Pharmacy World & Science

, Volume 30, Issue 1, pp 107–110 | Cite as

Effect of pharmaceutical care programme on blood pressure and quality of life in a nigerian pharmacy

  • Cletus N. Aguwa
  • Chinwe V. Ukwe
  • Obinna I. EkwunifeEmail author
Research Article


Objective The study aimed at evaluating the effect of pharmaceutical care programme on blood pressure and quality of life of patients who visit a Nigerian community pharmacy. Method A non-randomised, single-site, crossover design was used. Patients served as their own control. They underwent 5 months of usual care and another 5 months of pharmaceutical care. Main outcome measure Blood pressure and quality of life measured before implementation of pharmaceutical care and at the end served as main outcome measures. Other end-points assessed at baseline and at the end of investigation included smoking cessation, adherence to therapy, exercise, salt restriction, alcohol moderation and self blood pressure measurement. Results Twenty four (24) patients out of the 40 recruited completed the study. Mean reductions were significant after pharmaceutical care intervention for systolic BP (14.3 ± 14.4 mmHg) and diastolic BP (10.8 ± 10.7 mmHg). There was a significant mean increase in number of patients that adhered to salt restriction (−36%), aerobic exercise (−46%), self BP measurement (−46%), alcohol moderation (−33%) and drug adherence (−16.7%). There was a positive increase of −11.4 and −3.2 for physical health and social health domain of quality of life evaluation respectively. Conclusion Pharmaceutical care programme could produce a beneficial effect on hypertensive patients.


Pharmaceutical Care Hypertension Quality of life Community Pharmacy Nigeria 



We thank B.O. Ebugosi, the managing director of Ebus Pharmacy, Port Harcourt for partly funding and providing the necessary facilities for this study and Asor A.C. for his help and support during the study.


  1. 1.
    Hepler C, Strand L. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm 1990;47:533–43.PubMedGoogle Scholar
  2. 2.
    Pharmacists Council of Nigeria. Four-part compendium of minimum standards of pharmaceutical care in Nigeria. Abuja: 2005.Google Scholar
  3. 3.
    World Health Organization. Introduction, administration, scoring, and generic version of the assessment. [Online] 2002. [Cited 2006 Jan]. Available from: URL:
  4. 4.
    Chobanian AV, Bakris JL, Black HR, Cushman WC, Green LA, Izzo JL, et al. Seventh report of the Joint National committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA 2003;289:2560.PubMedCrossRefGoogle Scholar
  5. 5.
    Vollmer WM, Sacks FM, Ard J, Appel LJ, Bray GA, Simons-Morton DG, et al. Effects of diet and sodium intake on blood pressure: subgroup analysis of the DASH – sodium trial. Ann Intern Med 2001;135:1019.PubMedGoogle Scholar
  6. 6.
    Ebrahim S. Detection, adherence and control of hypertension for the prevention of stroke: a systematic review. Health Technol Assess 1998;2:22–3.Google Scholar
  7. 7.
    Whelton PK, He J, Appel LJ. Primary prevention of hypertension: Clinical and public health advisory from The National high blood pressure education program. JAMA 2002;288:1882–8.PubMedCrossRefGoogle Scholar
  8. 8.
    Cutler JA, McMahon SW, Furberg CD. Controlled clinical trials of drug treatment for hypertension: a review. Hypertension. 1989;13:136–4.Google Scholar
  9. 9.
    Cater BL, Barnette DG, Chriscilles E, Mazzotti GJ, Asali ZJ. Evaluation of hypertensive patients after care provided by community pharmacists in a rural setting. Pharmacother 1997;17(6):1274–85.Google Scholar
  10. 10.
    Dungan BD. Enhancing community pharmacy through advanced pharmacy practice experiences. Am J Pharma Educ 2006;70(1):1–3.Google Scholar

Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Cletus N. Aguwa
    • 1
  • Chinwe V. Ukwe
    • 1
  • Obinna I. Ekwunife
    • 1
    Email author
  1. 1.Department of Clinical Pharmacy and Pharmacy ManagementUniversity of NigeriaNsukkaNigeria

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