Seguimiento farmacoterapéutico en pacientes que integran el Club de diabéticos e hipertensos del Centro de Salud N°3 Chambo – Riobamba.

Abstract

The objective of the present investigation was to carry out the Pharmacotherapeutic Monitoring in the patients that integrate the Diabetic and Hypertensive Club of the Health Center No. 3 Chambo-Riobamba. 25 patients participated in the study; 96% women and 4% men, from 45 to 85 years ranges, in which 127 Negative Results associated with the Medication were detected; 70.1% Effectiveness, 22% Need and 7.9% Security. The Problems related to drugs determined for non-preventable cases correspond to 24.75% and preventable to 75.25%; 71.1% for quantitative effectiveness, with quantitative interactions being more frequent and 3.7% for quantitative ineffectiveness, 14.6% untreated health problems, 3.7% quantitative insecurity, 5.6% unnecessary medication effect, 1.9% non-quantitative ineffectiveness and 3.7% quantitative insecurity, with more frequent drug interactions (hypoglycemic, antihypertensive, thyroid hormones, non-steroidal anti-inflammatory agents) and plants (chamomile and cedron). The Morisky Green Levine Test was applied to assess the adherence to the treatment whose results before the intervention showed 24% while in the end 88% was obtained. With respect to the Student test, it showed that glucose was 124.40 mg / dL, HbA1c 6.13% creatine 0.90 mg / dL, urea 41.34 mg / dL, cholesterol 194.44 mg / dL, triglycerides 167.12 mg / dL, BMI 31.04 kg / m2, PASS 143.44 mmHg, PAD 143.44 mmHg and at the end it was 108.24 mg / dL, HbA1c 5.56%, creatine 0.76 mg / dL, urea 38.20 mg / dL, cholesterol 160.24 mg / dL, triglycerides 136.88 mg / dL, BMI 29.94 kg / m2, SBP 123.92 mmHg, PAD 76.0 mmHg, being statistically significant values. It is concluded that the Pharmacotherapeutic monitoring is effective since it demonstrated a positive impact on the improvement in the adherence to the treatment, the control of the clinical parameters of the Diabetes and Hypertension managing to improve the quality of life of the patient. The health team is suggested to work together with the medical staff, nutritionist, psychologist and pharmacist, so the patients can clear up the concerns about their pathology.