Impacto de la aplicación de seguimiento Farmacoterapéutico en pacientes de consulta externa con Diabetes e Hipertensión Arterial del Hospital Andino Alternativo de Chimborazo.

Abstract

The impact of the application of pharmaco-terapeutic monitoring in outpatients with diabetes myelitis and hypertension, was evaluated at the Andean Alternative Chimborazo Hospital in Riobamba city. It was evaluated using the DADER method as strategy to identify problems related to PRM drugs and negative outcomes associated with RNM medication trough pharmaceutical interventions, using the test Morisky-Green-Levine to measure adherence to pharmacological treatment. In the study participated 24 patients, 58% female and 42% male in the range of 41 to 90 years old, 126 RNM registrants, 84 cases related with effectiveness, 27 with need and 15 with security. The PRM founded for non-preventable cases correspond to 11.11% and preventable to 88.88%, 62.4% for quantitative ineffectiveness, 11.6% with untreated health problem, 7.1% effect of unnecessary medication, 6.3% non-quantitative ineffectiveness, 6.3% no quantitative insecurity and 6.3% quantitative safety, the most common are the drug interactions (hypoglycemic and anti-hypertensive, non-steroidal anti-inflammatory agents) and medicinal plants (chamomile). With regard to adherence to drug treatment, 79% of the population were non-adherent at the beginning, while at the end the adherence was 92%. By Student test, the clinical stability parameters were determined: blood glucose with final average of 129 mg/dL, it is statistically significant at 20mg/dL, blood pressure an average of 123.9 mmHg for systolic with significant difference of 7 mmHg for diastolic no difference with 95% of confidence. It is concluded the obtaining of a positive impact by executing pharmaceutical strategies to maintain stable the control of diseases and thus improve the quality of life patients. It is suggested to Hospital management to encourages the integration of the health team to work continuously strengthening health education on these corrective measures.