ridm@nrct.go.th   ระบบคลังข้อมูลงานวิจัยไทย   รายการโปรดที่คุณเลือกไว้

A randomized controlled trial of a trained pharmacist-nurse model care on uncomplicated hypertension in primary care setting in rural area of Thailand

หน่วยงาน สถาบันวิจัยและให้คำปรึกษาแห่ง มหาวิทยาลัยธรรมศาสตร์

รายละเอียด

ชื่อเรื่อง : A randomized controlled trial of a trained pharmacist-nurse model care on uncomplicated hypertension in primary care setting in rural area of Thailand
นักวิจัย : Puritat Maungboon , Pisit Hutayanon , Songkwan Silaruks
คำค้น : Hypertensive patients , Primary care physicians , Blood pressure , Rural area , Thailand
หน่วยงาน : สถาบันวิจัยและให้คำปรึกษาแห่ง มหาวิทยาลัยธรรมศาสตร์
ผู้ร่วมงาน : -
ปีพิมพ์ : 2554
อ้างอิง : Journal of hypertension. 29 e-Supplement B:e16 (2011) , 0263-6352 , http://dspace.library.tu.ac.th/handle/3517/6250
ที่มา : -
ความเชี่ยวชาญ : -
ความสัมพันธ์ : -
ขอบเขตของเนื้อหา : -
บทคัดย่อ/คำอธิบาย :

Background: Blood pressure control in hypertensive patients is of paramount importance; however current patterns are usually suboptimal. Given increasing problems with access to primary care physicians, trained pharmacists and practice nurses can effectively identify, educate, and monitor patients with hypertension. Objective: Evaluate the effectiveness of co-management of uncontrolled, uncomplicated hypertensive patients by trained-pharmacist and-practice nurse teams compared with usual primary care in the primary care clinic in rural area. Method: We performed a single center, single-blind randomized controlled trial comparing usual primary and intervention care; which consisted of trained pharmacist and nurse teams according to expert-proved collaborative protocol management of uncomplicated hypertension in the primary care clinic. The uncontrolled hypertensive, non-diabetes patients (BP > 140/90 mmHg); without evidence of organ damage were allocated to care from trained providers or primary physicians. Primary outcome measures were differences in mean systolic and diastolic blood pressure between groups at the end of study. Secondary outcomes included optimal blood pressure control, use of appropriated drug to control blood pressure, rate of screening organ damage, hypertension-related knowledge, medication adherence and quality of life. Results: A total of 211 eligible patients were enrolled to intervention and control arms between December 1, 2010, and March 31, 2011. The mean age (SD) patient 59.1 (9.3) years, 62.2% are male, and the mean baseline systolic/diastolic BP was 146.8(9.6)/86.4(10.1) mmHg at baseline. The intervention group achieved significantly lower systolic (p = 0.004) and diastolic (p = 0.005) blood pressures compared to control (135/72 mmHg vs. 147/81 mmHg). At the end of study, 71% of intervention patients could achieve target blood pressure compared to 49% of control subjects (p = 0.002). Intervention group was prescribed less antihypertensive medications (2.4 vs. 3.8, p = 0.02). There were statistically significant differences between groups regarding to hypertension-related knowledge, or medication adherence while not significantly difference of quality of life. Conclusion: Trained pharmacist and practice nurse teams can be collaborated to hypertension management, achieved significantly better blood pressure control according to expert-proved guideline compared to primary physician care with no difference in quality of life. (C) 2011 Lippincott Williams & Wilkins, Inc.

บรรณานุกรม :
Puritat Maungboon , Pisit Hutayanon , Songkwan Silaruks . (2554). A randomized controlled trial of a trained pharmacist-nurse model care on uncomplicated hypertension in primary care setting in rural area of Thailand.
    กรุงเทพมหานคร : สถาบันวิจัยและให้คำปรึกษาแห่ง มหาวิทยาลัยธรรมศาสตร์ .
Puritat Maungboon , Pisit Hutayanon , Songkwan Silaruks . 2554. "A randomized controlled trial of a trained pharmacist-nurse model care on uncomplicated hypertension in primary care setting in rural area of Thailand".
    กรุงเทพมหานคร : สถาบันวิจัยและให้คำปรึกษาแห่ง มหาวิทยาลัยธรรมศาสตร์ .
Puritat Maungboon , Pisit Hutayanon , Songkwan Silaruks . "A randomized controlled trial of a trained pharmacist-nurse model care on uncomplicated hypertension in primary care setting in rural area of Thailand."
    กรุงเทพมหานคร : สถาบันวิจัยและให้คำปรึกษาแห่ง มหาวิทยาลัยธรรมศาสตร์ , 2554. Print.
Puritat Maungboon , Pisit Hutayanon , Songkwan Silaruks . A randomized controlled trial of a trained pharmacist-nurse model care on uncomplicated hypertension in primary care setting in rural area of Thailand. กรุงเทพมหานคร : สถาบันวิจัยและให้คำปรึกษาแห่ง มหาวิทยาลัยธรรมศาสตร์ ; 2554.