Pharmaceutical Care as a Therapeutic Management Strategy in Hyperlipidemia Patients in Pharmacies

Oct 13, 2025 by wbrum.org 28 views

Pharmaceutical Care as a Therapeutic Management Strategy in Hyperlipidemia Patients in Pharmacies

Introduction

Hyperlipidemia is a condition characterized by an abnormal increase in total cholesterol levels, low-density lipoprotein (LDL), and triglycerides, as well as decreased levels of high-density lipoprotein (HDL) in the blood. This condition is included in the category of degenerative diseases that can increase the risk of various health complications. As a health worker, pharmacists play an important role in improving the quality of life of patients suffering from hyperlipidemia through various pharmaceutical interventions.

Background

Hyperlipidemia is a major risk factor for cardiovascular diseases, including coronary artery disease, stroke, and peripheral artery disease. The management of hyperlipidemia requires a comprehensive approach that includes lifestyle modifications, dietary changes, and pharmacological interventions. Pharmacists play a crucial role in the management of hyperlipidemia by providing patients with accurate information about their medications, monitoring their adherence to treatment, and adjusting their medication regimens as needed.

Purpose of the Study

The purpose of this study is to evaluate the impact of pharmaceutical care as a therapeutic management strategy in hyperlipidemia patients at Gratia Farma Pharmacy. This study was conducted using the cohort study method involving 45 hyperlipidemia patients during the period July to October 2020. The patient's compliance level is evaluated using the Morisky Medication Adhence Scale-8 (MMAS-8) questionnaire, while the therapy results are measured through the lipid profile. The quality of life of the patient is evaluated using the European Quality of Life-5 Dimension 3 Level (EQ-5D-3L).

Methodology

This study was conducted using the cohort study method involving 45 hyperlipidemia patients during the period July to October 2020. The patient's compliance level is evaluated using the Morisky Medication Adhence Scale-8 (MMAS-8) questionnaire, while the therapy results are measured through the lipid profile. The quality of life of the patient is evaluated using the European Quality of Life-5 Dimension 3 Level (EQ-5D-3L). Data obtained before (pretest) and after (post-test) Interventions are analyzed using the Wilcoxon test in the SPSS v.22 program.

Results

The results showed that the application of pharmaceutical care succeeded in reducing the number of DRPS events from an average of 2.71 ± 0.59 (pre-test) to 0.84 ± 1.19 (post-test). In addition, the patient's compliance rate has increased from 5.09 ± 1.10 (pre-test) to 6.73 ± 0.58 (post-test). The patient's lipid profile also shows improvement, with total cholesterol reduced from 235.96 ± 22.89 mg/dL to 204.80 ± 8.97 mg/dl, LDL from 149.31 ± 20.57 mg/dl to 108.13 ± 7.35 mg/dl, HDL increased from 42.89 ± 6.75 mg/dL to 65.80 ± 4.58 mg/dl, and triglycerides reduced from 233.33 ± 73.37 mg/dL to 154, 51 ± 14.17 mg/dl. The patient's life quality also increased, from 0.656 ± 0.2 (pre-test) to 0.891 ± 0.11 (post-test).

Discussion

The results of this study show that the application of pharmaceutical care as a therapeutic management strategy has a significant positive impact on the management of hyperlipidemia patients. Pharmaceutical care not only succeeded in reducing the number of DRPS events but also increasing patient compliance with therapy, improving lipid profiles, and improving the quality of life of hyperlipidemia patients. This shows that the role of pharmacists in providing pharmaceutical care is very important in supporting the health management of patients with hyperlipidemia in pharmacies.

Conclusion

The application of pharmaceutical care as a therapeutic management strategy has a significant positive impact on the management of hyperlipidemia patients. Pharmaceutical care not only succeeded in reducing the number of DRPS events but also increasing patient compliance with therapy, improving lipid profiles, and improving the quality of life of hyperlipidemia patients. This shows that the role of pharmacists in providing pharmaceutical care is very important in supporting the health management of patients with hyperlipidemia in pharmacies.

Recommendations

Based on the results of this study, it is recommended that pharmacists play a more active role in the management of hyperlipidemia patients. Pharmacists should provide patients with accurate information about their medications, monitor their adherence to treatment, and adjust their medication regimens as needed. Additionally, pharmacists should work closely with other healthcare professionals to ensure that patients receive comprehensive care.

Limitations

This study has several limitations. The sample size was relatively small, and the study was conducted in a single pharmacy. Additionally, the study only evaluated the impact of pharmaceutical care on the management of hyperlipidemia patients and did not evaluate the impact on other health outcomes.

Future Directions

Future studies should aim to evaluate the impact of pharmaceutical care on other health outcomes, such as cardiovascular disease and mortality. Additionally, future studies should aim to evaluate the impact of pharmaceutical care on patients with other chronic diseases.

References

Morisky DE, et al. (2008). Medication adherence: A systematic review. Journal of General Internal Medicine, 23(12), 2119-2126.
World Health Organization. (2011). Chronic diseases and health promotion. World Health Organization.
National Lipid Association. (2014). National Lipid Association recommendations for patient-centered management of dyslipidemia: Part 1 - Executive summary. Journal of Clinical Lipidology, 8(3), 247-255.
Frequently Asked Questions (FAQs) about Pharmaceutical Care in Hyperlipidemia Patients

Q: What is pharmaceutical care?

A: Pharmaceutical care is a patient-centered approach to managing chronic diseases, including hyperlipidemia. It involves a pharmacist working closely with a patient to develop a personalized treatment plan that takes into account the patient's medical history, lifestyle, and medication regimen.

Q: What is the role of a pharmacist in managing hyperlipidemia?

A: A pharmacist plays a crucial role in managing hyperlipidemia by providing patients with accurate information about their medications, monitoring their adherence to treatment, and adjusting their medication regimens as needed. Pharmacists can also help patients make lifestyle changes, such as diet and exercise, to manage their condition.

Q: What are the benefits of pharmaceutical care in hyperlipidemia patients?

A: The benefits of pharmaceutical care in hyperlipidemia patients include improved medication adherence, better lipid profiles, and improved quality of life. Pharmaceutical care can also help reduce the risk of cardiovascular disease and mortality.

Q: How does pharmaceutical care differ from traditional pharmacy practice?

A: Pharmaceutical care differs from traditional pharmacy practice in that it is a patient-centered approach that takes into account the patient's individual needs and circumstances. Pharmaceutical care involves a pharmacist working closely with a patient to develop a personalized treatment plan, whereas traditional pharmacy practice often involves a pharmacist simply dispensing medication.

Q: What are some common challenges faced by pharmacists in managing hyperlipidemia patients?

A: Some common challenges faced by pharmacists in managing hyperlipidemia patients include patient non-adherence to medication, lack of patient education, and limited access to resources and support.

Q: How can pharmacists overcome these challenges?

A: Pharmacists can overcome these challenges by providing patients with clear and concise information about their medications, monitoring their adherence to treatment, and adjusting their medication regimens as needed. Pharmacists can also work closely with other healthcare professionals to ensure that patients receive comprehensive care.

Q: What is the future of pharmaceutical care in hyperlipidemia patients?

A: The future of pharmaceutical care in hyperlipidemia patients is promising, with increasing recognition of the importance of patient-centered care and the role of pharmacists in managing chronic diseases. As healthcare systems continue to evolve, pharmacists will play an increasingly important role in providing high-quality care to patients with hyperlipidemia.

Q: How can patients get involved in their care and work with their pharmacist?

A: Patients can get involved in their care and work with their pharmacist by asking questions, seeking clarification on their medications, and taking an active role in managing their condition. Patients can also work with their pharmacist to develop a personalized treatment plan that takes into account their individual needs and circumstances.

Q: What are some resources available to patients with hyperlipidemia?

A: There are several resources available to patients with hyperlipidemia, including the National Lipid Association, the American Heart Association, and the American Diabetes Association. Patients can also work with their pharmacist to access resources and support.

Q: How can patients stay up-to-date on the latest research and developments in hyperlipidemia?

A: Patients can stay up-to-date on the latest research and developments in hyperlipidemia by following reputable sources, such as the National Lipid Association and the American Heart Association. Patients can also work with their pharmacist to stay informed about the latest research and developments in hyperlipidemia.

Q: What are some common myths about pharmaceutical care in hyperlipidemia patients?

A: Some common myths about pharmaceutical care in hyperlipidemia patients include the idea that pharmaceutical care is only for patients with complex medical conditions, or that it is only for patients who are taking multiple medications. In reality, pharmaceutical care is a patient-centered approach that can benefit patients with a wide range of medical conditions and medication regimens.

Q: How can patients and pharmacists work together to improve outcomes in hyperlipidemia patients?

A: Patients and pharmacists can work together to improve outcomes in hyperlipidemia patients by developing a personalized treatment plan that takes into account the patient's individual needs and circumstances. Patients and pharmacists can also work together to monitor adherence to treatment, adjust medication regimens as needed, and provide ongoing education and support.

Q: What are some common barriers to implementing pharmaceutical care in hyperlipidemia patients?

A: Some common barriers to implementing pharmaceutical care in hyperlipidemia patients include lack of resources and support, limited access to education and training, and lack of recognition of the importance of patient-centered care.

Q: How can pharmacists overcome these barriers?

A: Pharmacists can overcome these barriers by seeking out education and training opportunities, advocating for resources and support, and working closely with other healthcare professionals to ensure that patients receive comprehensive care.