Clinical Pharmacists Role in the Management of Hypertension in Jordan
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 266
- 试验地点
- 2
- 主要终点
- percentage of patients who achieved blood pressure goals specified by the JNC VII at each group
研究概览
简要总结
Background: studies have demonstrated the crucial role of clinical pharmacists as integrated part of heath care team. Not only in Jordan but also in the Middle East region, clinical pharmacy practice is not well established. This current study is the first to evaluate physicians - pharmacists' collaborative approach to uncontrolled blood pressure in Jordan and the Middle East.
详细描述
Objective
this study aimed to evaluate clinical pharmacists' role in the management of uncontrolled hypertensive patients in Jordan. Design: single blinded randomized controlled clinical trial. Patients: 253 patients with uncontrolled hypertension specified as higher blood pressure readings than the recommended goals by the seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure (JNC VII) at the time of enrollment.
Interventions: patients were randomly allocated to an intervention or control group: 130 and 123 patients, respectively. Patients in both arms were followed up for 6 months. In the intervention group, patients were managed by physician-clinical pharmacist team. In the control group, patients were managed by physician(s) only and were not provided pharmaceutical care services.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 21 Years 至 88 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with uncontrolled BP, receiving 0-3 antihypertensive drugs with no change in the regimen or dose within the past 3 month.
排除标准
- •Patients with hypertensive urgency or emergency with BP more than (180/110).
- •Patients with recent stroke or myocardial infraction (within past 6 months).
- •Patients with Class III or IV Chronic heart Failure (CHF).
- •Patients with Unstable angina.
- •Patients with Serious renal or hepatic disease.
- •Pregnant patients.
- •Patients with Dementia or cognitive impairment.
- •If the patient is unable to provide informed written consent.
结局指标
主要结局
percentage of patients who achieved blood pressure goals specified by the JNC VII at each group
时间窗: 6 month
defined a goal to be achieved if the systolic blood pressure fell below 140 mm Hg and the diastolic blood pressure fell below 90 mm Hg. Or systolic blood pressure fell below 130 mm Hg and the diastolic blood pressure fell below 80 mm Hg if patient was diabetic.
次要结局
- mean reductions in both systolic and diastolic blood pressure readings(6 months)