Issues on Blood Pressure Values in Local Residents and Necessity of Community Pharmacist’s Support for Hypertensive Residents

Masahiro Yamada; Koji Tokumo; Yasuhiro Hirata; Daiju Tsuchiya; Masahiro Okada; Jun Kamishikiryo; Hiroshi Onoue; Nobuhiro Nagasaki; Masakazu Hirose; Eijiro Kojima; Itsuko Yokota; Narumi Sugihara

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Issues on Blood Pressure Values in Local Residents and Necessity of Community Pharmacist’s Support for Hypertensive Residents

VernacularTitle:地域住民の血圧値の課題と血圧高値者における薬局薬剤師による支援の必要性
Author: Masahiro YAMADA ¹ ; Koji TOKUMO ² ; Yasuhiro HIRATA ¹ ; Daiju TSUCHIYA ³ ; Masahiro OKADA ⁴ ; Jun KAMISHIKIRYO ⁵ ; Hiroshi ONOUE ¹ ; Nobuhiro NAGASAKI ⁵ ; Masakazu HIROSE ⁵ ; Eijiro KOJIMA ⁵ ; Itsuko YOKOTA ⁶ ; Narumi SUGIHARA ⁵
Author Information

1. Pharmacy Inc.
2. Kasaoka Daiichi Hospital
3. Kojima Central Hospital
4. Onomichi Municipal Hospital
5. Faculty of Pharmacy and Pharmaceutical Sciences, Fukuyama University
6. Kaneyoshi Ethical Pharmacy
Keywords: community pharmacy; health support activities; hypertension; blood pressure; health support pharmacy
From:Japanese Journal of Social Pharmacy 2024;43(1):12-21
CountryJapan
Language:Japanese
Abstract: Health support activities for residents were held three times during a period from June, 2016 to November, 2017. The residents registered in order to participate through 11 community pharmacies. Participant’s blood pressure values were measured at the venue of health support activities by pharmacists. The blood pressure values in 66 of the 106 participants were analyzed, excluding 40 participants receiving medical treatment. The rate of participants with hypertension, systolic blood pressure (SBP)≧140 mmHg or diastolic blood pressure (DBP)≧90 mmHg, was 32% (21／66). Of those with hypertension, 43% (9／21) had hypertension of a high risk level, SBP≧160 mmHg or DBP≧100 mmHg. Pharmacists provided lifestyle counseling and encouraged them to make changes in order to achieve tighter blood pressure control. The data of their blood pressure values were provided to community pharmacies for continuing support of their blood pressure control. With the pharmacist’s support, the median value of blood pressure of participants who had hypertension decreased in the second event. In addition, 50% (3／6) of participants who attended the second event with hypertension of high risk level, visited the hospital for a consultation with a doctor after getting pharmacist’s advice. These results indicate that greater access to community pharmacists improved blood pressure control of residents with hypertension. However, there were many residents who consider it difficult to use pharmacies without a prescription. Hence, friendly relationship to residents on their utilizing pharmacies is needed for providing them lifestyle counseling such as preventing hypertension by pharmacists.