Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/14592
ชื่อเรื่อง: Lifestyle changes for prehypertension with other cardiovascular risk factors: Findings from Thailand
ผู้แต่ง: Pongwecharak J.
Treeranurat T.
Keywords: cholesterol
glucose
high density lipoprotein cholesterol
low density lipoprotein cholesterol
adult
article
blood pressure measurement
body mass
cardiovascular risk
cholesterol blood level
descriptive research
diastolic blood pressure
dyslipidemia
exercise
exploratory research
female
follow up
glucose blood level
glucose intolerance
human
lifestyle modification
major clinical study
male
observational study
outcome assessment
patient referral
pharmacist
pharmacy
prehypertension
smoking
systolic blood pressure
Thailand
cardiovascular disease
diabetes mellitus
dyslipidemia
hospital information system
hypertension
lifestyle
mass screening
methodology
middle aged
organization and management
patient education
pharmacy
prehypertension
professional standard
risk factor
Adult
Cardiovascular Diseases
Community Pharmacy Services
Diabetes Mellitus
Dyslipidemias
Female
Follow-Up Studies
Humans
Hypertension
Life Style
Male
Mass Screening
Middle Aged
Patient Education as Topic
Pharmacists
Point-of-Care Systems
Prehypertension
Professional Role
Risk Factors
Thailand
วันที่เผยแพร่: 2011
บทคัดย่อ: Objective: To evaluate a model for community pharmacists to screen and recommend lifestyle changes for patients with prehypertension/hypertension and other elevated modifiable cardiovascular risk factors. Design: Descriptive, exploratory, nonexperimental study. Setting: One accredited community pharmacy in Hat Yai, Thailand, between October 2008 and January 2009. Participants: Individuals 35 years or older without any previous diagnosis of hypertension and other cardiovascular disease. Intervention: Measurement of blood pressure, blood glucose, total cholesterol, and body mass index; history taking for smoking and physical exercise; laboratory referral; assessment of readiness to adopt lifestyle changes; and provision of verbal advice and an education pamphlet on cardiovascular risk factors and recommended lifestyle modifications. Main outcome measures: Number of prehypertensive/hypertensive participants, patient return rate at 3-month follow-up, rate of laboratory referral uptake, confirmed glucose intolerance and dyslipidemia, and changes from baseline in blood pressure level. Results: 263 of 400 people eligible for screening were found to have prehypertension or hypertension. Of these patients, 57% returned at 3-month follow-up. Mean (±SE) systolic (6.5 ± 0.89 mm Hg [95% CI 4.7-8.2], P < 0.001) and diastolic (2.2 ± 0.82 [0.54-3.77], P = 0.009) blood pressure were lowered. Compared with baseline (39.3%), the percentage of normotensive participants increased significantly at 3-month follow-up (51.8%; P < 0.001). The overall laboratory referral uptake was 36% (50 of 138). Glucose intolerance was confirmed in 2 of 21 participants. Of the 42 patients accepting laboratory confirmation, total and low-density lipoprotein cholesterol were confirmed to be above the normal range in 100% and 78.6%, respectively. Among these participants, those who returned at follow-up were rescreened for blood glucose and total cholesterol. Both values were found to be in the normal range. Although more participants reported lifestyle changes at 3 months, the smoking rate and amount of physical exercise were not changed. Conclusion: Community pharmacists, through the use of point-of-care testing and referrals for laboratory testing, can detect patients who are at risk of developing or already have hypertension, diabetes, and/or dyslipidemia. Lifestyle advice from pharmacists can have a positive effect on these risk factors.
URI: https://ir.swu.ac.th/jspui/handle/123456789/14592
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84857478387&doi=10.1331%2fJAPhA.2011.10129&partnerID=40&md5=f8f69eee2dd6603ab7012dc921513857
ISSN: 15443191
Appears in Collections:Scopus 1983-2021

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