Aplicación y evaluación del seguimiento farmacoterapéutico en pacientes con hipertensión arterial del servicio de consulta externa del Hospital José María Velasco Ibarra de Tena.

Abstract

This research is addressed to implement and evaluate Pharmacotherapy Monitoring (PM) in patients with high blood pressure of the Outpatient Services Hospital José María Velasco Ibarra of Tena. It was carried out with the collaboration of 27 outpatients with high blood pressure these outpatients were men and women between the ages from 40 to 65. The Pharmacotherapy Monitoring was applied by using Dáder method resulting 68 Negatives Results Associated with Medication (NRM), caused by Drug-Related Problems (DRP), of which the majority is taken for (58.82%) quantitative ineffectiveness and (25%) insecurity non-quantitative. It is determined that 70.59% of (NRM) could avoid with personalized education patient, as well as 79.41% of the interventions made by the pharmacist were accepted by doctors and patients; while 20.59% couldn´t avoid by medical decisión. The main drug-related problems (DRP) in patients with high blood pressure were the following: 23.53% partial non-compliance with the guideline (PRM5), 17.65% inappropriate conservation of the medical product (PRM6), 14.71% posible pharmacodynamics or pharmacokinetic interactions with medicines and plants (PRM4), 25% unwanted effects both active substances and excipients (PRM9) and 8.82% health problems insufficiently treated (PRM1). After the research, it is evaluated the clinical parameters diminishing values of systolic blood pressure, as a result, a significant improvement in values, then the statistical analysis Test t was carried out which allowed us to get a difference between the before and after of the results achieved, thus the pharmaceutical intervention had a positive effect in health-related quality life of the patient. It is recommended that the implementation of the SFT in oupatient and inpatient in order to minimize the morbidity rate by misuse of drugs.