Department of Pharmacy, Wake Forest Baptist Health, Winston-Salem, NC, USA.
Department of Pharmacy, Campbell College of Pharmacy and Health Sciences, Buies Creek, NC, USA.
J Pharm Pract. 2021 Dec;34(6):844-849. doi: 10.1177/0897190020926841. Epub 2020 May 26.
To describe clinical pharmacy services provided in a rural North Carolina primary care clinic and assess the impact of these services on systolic and diastolic blood pressures in patients with uncontrolled hypertension.
This single-center, retrospective study evaluated change in systolic and diastolic blood pressures from baseline, percentage of patients with blood pressure reductions, percentage at The Eight Joint National Committee (JNC 8) goal blood pressure, percentage at care gap closure defined as obtaining a blood pressure <140/90 mm Hg, and time to reach care gap closure.
The mean change in systolic blood pressure was -20.1 mm Hg (14.716-25.418, < .0001) and the mean change in diastolic blood pressure was -8.8 mm Hg (5.449-12.117, < .0001). Eighty percent of patients experienced blood pressure reductions from baseline, 51% met their respective JNC 8 goal blood pressure, and 48% met care gap closure. The average time to reach care gap closure was 23 weeks.
When embedded within a primary care clinic in a rural setting, a pharmacist-managed hypertension clinic significantly improved both systolic and diastolic blood pressures of patients with uncontrolled hypertension.
描述在北卡罗来纳州农村初级保健诊所提供的临床药学服务，并评估这些服务对血压控制不佳的患者的收缩压和舒张压的影响。
这是一项单中心、回顾性研究，评估了从基线开始的收缩压和舒张压变化、血压降低的患者百分比、达到《第八联合国家委员会（JNC 8）目标血压的患者百分比、达到定义为血压<140/90mmHg 的治疗缺口关闭的患者百分比以及达到治疗缺口关闭的时间。
收缩压的平均变化为-20.1mmHg（14.716-25.418， <.0001），舒张压的平均变化为-8.8mmHg（5.449-12.117， <.0001）。80%的患者血压从基线下降，51%达到各自的 JNC 8 目标血压，48%达到治疗缺口关闭。平均达到治疗缺口关闭的时间为 23 周。
当在农村环境中的初级保健诊所中嵌入时，药剂师管理的高血压诊所显著改善了血压控制不佳的患者的收缩压和舒张压。
