CAJ | 학술논문

目的：研究实施药学服务对腹膜透析（ PD）合并高血压患者用药依从率以及血压达标率的影响。方法67例PD合并高血压患者随机分为干预组和对照组，干预组实施用药咨询和健康教育，对照组不给予干预，分别在干预前和干预6个月后对两组患者用药依从率、血压达标率等进行调查。结果干预组用药依从率由14．71％提高到47．06％，血压达标率由20．59％提高到44．12％（P＜0．05）。结论药学服务可显著提高PD合并高血压患者用药依从率和血压达标率。
목적：연구실시약학복무대복막투석（ PD）합병고혈압환자용약의종솔이급혈압체표솔적영향。방법67례PD합병고혈압환자수궤분위간예조화대조조，간예조실시용약자순화건강교육，대조조불급여간예，분별재간예전화간예6개월후대량조환자용약의종솔、혈압체표솔등진행조사。결과간예조용약의종솔유14．71％제고도47．06％，혈압체표솔유20．59％제고도44．12％（P＜0．05）。결론약학복무가현저제고PD합병고혈압환자용약의종솔화혈압체표솔。
Objective To evaluate the effect of patients ’ education and counseling on patients ’ adherence to antihypertensive medica-tions and on blood pressure control in peritoneal dialysis ( PD) patients with hypertension .Methods A total of 67 PD patients with hy-pertension were randomly allocated either to a control group ( no pharmaceutical care ) or to an intervention group .The pharmacist inter-ventions,aimed to increase medication adherence and blood pressure control ,involved educational interventions and counseling tips di-rected to the patients .Medication adherence and blood pressure control assessed at the baseline visit and at the end of pharmaceutical care were the main outcome measures .Results At the end of the study ,medication adherence was significantly higher in the interven-tion group (47.06%vs 14.71%, P<0.05).Blood pressure control was also higher in the intervention group (44.12%vs 20.59%,P<0.05).Conclusions Pharmacist intervention can significantly improve medication adherence and blood pressure control in PD pa -tients with hypertension .