Effect of pharmaceutical care on blood pressure control and health-related quality of life in patients with resistant hypertension

2007 ◽  
Vol 64 (18) ◽  
pp. 1955-1961 ◽  
Author(s):  
Walnéia Aparecida de Souza ◽  
Juan Carlos Yugar-Toledo ◽  
Gun Bergsten-Mendes ◽  
Maricene Sabha ◽  
Heitor Moreno
2020 ◽  
Vol 22 (8) ◽  
pp. 1415-1424 ◽  
Author(s):  
Chan Joo Lee ◽  
Woo Jung Park ◽  
Jung‐Won Suh ◽  
Eue‐Keun Choi ◽  
Dong Woon Jeon ◽  
...  

2020 ◽  
Vol 10 (3) ◽  
pp. 198-208 ◽  
Author(s):  
Hasan Haci Yeter ◽  
Omer Faruk Akcay ◽  
Claudio Ronco ◽  
Ulver Derici

Introduction: Peritoneal dialysis (PD) provides a safe, home-based continuous renal replacement therapy for patients. The adherence of the patients to the prescribed dialysis fluids cannot always be monitored by physicians. Remote monitoring automated peritoneal dialysis (RM-APD) can affect patients’ compliance with treatment and, thus, clinical outcomes. Objective: We aimed to evaluate the clinical outcomes of patients with a remote access program. Methods: This was an observational study. We analyzed the effect of RM-APD on treatment adherence, dialysis adequacy, and change in blood pressure control, sleep quality, and health-related quality of life during the 6 months of follow-up. Results: A total of 15 patients were enrolled in this study. It was found that there was a significant decrease (99 ± 19 vs. 89 ± 11 mm Hg) in mean arterial blood pressure of patients, and a considerable increase in Kt/V was observed in the sixth month after the RM-APD switch (2.11 ± 0.4 vs. 2.25 ± 0.5). A significant increase was found when comparing the 3-month and 6-month ultrafiltration amounts before RM-APD and the ultrafiltration amount within 6 months after RM-APD (800 mL [500–1,000] and 752 mL [490–986] vs. 824 mL [537–1,183]). The daily antihypertensive pill need (4 [0–7] vs. 2 [0–6]) and alarms received from the device decreased (from 4 [3–8] to 2 [0–3]) at the sixth month of the switch. There was no significant change in sleep quality and health-related quality of life within 6 months. Conclusion: This study showed that treatment adherence and ultrafiltration amounts of patients increased with the use of RM-APD, as well as better blood pressure control with fewer antihypertensive drugs.


2021 ◽  
pp. 101053952110146
Author(s):  
Zhu Zhu ◽  
Wu Yan ◽  
Xuanxuan Wang ◽  
Dan Hu ◽  
Ya Zhu ◽  
...  

Hypertension has become one of the most serious chronic diseases that threaten public health. Regulating self-management is considered a priority and in which physical activity plays a vital role. Based on the Fifth National Health Service Survey (NHSS, 2013), a total of 6079 patients with hypertension were investigated by stratified cluster random sampling. This study explored the relationships between blood pressure control and physical activity, and health-related quality of life (HRQoL). Tobit regression and generalized linear regression analysis were used to explore the relationships among participants’ socioeconomic characteristics, health behaviors, and HRQoL. The results showed that 4712 respondents (77.51%) had no problems in any aspect, but the proportion of respondents with problems increased significantly with age ( P for trend <.001). Blood pressure control was significantly correlated with the health utility value ( P < .001). Patients who participated in physical activity and maintained normal daily blood pressure also showed higher health utility value. Physical activity was significantly related to blood pressure control and HRQoL. Therefore, regular physical activity is recommended for hypertensive residents to improve HRQoL.


2014 ◽  
Vol 32 (2) ◽  
pp. 397-407 ◽  
Author(s):  
Magdalena Olszanecka-Glinianowicz ◽  
Monika Zygmuntowicz ◽  
Aleksander Owczarek ◽  
Adam Elibol ◽  
Jerzy Chudek

Author(s):  
P V S N D Alekya P V S N D Alekya ◽  
M. Swarupa M. Swarupa ◽  
K. Mrudula K. Mrudula ◽  
SK. Mehaboob SK. Mehaboob ◽  
Narayana swamy Palyam ◽  
...  

Background: Hypertension has become a significant problem in developing countries. The management of hypertension involves long term treatment & life style modification which will have greater impact on HRQoL. This study aims to give patient counseling regarding risk factors, life style modifications, pharmacological therapy & medication adherence in hypertension which in turn improves HRQoL. Aim and objectives: To assess the effect of clinical pharmacist mediated counselling in hypertensive patients on health related quality of life.  Specific objectives: To assess the disease related knowledge of hypertensive patients, To assess the medication adherence of hypertensive patients,To design suitable patient information leaflet (PIL) on hypertension and its management use the same to educate the patients,To assess the effect of education on outcome of treatment (blood pressure level) and quality of life of these patients. Methodology: Prospective observational study. The study was conducted in Jayabharath hospital, Nellore. which was conducted for a period of 6 months from June 2019- November-2019.Hypertensive patients, of either sex, above 18 years of age, with or without co-morbidities and Patient willing to give there informed consent to participate in the study are included in our study and the Pregnant hypertensive patients are excluded from the study. Results and Discussion: At baseline there was no significant difference between the blood pressures, QoL score, adherence score, and KAP of the test and control groups. As patient in both group continued to see there physician regularly, both showed in improvement in blood pressure control at final follow up. However improvement in the test group blood pressure was more significant reduction (p<0.05). At final follow up, a significantly (p<0.05) some large number of patients in the test group had achieved better blood pressure control compared to the base line.


Sign in / Sign up

Export Citation Format

Share Document