Study on the management model of elderly patients with hypertension by multi-disciplinary comprehensive management team of tertiary hospital collaborated with community pharmacists
- VernacularTitle:三级医院多学科综合管理团队联动社区药师的老年高血压患者管理模式研究
- Author:
Dan HAN
1
;
Li NIE
1
;
Meihua WANG
1
;
Jinli WU
2
;
Simin YAN
1
;
Fuchao LI
3
;
Yun QIAN
4
;
Youli XI
1
Author Information
1. Dept. of Pharmacy，Drum Tower Hospital，the Affiliated Hospital of Nanjing University Medical School，Nanjing 210008，China
2. Dept. of Pharmacy，Yuhua Community Health Service Center of Nanjing，Nanjing 210012，China
3. Dept. of Gerontology，Drum Tower Hospital，the Affiliated Hospital of Nanjing University Medical School，Nanjing 210008，China
4. Dept. of Dermatology，Institute of Dermatology，Hospital of Dermatology，Chinese Academy of Medical Science，Nanjing 210008，China
- Publication Type:Journal Article
- Keywords:
hypertension;
multi-disciplinary comprehensive management;
community pharmacist;
compliance
- From:
China Pharmacy
2024;35(16):2033-2037
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore the effects of multi-disciplinary comprehensive management team of tertiary hospital collaborated with the pharmacists from community health service center （hereinafter referred to as “community pharmacists”） on elderly patients with hypertension in the community. METHODS Elderly patients with hypertension from May 2020 to May 2021 in Yuhua Community Health Service Center of Nanjing were divided into control group （76 cases） and observation group （76 cases） according to the management style. The control group was treated with regular community medical services and the observation group received regular community medical services plus pharmaceutical care provided by the comprehensive management team collaborated with community pharmacists. The compliance， blood pressure control status and hypertension-related complications were compared between 2 groups before management and after 24 months of management. RESULTS After 24 months of management， the compliance and blood pressure compliance rates in both groups were higher than before management； meanwhile， the observation group was significantly higher than control group at the corresponding period （P＜0.05 or P＜ 0.01）. The blood pressure levels of both groups were significantly lower than before management， and the systolic blood pressure as well as the incidences of the whole complications and cerebrovascular injury in the observation group were significantly lower than control group at the 583867635@qq.com corresponding period （P＜0.05）. There was statistical significance in the effects of the rate of reaching the standard of blood pressure on the complications （P＜0.01）. CONCLUSIONS The hypertension management mode of comprehensive management team collaborated with community pharmacists can significantly improve the compliance and blood pressure compliance rate of elderly patients with hypertension， and reduce the incidence of hypertension-related complications.
