Yıl: 2021 Cilt: 45 Sayı: 1 Sayfa Aralığı: 1 - 11 Metin Dili: İngilizce DOI: 10.33483/jfpau.809585 İndeks Tarihi: 03-09-2022

THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE

Öz:
Objective: Pharmacists have important roles in pharmaceutical care practices. In this study, it was aimed to investigate the potential benefits of the presence of a pharmacist in PHCs (Primary Health Care) in addition to other health care specialists in Ankara Kecioren Karargahtepe PHC and Ankara Ayas PHC. Material and Method: This study is a quasi-experimental type of study which includes a pre-test and a post-test. Pre-test was given to patients by two pharmacists, which was followed by a basic education on hypertension and its treatment. A post-test was done three months after the pre-test in order to assess the efficiency of the education. Result and Discussion: In total, 103 patients (70.9% female; mean age: 62.84 ± 10.44 years) were analysed before and after receiving counselling from two pharmacists. The results of pre- and post-tests were analyzed by Wilcoxon t-test using SPSS 23.0. As a result of the statistical analysis, the education provided by the pharmacists enhanced the mean patient scores significantly (T0 (pre-test) = 6 (5-7), T1 (post-test) = 8 (6- 9); P ˂ 0.05). This study revealed the active role and the requirement of the presence of a pharmacist in addition to other health care providers in PHCs.
Anahtar Kelime:

HİPERTANSIYON TEDAVİ YÖNETİMİNDE ECZACININ ROLÜ: AİLE SAĞLIĞI MERKEZİ’NDE BİR MODEL UYGULAMASI

Öz:
Amaç: Farmasötik bakım uygulamalarında eczacılar önemli rol oynamaktadır. Bu çalışmada Aile Sağlığı Merkezi’nde bulunan diğer sağlık personellerinin yanı sıra eczacı varlığının potansiyel yararları incelenmiştir. Gereç ve Yöntem: Pre-test ve post-testten oluşan yarı-deneysel bir çalışmadır. Hastalara iki ayrı Aile Sağlığı Merkezi’nde (Karargahtepe Aile Sağlığı Merkezi ve Ayaş Aile Sağlığı Merkezi) iki eczacı tarafından öncelikle pre-test uygulanmış ve sonrasında hipertansiyon tedavi yönetimiyle ilgili eğitim verilmiştir. Üç ay sonrasında verilen eğitimin etkinliğini ölçmek amacıyla post-test uygulanmıştır. Sonuç ve Tartışma: Toplamda 103 hastaya ulaşılmış ve danışmanlık sağlanmıştır. Genel yaş ortalaması 62.84 ± 10.44 olan hastaların %70.9’unu kadınlar oluşturmaktadır. Sonuçlar, SPSS 23.0. ile Wilcoxon t testi kullanılarak analiz edilmiştir. Verilen eğitimin sonucu olarak post-testte hastaların puanlarının anlamlı olacak şekilde arttığı gözlenmiştir (T0 (pre-test) = 6 (5-7), T1 (post-test) = 8 (6-9); P ˂ 0.05). Bu çalışma ile Aile Sağlığı Merkezi’nde diğer sağlık personellerinin yanında eczacının da bulunmasının hipertansiyon hasta yönetimine olumlu katkı sağladığı gösterilmiştir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Türk Eczacıları Birliği. Türkiye'de Aile Hekimliği Uygulamasına Genel Bakış: Türk Eczacıları Birliği Raporu. In: Türkiye’de Aile Hekimliği Uygulamaları ve Serbest Eczacılara Yansımaları 2009. Retrieved June 18, 2018, from http://ekutuphane.teb.org.tr/arsiv.php?anabelge_no=398.
  • 2. Van Mil, J.W., Fernandez-Llimos, F. (2013). What is 'pharmaceutical care' in 2013? Pharm Pract (Granada), 11(1), 1–2.
  • 3. Conference of Experts on the Rational Use of Drugs (1985: Nairobi). (1987). The rational use of drugs: report of the Conference of Experts, Nairobi, 25-29 November 1985. World Health Organization, Retrieved June 18, 2018, from https://apps.who.int/iris/handle/10665/37174.
  • 4. Toklu, H.Z., Dülger, G. (2010). Eczacılar için akılcı ilaç kullanımı eğitimi. Sentez, 6, 16-17.
  • 5. Cazarim, MdS., Freitas, Od., Penaforte, T.R., Achcar, A., Pereira, LRL. (2016). Impact assessment of pharmaceutical care in the management of hypertension and coronary risk factors after discharge. PLoS One, 11(6), e0155204.
  • 6. Kearney, PM., Whelton, M., Reynold, K., Muntner P, Whelton PK, He J. (2005). Global burden of hypertension: analysis of worldwide data. Lancet, 365(9455), 217-223.
  • 7. World Health Organization, 2003. Adherence to long-term therapies: evidence for action / [edited by Eduardo Sabaté]. Retrieved June 18, 2018, from http://www.who.int/iris/handle/10665/42682.
  • 8. Fulton, M.M., Allen, E.R. (2005). Polypharmacy in the elderly: a literature review. J Am Acad Nurse Pract., 17(4), 123–132.
  • 9. Finkers, F., Maring, J.G., Boersma, F., Taxis, K. (2007). A study of medication reviews to identify drug-related problems of polypharmacy patients in the Dutch nursing home setting. J Clin Pharm Ther., 32(5), 469–476.
  • 10. Morgado, M., Rolo, S., Castelo-Branco, M. (2011). Pharmacist intervention program to enhance hypertension control: a randomised controlled trial. Int J Clin Pharm., 33(1), 132-140.
  • 11. Omboni, S., Sala, E. (2015). The pharmacist and the management of arterial hypertension: the role of blood pressure monitoring and telemonitoring. Expert Rev Cardiovasc Ther., 13(2), 209-221.
  • 12. Green, B.B., Cook, A.J., Ralston, J.D., Fishman, P.A., Catz, S.L., Carlson, J., Carrell, D., Tyll, L., Larson, E.B., Thompson, R.S. (2008). Effectiveness of home blood pressure monitoring, web communication, and pharmacist care on hypertension control: a randomized controlled trial. JAMA, 299(24), 2857–2867.
  • 13. Bogden, P.E., Abbott, R.D., Williamson, P., Onopa, J.K., Koontz, L.M. (1998). Comparing standard care with a physician and pharmacist team approach for uncontrolled hypertension. J Gen Intern Med, 13(11), 740–745.
  • 14. Carter, B.L, Rogers, M., Daly, J., Zheng, S., James, P.A. (2009). The potency of team-based care interventions for hypertension: a meta-analysis. Arch Intern Med., 169(19), 1748–1755.
  • 15. Tachjian, A., Maria, V., Jahangir, A. (2010). Use of herbal products and potential interactions in patients with cardiovascular disease. J Am Coll Cardiol., 55(6), 515–525.
  • 16. American Society of Health System Pharmacists. (1993). ASHP statement on pharmaceutical care. Am J Hosp Pharm., 50, 1720-3.
  • 17. Molokhia, M., Majeed, A. (2017). Current and future perspectives on the management of polypharmacy. BMC Fam Pract., 18, 70.
  • 18. Slight, S.P., Howard, R., Ghaleb, M., Barber, N., Franklin, B.D., Avery, A.J. (2013). The causes of prescribing errors in English general practices: a qualitative study. Br J Gen Pract., 63(615), e713– 20.
  • 19. Komwong, D., Greenfield, G., Zaman, H., Majeed, A., Hayhoe, B. (2018). Clinical pharmacists in primary care: a safe solution to the workforce crisis? J R Soc Med., 111(4), 120-124.
  • 20. Incirkus, K., Nahcivan, N.O. (2011). Kronik hastalık bakımını değerlendirme ölçeği-hasta formu’nun Türkçe versiyonunun geçerlik ve güvenirliği. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 4(1), 102-109.
  • 21. Adepu, R., Nagavi, B.G. (2006). General practitioners perceptions about the extended roles of the community pharmacists in the state of Karnataka: a study. Indian J Pharm Sci., 68, 36-40.
  • 22. Kara, B., Uzun, S., Yokusoglu, M., Uzun, M. (2009). Hipertansiyon hastalarında ilaç bilgisinin kan basıncını düşürmek için uygulanan yöntemlere etkisi. TAF Preventive Medicine Bulletin, 8(3), 231-238.
  • 23. Centers for Disease Control and Prevention. CDC 24/7: Saving Lives, Protecting People. Retrieved May 30, 2020, from https://www.cdc.gov/bloodpressure/measure.htm.
  • 24. Tachjian, A., Maria, V., Jahangir, A. (2010). Use of Herbal Products and Potential Interactions in Patients with Cardiovascular Diseases. J Am Coll Cardiol., 55(6), 515–525.
  • 25. O'Shaughnessy, K.M. (2006). Role of diet in hypertension management. Curr Hypertens Rep., 8(4), 292-297.
  • 26. Bazzano, L.A, Green, T., Harrison, T.N., Reynolds, K. (2013). Dietary approaches to prevent hypertension. Curr Hypertens Rep., 15(6), 694–702.
  • 27. Challa, H.J, Uppaluri, K.R. DASH diet (Dietary approaches to stop hypertension). StatPearls. Retrieved May 30, 2020, from https://www.ncbi.nlm.nih.gov/books/NBK482514/.
  • 28. Malet-Larrea, A., Cardenas, V.G, Benito, L.S, Benrimoj, S.I, Calvo, B., Goyenechea, E. (2016). Cost-effectiveness of professional pharmacy services in community pharmacy: a systematic review. Expert Rev Pharmacoecon Outcomes Res., 0(ja), null.
  • 29. Polgreen, L.A, Han, J., Carter, B.L., Ardery, G.P., Coffey, C.S., Chrischilles, E.A., James, P.A. (2015). CostEffectiveness of a Physician–Pharmacist Collaboration Intervention to Improve Blood Pressure ControlNovelty and Significance. Hypertension., 66(6), 1145–1151.
  • 30. Santschi, V., Chiolero, A., Colosimo, A.L., Platt, R.W., Taffe, P., Burnier, M., Burnand, B., Paradis, G. (2014). Improving Blood Pressure Control Through Pharmacist Interventions: A Meta Analysis of Randomized Controlled Trials. J Am Heart Assoc Cardiovasc Cerebrovasc Dis., 3(2), e000718.
  • 31. Machado, M., Bajcar, J., Guzzo, G.C., Einarson, T.R. (2007). Sensivity of patient outcomes to pharmacist interventions. Part II: Systematic review and meta-analysis in hypertension management. Ann Pharmacother, 41, 1770-81.
APA Pehlivanlı A, AKYOL B, Sesyilmaz O, Ö, Onay-Besikci A, OZÇELIKAY A, ÖZÇELİKAY G (2021). THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE. , 1 - 11. 10.33483/jfpau.809585
Chicago Pehlivanlı Aysel,AKYOL Büşra,Sesyilmaz Ozlem, Ömer,Onay-Besikci Arzu,OZÇELIKAY ARIF TANJU,ÖZÇELİKAY GÜLBİN THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE. (2021): 1 - 11. 10.33483/jfpau.809585
MLA Pehlivanlı Aysel,AKYOL Büşra,Sesyilmaz Ozlem, Ömer,Onay-Besikci Arzu,OZÇELIKAY ARIF TANJU,ÖZÇELİKAY GÜLBİN THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE. , 2021, ss.1 - 11. 10.33483/jfpau.809585
AMA Pehlivanlı A,AKYOL B,Sesyilmaz O, Ö,Onay-Besikci A,OZÇELIKAY A,ÖZÇELİKAY G THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE. . 2021; 1 - 11. 10.33483/jfpau.809585
Vancouver Pehlivanlı A,AKYOL B,Sesyilmaz O, Ö,Onay-Besikci A,OZÇELIKAY A,ÖZÇELİKAY G THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE. . 2021; 1 - 11. 10.33483/jfpau.809585
IEEE Pehlivanlı A,AKYOL B,Sesyilmaz O, Ö,Onay-Besikci A,OZÇELIKAY A,ÖZÇELİKAY G "THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE." , ss.1 - 11, 2021. 10.33483/jfpau.809585
ISNAD Pehlivanlı, Aysel vd. "THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE". (2021), 1-11. https://doi.org/10.33483/jfpau.809585
APA Pehlivanlı A, AKYOL B, Sesyilmaz O, Ö, Onay-Besikci A, OZÇELIKAY A, ÖZÇELİKAY G (2021). THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE. Ankara Üniversitesi Eczacılık Fakültesi Dergisi, 45(1), 1 - 11. 10.33483/jfpau.809585
Chicago Pehlivanlı Aysel,AKYOL Büşra,Sesyilmaz Ozlem, Ömer,Onay-Besikci Arzu,OZÇELIKAY ARIF TANJU,ÖZÇELİKAY GÜLBİN THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE. Ankara Üniversitesi Eczacılık Fakültesi Dergisi 45, no.1 (2021): 1 - 11. 10.33483/jfpau.809585
MLA Pehlivanlı Aysel,AKYOL Büşra,Sesyilmaz Ozlem, Ömer,Onay-Besikci Arzu,OZÇELIKAY ARIF TANJU,ÖZÇELİKAY GÜLBİN THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE. Ankara Üniversitesi Eczacılık Fakültesi Dergisi, vol.45, no.1, 2021, ss.1 - 11. 10.33483/jfpau.809585
AMA Pehlivanlı A,AKYOL B,Sesyilmaz O, Ö,Onay-Besikci A,OZÇELIKAY A,ÖZÇELİKAY G THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE. Ankara Üniversitesi Eczacılık Fakültesi Dergisi. 2021; 45(1): 1 - 11. 10.33483/jfpau.809585
Vancouver Pehlivanlı A,AKYOL B,Sesyilmaz O, Ö,Onay-Besikci A,OZÇELIKAY A,ÖZÇELİKAY G THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE. Ankara Üniversitesi Eczacılık Fakültesi Dergisi. 2021; 45(1): 1 - 11. 10.33483/jfpau.809585
IEEE Pehlivanlı A,AKYOL B,Sesyilmaz O, Ö,Onay-Besikci A,OZÇELIKAY A,ÖZÇELİKAY G "THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE." Ankara Üniversitesi Eczacılık Fakültesi Dergisi, 45, ss.1 - 11, 2021. 10.33483/jfpau.809585
ISNAD Pehlivanlı, Aysel vd. "THE ROLE OF THE PHARMACIST IN HYPERTENSION MANAGEMENT: A MODEL APPLICATION IN PRIMARY HEALTH CARE". Ankara Üniversitesi Eczacılık Fakültesi Dergisi 45/1 (2021), 1-11. https://doi.org/10.33483/jfpau.809585