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The Thai Journal of Pharmaceutical Sciences

Abstract

Background: Cardiovascular diseases (CVDs) are a category of heart and blood vessel disorders that include coronary disorders, cerebrovascular diseases, rheumatic pain, and other conditions. One of the major risk factors for CVDs is high blood pressure (BP). Furthermore, it is poorly managed due to a lack of understanding of hypertension, a lack of proper primary care, and a lack of follow-up. The patient education improves the patient’s response to the disease and its management and their quality of life. Objectives: The objectives of this study were to evaluate the effect of clinical pharmacist intervention by the provision of patient counseling, on medication adherence and differences in laboratory parameters in patients with cardiovascular disease in a tertiary care hospital in Vadodara, Gujarat, India. Methods: For 6 months, a prospective interventional study was conducted in a tertiary care hospital. The patients with cardiovascular disease, in addition to the usual care, were given patient counseling and patient information leaflets on discharge. BP was compared before and after intervention and medication adherence (as measured by the MMAS-8 Questionnaire) was calculated. The data obtained were analyzed by Chi-Square and Paired-t test comparing data from two independent samples. Results: In total, 97 patients were enrolled in the study. The average age of the group was 58.98 ± 8.55 years. Medication adherence was observed to be increased post-intervention, with the average score increasing from 3.11 to 4.70, that is, a percentage increase of 58.3%. It was also observed that in the average population, the severity of hypertension had decreased after the intervention. Conclusion: Clinical pharmacists have a significant impact in a variety of capacities in both inpatient and outpatient settings, primarily through increasing the medication adherence in the patients, drug optimization, the prevention of adverse drug events, and critical treatment practices such as prescription exchange and patient education.

Publisher

Faculty of Pharmaceutical Sciences, Chulalongkorn University

First Page

462

Last Page

466

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Pharmacology Commons

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