Intervención no farmacológica como estrategia para favorecer el control de la hipertensión arterial y mejorar el cumplimiento antihipertensivo

Contreras, E. Márquez; Claros, Nieves Martel; Gil-Guillén, Vicente Francisco; Pablos, J.L. Martín de; Wichman, Mariano de la Figuera von; Martínez, J.J. Casado; García, Jacinto Espinosa; Vilas, José Carlos Pastoriza

doi:10.1016/j.aprim.2009.02.004

Cited by 19 publications

(3 citation statements)

References 16 publications

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“…Si bien identificó a los supervisión, implantación de medidas sanitarias concretas, etc. (14,29) . Revisiones sistemáticas demuestran que las intervenciones más eficaces son el asesoramiento al paciente, las estrategias de simplificación posológica y la potenciación de la comunicación entre el profesional sanitario y el paciente (3,10,30) .…”

Section: Discussionunclassified

Adherence to antihypertensive treatment in adults at Family Health Units in Paraguay: a multicenter study

Delor

Cassera

Zeballos

et al. 2021

Rev. salud publica Parag

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Introduction:There are multiple factors that intervene in the lack of control of arterial hypertension such as adherence to antihypertensive treatment. Objectives:To find the frequency of adherence to antihypertensive treatment, to describe the level of knowledge about arterial hypertension and to determine the factors associated with the lack of blood pressure control.Methodology: An observational, prospective, multicenter study was carried out in men and women, of legal age, with arterial hypertension, from the area of influence of three Family Health Units in Paraguay between May-November 2019. Adherence to the antihypertensive treatment was determined with the ARMS-e questionnaire and the level of knowledge about arterial hypertension with the questionnaire by Strelec et al. Ethical standards were respected.Results: 171 subjects entered the study, with a mean age 59 ± 11 years, predominantly female (68%). The most frequent nutritional status was grade 1 obesity (35%). Diabetes mellitus was the predominant comorbidity (18%). The most commonly used drugs were angiotensin 1 inhibitors (56%). Adherence to antihypertensive treatment was detected in 116 cases (68%) and knowledge about arterial hypertension in 141 (82%). Uncontrolled blood pressure was found in 83 subjects (49%) and was significantly associated with lack of adherence to antihypertensive drugs and dependence on a caregiver within the family. Conclusions:The frequency of adherence to antihypertensive treatment in adult patients from 3 Family Health Units in Paraguay in 2019 was 68% and the adequate level of knowledge about arterial hypertension was 82%.

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Section: Discussionunclassified

Adherence to antihypertensive treatment in adults at Family Health Units in Paraguay: a multicenter study

Delor

Cassera

Zeballos

et al. 2021

Rev. salud publica Parag

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“…La recepció n de una revista informativa sobre cumplimiento en HTA, con una medida del cumplimiento con MEMS 1 , demostró ser eficaz con un NNT (nú mero de pacientes a intervenir para evitar un incumplidor) de 3,3 pacientes 35 .…”

Section: Estrategias De Mejora Del Cumplimiento En Atenció N Primariaunclassified

Cumplimiento terapéutico y seguimiento del paciente hipertenso en atención primaria

Doménech¹,

Gonzalez²

2012

Medicina Clínica

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“…In randomised clinical trials, several strategies aimed at health professionals and patients have been shown capable of improving compliance with antihypertension therapy [ 25 ] and of reducing therapeutic inertia [ 26 ]. The best would seem to target both [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

EDUCORE project: a clinical trial, randomised by clusters, to assess the effect of a visual learning method on blood pressure control in the primary healthcare setting

et al. 2010

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BackgroundHigh blood pressure (HBP) is a major risk factor for cardiovascular disease (CVD). European hypertension and cardiology societies as well as expert committees on CVD prevention recommend stratifying cardiovascular risk using the SCORE method, the modification of lifestyles to prevent CVD, and achieving good control over risk factors. The EDUCORE (Education and Coronary Risk Evaluation) project aims to determine whether the use of a cardiovascular risk visual learning method - the EDUCORE method - is more effective than normal clinical practice in improving the control of blood pressure within one year in patients with poorly controlled hypertension but no background of CVD;Methods/DesignThis work describes a protocol for a clinical trial, randomised by clusters and involving 22 primary healthcare clinics, to test the effectiveness of the EDUCORE method. The number of patients required was 736, all between 40 and 65 years of age (n = 368 in the EDUCORE and control groups), all of whom had been diagnosed with HBP at least one year ago, and all of whom had poorly controlled hypertension (systolic blood pressure ≥ 140 mmHg and/or diastolic ≥ 90 mmHg). All personnel taking part were explained the trial and trained in its methodology. The EDUCORE method contemplates the visualisation of low risk SCORE scores using images embodying different stages of a high risk action, plus the receipt of a pamphlet explaining how to better maintain cardiac health. The main outcome variable was the control of blood pressure; secondary outcome variables included the SCORE score, therapeutic compliance, quality of life, and total cholesterol level. All outcome variables were measured at the beginning of the experimental period and again at 6 and 12 months. Information on sex, age, educational level, physical activity, body mass index, consumption of medications, change of treatment and blood analysis results was also recorded;DiscussionThe EDUCORE method could provide a simple, inexpensive means of improving blood pressure control, and perhaps other health problems, in the primary healthcare setting;Trial registrationThe trial was registered with ClinicalTrials.gov, number NCT01155973 [http://ClinicalTrials.gov].

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Intervención no farmacológica como estrategia para favorecer el control de la hipertensión arterial y mejorar el cumplimiento antihipertensivo

Abstract: Therapeutic non-compliance was very high. The educational magazine is an effective strategy to improve the compliance and degree of control of the AHT.

Cited by 19 publications

References 16 publications

Adherence to antihypertensive treatment in adults at Family Health Units in Paraguay: a multicenter study

Adherence to antihypertensive treatment in adults at Family Health Units in Paraguay: a multicenter study

Cumplimiento terapéutico y seguimiento del paciente hipertenso en atención primaria

EDUCORE project: a clinical trial, randomised by clusters, to assess the effect of a visual learning method on blood pressure control in the primary healthcare setting

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