scholarly journals Community Pharmacist Services for Hypertensive Patients: A Novel Practice in Shanghai, China

2021 ◽  
Vol 58 ◽  
pp. 004695802110208
Author(s):  
Qian Liu ◽  
Xiaoyan Zhu ◽  
Mei Shen ◽  
Jianping Wu ◽  
Shuqin Chen ◽  
...  
Keyword(s):  
Community Pharmacist ◽  
Intervention Group ◽  
Community Pharmacists ◽  
Self Management ◽  
Hypertension Status ◽  
Hypertensive Patients ◽  
Management Group ◽  
Before And After ◽  
Pharmacist Services ◽  
Health Deterioration

For Chinese community pharmacists, there is a lack of guidance before and after the drug treatment process for community residents. This study aimed to investigate community pharmacists’ role in hypertension management. One hundred ninety-six hypertensive patients were randomly selected from the studied community. For patients in the intervention group, monthly meetings were scheduled with a community pharmacist. Patients in the non-intervention group received standard care from their physicians. In the intervention group, the percentage using information from pharmacists increased significantly, from 54.3% to 94.2% ( P < .05). Awareness of self-management was also enhanced, with community self-management group attendance increasing from 53.4% to 77.7% ( P < .05), but the non-intervention group did not change significantly. Hypertensive patients’ beliefs about community pharmacists also improved significantly. Hypertension status also showed a significant improvement, whereas for participants without intervention, it worsened over time. In addition to increasing knowledge regarding drug use, care provided by community pharmacists can also significantly improve blood pressure status. For those who did not receive intervention, a disproportionate level of health deterioration could be seen.

scholarly journals Efektivitas Metode Edukasi Audiovisual terhadap Self Management pada Pasien Hipertensi

2019 ◽  
Vol 3 (1) ◽  
pp. 221-233
Author(s):  
Fernalia Fernalia ◽  
Busjra Busjra ◽  
Wati Jumaiyah
Keyword(s):  
Intervention Group ◽  
Total Sample ◽  
Self Management ◽  
Control Group ◽  
Hypertensive Patients ◽  
Audiovisual Education ◽  
Significant Difference ◽  
Post Test ◽  
Quasi Experimental ◽  
Equivalent Control

This study aims to determine the effectiveness of audiovisual education methods on self management in hypertensive patients. This study used a quasi-experimental design with a non-equivalent control group pre and post test design, with a total sample of 38 respondents consisting of an intervention group and a control group. Obtained a significant difference in the average self-management of the intervention group after the audiovisual education method was performed with (p = 0,000). There was no relationship between age (p = 0.71), sex (p = 0.955) and self-management in hypertensive patients. While self management will increase after the audiovisual education method is carried out and controlled by knowledge (p = 0.005). The conclusion of this study is the audiovisual education method can improve self management in hypertensive patients.  Keywords: Audiovisual Education, Hypertension, Self Management

Pengaruh Pendidikan Kesehatan Menggunakan Booklet Berbahasa Madura Terhadap Self Management Pada Klien Hipertensi di Poli Jantung Rsud dr. Abdoer Rahem Situbondo

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Silvia Nuruddani ◽  
Handono Fatkhur Rahman ◽  
Setiyo Adi Nugroho ◽  
Sri Astutik Andayani ◽  
Abdul Hamid Wahid
Keyword(s):  
Health Education ◽  
Quantitative Research ◽  
Intervention Group ◽  
T Test ◽  
Self Management ◽  
Uncontrolled Hypertension ◽  
Control Group ◽  
P Value ◽  
Before And After ◽  
Group A

Objective:   Hypertension  is one of the main problems of public health, and if still a big challenge in indonesia with a high prevelention amounting to 34,1% (percent). Uncontrolled hypertension will cause  complication and death. One of the factors that can cause hypertension is a bad self management. To improve self management on hypertensive dilent is health education needs to be done.Methods:   The kind of quantitative research with Quasi Experiment design in the form of a Pretest-Posttest Nonequivalent Control Group sampale selection with Simple Random Samping as many as 40 respondets 20 intervention groups, 20 control graups data collection techniaques with self management questioner (H-SCALE).Results:   Paired T-test results of the intervention group obtained a P-value of 0,000, and in the control group a P-value of 0.106 was obtained. While the results of the Independent T-test in the intervention group and the control group obtained a value of 0,000. So it can be said that there are effects and differences before and after health education is given to hypertension client self management. Conclusion:   Expected by health education obout hypertension can improve self management on hypertension drent.

scholarly journals The Effect of Educational Intervention Based on Model 5A Self-Management Theory on Life Quality in Hypertensive Patients

2019 ◽  
Author(s):  
Farbod Ebadi Fard Azar ◽  
Mahnaz Solhi ◽  
Nemam Ali Azadi ◽  
Arash Ziapour ◽  
Javad Yoosefi Lebni ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Intervention Group ◽  
Life Quality ◽  
Management Program ◽  
Management Theory ◽  
Repeated Measure ◽  
Self Management ◽  
Control Group ◽  
Eligibility Criteria ◽  
Hypertensive Patients

Abstract Background: Hypertension is a major risk factor in heart failure, arterial aneurysms, peripheral arterial disease, chronic kidney disease, stroke and myocardial infarction. Methods: This study was an experimental study. From patients with hypertension presenting to karaj Health Center, 90 patients were selected according to the eligibility criteria and were assigned randomly to two groups, the intervention group (45 patients) and the control group (45 patients). The data were collected through questionnaires. Educational intervention based on self-management theory was designed in 5A method and implemented in the intervention group. The data was collected in three times including before the intervention, 1 month after the intervention and 3 months after the educational intervention. data were analyzed using SPSS software and statistical methods number, percentage, mean, standard deviation and repeated measure test. Results: The results showed that the mean score of various domains of life quality (physical domain¸ psychological domain, social domain, environmental domain) and total score of life quality in the intervention group increased significantly compared to the control group after the educational intervention. Conclusion The results of the study showed that using self-management program is effective in improving the life quality of hypertensive patients.

Building the Case: Changing Consumer Perceptions of the Value of Expanded Community Pharmacist Services

2018 ◽  
Vol 32 (6) ◽  
pp. 637-647 ◽  
Author(s):  
Kathryn Steckowych ◽  
Marie Smith ◽  
Susan Spiggle ◽  
Andrew Stevens ◽  
Hao Li
Keyword(s):  
Primary Care ◽  
Patient Care ◽  
Community Pharmacist ◽  
Community Pharmacists ◽  
Primary Care Providers ◽  
Consumer Perceptions ◽  
Care Practice ◽  
Care Services ◽  
Facilitators And Barriers ◽  
Pharmacist Services

Background: The role of the community pharmacist has traditionally been a medication dispenser; however, community pharmacists’ responsibilities must expand to include more direct patient care services in order to transform primary care practice. Objectives: Use case-based scenarios to (1) determine factors that contribute to positive and negative consumer perceptions of expanded community pharmacist patient care roles, (2) identify facilitators and barriers that contribute to consumer perceptions of the value of expanded community pharmacist patient care services, and (3) develop a successful approach and strategies for increasing consumer advocacy for the value of expanded community pharmacist patient care services. Methods: Two consumer focus groups used scenario-based guided discussions and Likert scale questionnaires to elicit consumer reactions, facilitators, and barriers to expanded community pharmacist services. Results: Convenience, timeliness, and accessibility were common positive reactions across all 3 scenarios. Team approach to care and trust were viewed as major facilitators. Participant concerns included uncertainty about pharmacist training and qualifications, privacy, pharmacists’ limited bandwidth to accept new tasks, and potential increased patient costs. Common barriers to service uptake included a lack of insurance payment and physician preference to provide the services. Conclusion: Consumer unfamiliarity with non-traditional community pharmacist services is likely an influencer of consumers’ hesitancy to utilize such services; therefore, an opportunity exists to engage consumers and advocacy organizations in supporting expanded community pharmacist roles. This study can inform consumers, advocates, community pharmacists, primary care providers, and community-based organizations on methods to shape consumer perceptions on the value of community pharmacist expanded services.

scholarly journals A pilot project to assess community pharmacists' knowledge and caring behaviors for recurrent headache sufferers after a migraine-focused educational intervention

2014 ◽  
Vol 5 (4) ◽  
Author(s):  
Kelly A. Murray ◽  
Monica L. Skomo ◽  
Sandra M. Carter
Keyword(s):  
Educational Intervention ◽  
Intervention Group ◽  
Community Pharmacists ◽  
Pilot Project ◽  
Current Treatment ◽  
Control Group ◽  
Original Research ◽  
Community Pharmacies ◽  
Post Intervention ◽  
Before And After

Objectives: (1) Compare pharmacists' self-assessed knowledge of migraine before and after an educational intervention; (2) Compare pharmacists' self-reported care behaviors following an educational intervention with a control group of pharmacists; (3) Identify interactions between the educational intervention results and individual independent variables. Design: Quasi-experimental, parallel design. Setting: Twenty community pharmacies in northeastern Oklahoma from March to May 2010. Participants: 49 pharmacists at one of twenty community pharmacies, with active and in-good-standing Oklahoma pharmacy licenses. Intervention: Two-hour educational session on migraine identification and current treatment. Main outcome measures: Compare pharmacists' self-assessed knowledge of migraine before and after an educational intervention and compare self-reported care behaviors of these same pharmacists with a control group of pharmacists. Results: Pharmacists' self-assessed knowledge mean scores were significantly higher post-intervention compared to pre-intervention (p<0.0001). Self-assessed knowledge was higher in the intervention group post-questionnaire scores compared to the control group of pharmacists (p=0.004). Intervention group pharmacists were more confident in their ability to maintain knowledge of migraine (p=0.04). No difference was seen regarding difficulty in providing care for a migraineur (p=0.16) or in how the pharmacists perceived employer culture (p=0.79). No significant interactions were found between the educational intervention and demographic variables collected. Conclusion: Attending an educational program on migraine improved pharmacists' knowledge and confidence when providing care to migraineurs.   Type: Original Research

Moving toward community based telehealth services using mhealth for hypertensive patients

2019 ◽  
Vol 35 (5) ◽  
pp. 379-383
Author(s):  
Sahar Zare ◽  
Rita Rezaee ◽  
Azam Aslani ◽  
Mohammad Shirdeli ◽  
Javad Kojuri
Keyword(s):  
Intervention Group ◽  
Self Care ◽  
Community Based ◽  
Hypertensive Patients ◽  
Significant Difference ◽  
Before And After ◽  
Telehealth Intervention ◽  
Appointment Keeping ◽  
The Mean ◽  
And Control

AbstractBackgroundAlthough self-care can control and prevent complications in hypertensive patients, self-care adherence is relatively low among these patients. Community-based telehealth services through mhealth can be an effective solution.ObjectiveThis study aimed to evaluate the effect and acceptance of an mhealth application as a community-based telehealth intervention on self-care behavior adherence.MethodThis clinical trial included sixty hypertensive patients and their matched controls from two heart clinics affiliated to Shiraz University of Medical Sciences (SUMS). Self-care behaviors were assessed using Hill-Bone questionnaire before and after the intervention. Acceptability was evaluated in the intervention group at the end of the study period. The data were analyzed via SPSS 18 software using descriptive and inferential statistics.ResultThe results showed a significant difference between the intervention and control groups regarding the mean score of self-care behaviors (4.13 ± 0.23 versus 3.18 ± 0.27, p < .001). Additionally, a significant difference was observed between the two groups concerning the mean scores of the two subscales of self-care behaviors, including “medication taking” and “proper diet”. However, no significant difference was observed between the two groups regarding the mean score of “appointment keeping” (p = .075). Overall, the intervention group participants were satisfied (4.27 ± 0.34) with this approach for managing hypertension.ConclusionCommunity-based telehealth services through mhealth had the potential to improve self-care behaviors in hypertensive patients and seemed to be accepted by the patients in the intervention group.

scholarly journals Pengaruh Psikoedukasi terhadap Pengetahuan dan Tingkat Kecemasan Pasien dengan hipertensi

JKEP ◽  
2018 ◽  
Vol 3 (2) ◽  
pp. 119-130
Author(s):  
Omi Haryati ◽  
Nurdiana Nurdiana
Keyword(s):  
Muscle Tension ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Hypertensive Patients ◽  
Group Psychoeducation ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
Pain Stimuli

Psychoeducation is the provision of information about managing disease and the psychological aspects of patients. Psychoeducation teaches someone about a problem so they can reduce the stress associated with the problem. Relaxation can reduce muscle tension, saturation and anxiety so as to prevent the increase in pain stimuli and can help hypertensive patients to reduce anxiety and strengthen individual coping. This study aims to determine the effect of psychoeducation on the knowledge and anxiety level of patients with hypertension. The study design was a quasi-experimental pre-post test with control group psychoeducation intervention with a sample of 80 people. The results were significant differences in the knowledge of patients before and after the intervention group (p value knowledge = 0.013), whereas in the control group there was no difference (p value = 0.770). The conclusion is obtained that psychoeducation can improve the knowledge of patients with hypertension, so that it is expected to be one form of intervention that can be applied to the community in the Cipayung District area.

Benefit of an Internet-Based Management System among Hemodialysis Patients at the Risk of Intradialytic Hypotension and Muscle Cramps: A Controlled before and after Study

2021 ◽  
pp. 1-8
Author(s):  
Jinsheng Xu ◽  
Jingjing Jin ◽  
Meijuan Cheng ◽  
Wei Zhou ◽  
Shenglei Zhang ◽  
...  
Keyword(s):  
Management System ◽  
Intervention Group ◽  
Hemodialysis Patients ◽  
Muscle Cramp ◽  
Self Management ◽  
The Internet ◽  
Intradialytic Hypotension ◽  
Significant Implication ◽  
Muscle Cramps ◽  
Before And After

<b><i>Background:</i></b> The purpose of this study was to observe the impact of an internet-based management system on the incidence of intradialytic hypotension (IDH) and muscle cramps in hemodialysis patients. <b><i>Methods:</i></b> The patients, who underwent maintenance hemodialysis in the center from January 2018 to June 2020, were recruited and divided into the pre-intervention group (before operation of the internet-based hemodialysis management system, from January 2018 to December 2018) and intervention group (after operation of the system, from June 2019 to June 2020). The clinical outcomes were compared between groups. <b><i>Results:</i></b> The compound endpoint of &#x3e;1 IDH or muscle cramps happened in 182 patients (61.7%) in the pre-intervention group and 99 participants (30.8%) in the intervention group (relative risk [RR] = 0.50 [95% confidence interval [CI], 0.42; 0.60]). IDH occurred in 122 patients (1–5 episodes in 47 patients, 6–10 episodes in 25 patients, and &#x3e;10 episodes in 50 patients) and 33 patients (30 patients had 1–5 episodes and 3 patients had 6–10 episodes) before and after execution of the internet-based management system, respectively (RR = 0.25 [95% CI, 0.18; 0.35]). The incidence of muscle cramps was significantly decreased (RR = 0.57 [95% CI, 0.45; 0.73]) after the implementation of the system, and the number of patients with 6–10 episodes dropped from 10 to 1. Multivariate analyses also showed significantly lower RRs in the intervention group: 0.29 ([95% CI, 0.20; 0.41]) for IDH and 0.58 ([95% CI, 0.45; 0.74]) for muscle cramps. Compared with the pre-intervention, participants in the intervention group had a large improvement in self-management (<i>p</i> &#x3c; 0.001) and self-efficacy (<i>p</i> &#x3c; 0.001). <b><i>Conclusion:</i></b> The study found that the internet-based hemodialysis management system was effective in reducing the IDH and muscle cramp events and improving self-management. It provided a significant implication for the development and application of internet-based programs in hemodialysis management.

scholarly journals Assessment of Pharmacist Led Patient Counseling Program for Hypertension Management: The Transformative Role of Community Pharmacies in Chronic Disease Management

2021 ◽  
Vol 6 (02) ◽  
pp. 91-95
Author(s):  
Madeeha Malik ◽  
Usman Aslam ◽  
Azhar Hussain ◽  
Ayisha Hashmi
Keyword(s):  
Blood Pressure ◽  
Community Pharmacist ◽  
Intervention Group ◽  
Community Pharmacists ◽  
Hypertension Management ◽  
Community Pharmacies ◽  
Post Intervention ◽  
Disease Knowledge ◽  
Medication Therapy ◽  
Significant Difference

Background: Effective management of hypertension depends on efficacy of therapy as well as patient adherence to medication therapy and non-pharmacological approaches. As one of the important member of primary healthcare team, community pharmacists can play a key role in counseling patients and managing their chronic illnesses. Aim: The objective of the study was to assess the effectiveness of pharmacist counseling on management of hypertension of patients attending community pharmacies in twin cities of Pakistan. Methodology: A randomized, controlled, single blinded, pre-post intervention study design was used. Pharmacists working at community pharmacies included in group A (intervention) were targeted for training while no training was given to the pharmacists working at community pharmacies included in group B (control). The total numbers of patients were 40 in each group while estimating a drop-out rate of 25%. Patients in the intervention group received special counseling sessions by the community pharmacist whereas those in the control group received the usual pharmacy services for six months. Pre-validated tool hypertension knowledge level scale was used to assess disease knowledge. The questionnaire was administered by the pharmacists to the respondents at baseline and after 6 months. Data was cleaned, coded and analyzed in SPSS 21. Results: The results of the present study showed that respondents having hypertension since the past one year had comparatively better knowledge (23.83, ±0.40) after six months of counseling. Mean knowledge scores regarding hypertension among intervention group at baseline was (15.60, ±3.33) which was improved after six months (18.35, ±2.31). The systolic and diastolic blood pressure also improved in intervention group after 6 months of counseling. Significant difference was observed (p≤0.05) in pre-post intervention knowledge regarding hypertension management. Knowledge of patients was improved regarding different aspects of hypertension management after counseling by community pharmacists. Conclusion: The results of the current study concluded that counseling by community pharmacist had a positive impact on hypertension management. Educational programs should be initiated by community pharmacists as this can lead to improvement in blood pressure goals, disease knowledge and medication adherence and enhance the image of pharmacist as a key health care member in management of chronic diseases.

scholarly journals Pengaruh Senam Jantung Sehat terhadap Tekanan Darah Penderita Hipertensi di Wilayah Kerja Puskesmas Lepo-Lepo

MEDULA ◽  
2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Amiruddin Eso ◽  
Dwi Pascawitasari ◽  
I Putu Sudayasa
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Intervention Group ◽  
Health Centers ◽  
Wilcoxon Test ◽  
Control Group ◽  
Parasympathetic Nerve ◽  
Hypertensive Patients ◽  
Before And After

ABSTRACTHypertension is the increase in systolic and diastolic blood pressure that occurs persistently. Healthy heart gymnastic is one of the non pharmacologic therapies for hypertensive patients. Healthy heart gymnastic can increase activity of  parasympathetic nerve and decrease activity of sympathetic nerve, so that could lead decrease of blood pressure. The aim of this research was to find out the effect of healthy heart gymnastic towards blood pressure before and after exercise in hypertensive patients. Research design was quasi experimental with pre test and post test control group design. The Samples were 20 hypertensive patients aged 18 to 65 years, determined by using purposive sampling techniques. Samples were divided into two groups, i.e control group (n=10) consisted of 3 males and 7 females and intervention group (n=10) consisted of 10 females.  Healthy heart gymnastic Intervention implemented during four weeks with modrate intensity (60% MHR) and fifth times in a week. The research was held in Health Centers Lepo-Lepo, Kendari, Southeast Sulawesi. Measurement of blood pressure by indirect method and measurements of pulse pressureby pulse meter. Data were analyzing by paired t test for systolic blood pressure in intervention group and Wilcoxon test for diastolic blood pressure in intervention group.  Data have considered if p value < 0,05. The results have shown  there were significant differences in systolic blood pressure (p = 0,000) and diastolic blood pressure (p = 0,004) before and after healthy heart gymnastic in intervention group. Conclusion of this research is healthy heart gymnastic can decrease blood pressure in hypertensive patients, so that usable as one of alternative treatment in hypertensive patients.Key Words: healthy heart gymnastic, hypertension, decrease of blood pressure, health centers lepo-lepo

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