Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Faculdade de Farmácia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Einstein (Sao Paulo). 2021 Sep 24;19:eAO6011. doi: 10.31744/einstein_journal/2021AO6011. eCollection 2021.
To examine whether the use of a monthly electronic medication organizer device equipped with an alarm clock, called Electronic System for Personal and Controlled Use of Medications (Supermed), improves medication adherence of older adults with hypertension.
This is a quali-quantitative, prospective, before-and-after study performed with 32 older adult patients with diagnosis of hypertension, who were recruited at a Primary Care Unit in Brazil.
The main outcome measures were improvement of medication adherence and blood pressure control after intervention with Supermed. Regarding medication adherence, 81.2% of patients were "less adherent" in the pre-intervention period, and 96.9% were "more adherent" in the post-intervention period. This means that 78.1% of patients changed from "less adherent" to "more adherent" after the intervention with Supermed (p<0.001). The mean systolic and diastolic blood pressure differences between intervention day and post-intervention were 18.5mmHg (p<0.0001) and 4.3mmHg (p<0.007), respectively, and the differences between mean systolic and diastolic blood pressure between pre-intervention and post-intervention were 21.6mmHg (p<0.001) and 4.7mmHg (p<0.001) respectively.
The use of Supermed significantly improved self-reported medication adherence and blood pressure control in a hypertensive older adult population.
研究每月配备闹钟的电子用药记录器设备（称为电子个人和受控用药系统，Supermed）的使用是否能提高老年高血压患者的用药依从性。
这是一项在巴西一个基层医疗单位招募的 32 名被诊断为高血压的老年患者参与的定性定量、前瞻性、前后对照研究。
主要结局指标是干预后用药依从性和血压控制的改善。在用药依从性方面，81.2%的患者在干预前为“不依从”，96.9%在干预后为“更依从”。这意味着 78.1%的患者在使用 Supermed 干预后从“不依从”变为“更依从”（p<0.001）。干预日与干预后收缩压和舒张压的平均差异分别为 18.5mmHg（p<0.0001）和 4.3mmHg（p<0.007），干预前与干预后收缩压和舒张压的平均差异分别为 21.6mmHg（p<0.001）和 4.7mmHg（p<0.001）。
Supermed 的使用显著改善了高血压老年人群的自我报告用药依从性和血压控制。
