Martín Oliveros Adela, García-Pastor Coral, Iracheta Todó Montserrat, Gómez Martínez Jesús Carlos, Tejedor-García Noelia
Farmacéutica comunitaria, Córdoba, España España.
Farmacéutica comunitaria, Madrid, España. España.
Farm Comunitarios. 2022 Dec 19;15(1):13-21. doi: 10.33620/FC.2173-9218.(2023).03. eCollection 2023 Jan 2.
To analyse the improvement of adherence in non-adherent patients with uncontrolled HT, polymedicated and older than 55 years after the use, or not, of Multicompartment compliance aids (MCA).
Longitudinal research (6 month). Levels of adherence to treatment were analysed using an adapted version of Morisky-Green test, counting of returned medication (MCA group) and blood pressure (BP) values. Site: Multicentre study in 35 community pharmacies in Spain. Participants: 195 participants (88 MCA group and 107 control group) older than 55 years, polymedicated, non-adherent to medication, with uncontrolled hypertension and using electronic prescription. Interventions: MCA group received their medication in MCA while control group received their medication as usual. Main measurements: Systolic BP/Diastolic BP was recurrently measured with a digital tensiometer in both groups.
MCA group obtained a significant decrease in BP values compared to the control group (Systolic BP decreased by 18.3 mmHg in the MCA group vs. 9.9 mmHg in the control group and Diastolic BP by 9.9 mmHg vs. 8.9 mmHg). Both groups increased their adherence to over 90%.
The use of MCA controlled BP levels in almost 50% of the participants. For this fact, MCA is postulated as a good tool (cost-effective, well tolerated by users, easy to use ...) to improve the adherence of patients and control their hypertension, although more studies are necessary.
分析在55岁及以上、患有未控制的高血压、使用多种药物且服药依从性差的患者中，使用或不使用多隔层依从性辅助工具（MCA）后依从性的改善情况。
纵向研究（6个月）。使用改编版的莫里isky - 格林测试、统计返还药物数量（MCA组）和血压（BP）值来分析治疗依从性水平。地点：西班牙35家社区药房的多中心研究。参与者：195名年龄超过55岁、使用多种药物、服药依从性差、患有未控制的高血压且使用电子处方的参与者（88名MCA组和107名对照组）。干预措施：MCA组在MCA中接受药物，而对照组按常规接受药物。主要测量指标：两组均使用数字血压计反复测量收缩压/舒张压。
与对照组相比，MCA组的血压值显著降低（MCA组收缩压降低18.3 mmHg，对照组降低9.9 mmHg；舒张压MCA组降低9.9 mmHg，对照组降低8.9 mmHg）。两组的依从性均提高到90%以上。
使用MCA使近50%的参与者血压水平得到控制。鉴于此，尽管还需要更多研究，但MCA被认为是提高患者依从性和控制高血压的良好工具（具有成本效益、使用者耐受性好、易于使用……）。
