Suradljivost pacijenata na antihipertenzivnoj terapiji i utjecaj ljekarničke intervencije

professional thesis

• Title (english): Compliance to antihypertensive drug treatment and the role of pharmacist-led intervention
• Author: Stella Šaban Gredičak
• Mentor: Miroslav Mastilica (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2015-03-27, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Pharmacy; Pharmacy

Abstract

U Hrvatskoj ima oko 37,5 % stanovnika s hipertenzijom. Odgovarajuća terapija uz promjenu životnih navika omogućuje kontrolu bolesti, smanjuje kardiovaskularne rizike te sprečava pojavu cijelog niza komplikacija. Budući da je hipertenzija, barem u početku, bolest bez simptoma, te zahtijeva cjeloživotno liječenje, uz brojne nuspojave, pacijenti vrlo često ne slijede upute o liječenju. Suradljivost pacijenata podrazumijeva pridržavanje i ustrajnost u uzimanju terapije, ali i usvajanje zdravih navika. Brojne studije pokazuju kako stupanj suradljivosti pacijenata s hipertenzijom utječe na zadovoljavajudu kontrolu bolesti. Prema rezultatima ovog istraživanja, provedenog pomodu upitnika u Ljekarnama Zagrebačke županije, suradljivost pacijenata na antihipertenzivnoj terapiji je nezadovoljavajuda (48 %). No, pokazalo se i da pacijenti imaju povjerenje u stručnost ljekarnika (88 %) te da ih je većina zainteresirana za besplatna individualna savjetovanja u ljekarni (62%). K tome, pacijenti koji pokazuju povjerenje u stručnost ljekarnika, pokazuju i viši stupanj suradljivosti te su im vrijednosti krvnog tlaka u preporučenim granicama. Može se zaključiti kako javni ljekarnici, kao najdostupniji zdravstveni stručnjaci, imaju velik potencijal za edukaciju pacijenata o njihovoj bolesti, što dovodi do povećanja stupnja suradljivosti, a time i do uspješne kontrole bolesti te smanjenja komplikacija bolesti, a time i znatne uštede.

Abstract (english)

The prevalence of hypertension in Croatia is 37,5 %. Regular therapy is a key determinant of decreased risk of cardiovaskular events and related premature death. The asymptomatic and lifelong nature of the disease and many side effects of antihypertensive medications are the most important factors contributing to poor compliance. Compliance is the extend to which a person's behavior (taking medication, executing lifestyle changes) corresponds with recommendations from a healthcare provider. Many studies prove the impact of compliance on blood pressure control.
This study is conducted on patients receiving antihypertensive therapy in Zagreb County Pharmacies with the aim to access their compliance. The results of compliance are poor (48 %), but the results of the perception of pharmacists among patients (88 % of patients trust in pharmacist's advice) and their interest in free counseling in pharmacies (62%) are promising. Furthermore the patients who respect the pharmacist's advice are also more likely to be adherent to their therapy and to have their blood pressure under control. In conclusion, public pharmacists are accessible healthcare providers who have a huge potential to educate patients and to influence their compliance, which is essential for achieving a higher quality and longer life, and consequently the reduction in costs.

• Keywords: hipertenzija; suradljivost pacijenata; ljekarnici
• Keywords (english): hypertension; patient complience; pharmacist
• Language: croatian
• URN:NBN: urn:nbn:hr:105:763984
• Study programme: Title: Leadership and management of health services; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra menadžmenta u zdravstvu (sveučilišni/a magistar/magistra menadžmenta u zdravstvu)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Public note: Ključne riječi oblikovao urednik
• Created on: 2020-08-13 09:21:56