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埃塞俄比亚北部阿伊德综合专科医院成年高血压患者药物治疗问题及相关因素评估

Assessment of drug therapy problem and associated factors among adult hypertensive patients at Ayder comprehensive specialized hospital, Northern Ethiopia.

作者信息

Weldegebreal Asgedom Solomon, Tezeta Fekadu, Mehari Atey Tesfay, Gashaw Wubetu, Dessale Kassa Tesfaye, Legesse Niriayo Yirga

机构信息

Clinical Pharmacy Unit, School of Pharmacy, College of Health Sciences, Mekelle University, Ethiopia.

出版信息

Afr Health Sci. 2019 Sep;19(3):2571-2579. doi: 10.4314/ahs.v19i3.33.

Abstract

BACKGROUND

Drug-therapy problems(DTPs) among hypertensive patients can result in patient's morbidity and mortality. The main aim of this study was to assess drug therapy problem and associated factors among hypertensive patients.

METHODS

A hospital based cross sectional study was conducted. The data was collected from patients' medical charts and through interview. Drug therapy problem was categorized according to Cipolle methods of DTP classification. Thedata was analyzed using the Statistical Package for the Social Sciences (SPSS), version 21.

RESULTS

A total of 241 patients were studied. The mean number of antihypertensive medications prescribed were 1.41±0.53. A total of 357 drug therapy problems(DTPs) were identified. From the patients studied,134(55.6%) had at least one evidence of drug therapy problem. Non adherence was the most commonly identified drug therapy problem occurred in (143(59.3%)) patients. Substance use (AOR=0.445, 95% CI= 0.227-0.870, p=0.018) and comorbidity (AOR= 2.099, 95% CI= 1.192-3.694, p=0.010) werethe predictors of DTP.

CONCLUSION

More than half of the participants had evidence of onset drug therapy problem. Thus efforts that could boost antihypertensive compliance and minimizes substance use should be adopted to reduce patients's drug therapy problems.

摘要

背景

高血压患者的药物治疗问题(DTPs)可导致患者发病和死亡。本研究的主要目的是评估高血压患者的药物治疗问题及相关因素。

方法

进行了一项基于医院的横断面研究。数据从患者病历中收集并通过访谈获取。药物治疗问题根据Cipolle的DTP分类方法进行分类。数据使用社会科学统计软件包(SPSS)21版进行分析。

结果

共研究了241名患者。开具的抗高血压药物平均数量为1.41±0.53。共识别出357个药物治疗问题(DTPs)。在研究的患者中,134名(55.6%)至少有一项药物治疗问题的证据。不依从是最常见的药物治疗问题,发生在143名(59.3%)患者中。物质使用(调整后比值比[AOR]=0.445,95%置信区间[CI]=0.227 - 0.870,p=0.018)和合并症(AOR=2.099,95%CI=1.192 - 3.694,p=0.010)是DTP的预测因素。

结论

超过一半的参与者有起始药物治疗问题的证据。因此,应采取措施提高抗高血压治疗的依从性并尽量减少物质使用,以减少患者的药物治疗问题。

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