15) mm Hg (P = .01). Clinic systolic BP also decreased significantly from the first encounter, 152 (10) mm Hg, to last contact, 136 (17) mm Hg (P = .004). Clinic BP goal and home BP goal was attained by 30% and 40% of participants, respectively. Conclusions. A pharmacist-managed resistant hypertension service is effective in significantly reducing BP in medically underserved patients.
机译：背景。有证据表明，由药剂师管理的高血压诊所对降低血压（BP）有益。目前尚无证据评估药剂师管理的抗药性高血压诊所在医疗不足的患者人群中的作用。目的。为了确定药房不足的人群中药师管理的抗性高血压服务对血压的影响。方法。这是一项前瞻性队列研究，评估了圣路易斯县卫生署的12位医疗不足的患者，他们参加了由药剂师管理的抗药性高血压服务。在诊所和家里都测量了血压。随访每两周通过电话进行一次，在诊所不受控制的情况下至少每月一次。这项研究已获得圣路易斯药学院学院审查委员会和圣路易斯县卫生局局长的临床和研究服务批准。评估了家庭收缩压变化的主要结果和家庭舒张压变化以及临床收缩压和舒张压变化的次要结果。结果。分析中包括12位患者（2位患者未接受家庭BP监护仪）。最初的收缩压从第一次接触140（12）mm Hg减少到最后一次接触130（15）mm Hg（P = 0.01）。从第一次接触152（10）mm Hg至最后一次接触136（17）mm Hg，临床收缩压也显着降低（P = .004）。参与者的临床BP目标和家庭BP目标分别达到了30％和40％。结论。药剂师管理的抗高血压服务可有效降低医疗欠佳患者的血压。

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