ABSTRACT
Introducción y objetivos:La hipertensión es uno de los principales factores de riesgo cardiovascular. Una intervención educativa, destinada a aumentar o reforzar los conocimientos del paciente, puede contribuir a un mejor control de su presión arterial. Nuestro objetivo fue evaluar la eficacia de una educación terapéutica continuada frente a una intervención inicial en hipertensos.Métodos:Estudio experimental, de intervención comunitaria multicéntrica, mediante la aplicación de un programa de educación terapéutica en hipertensión arterial (HTA).Resultados:Se incluyeron 980 pacientes en tratamiento antihipertensivo, 490 en cada grupo, con edad media de 65 años, y un 50% mujeres siendo la presión arterial sistólica (PAS) media inicial en ambos grupos de 136 mmHg. Respecto a los conocimientos sobre la hipertensión, aunque se observó una mejoría inicial similar en ambos grupos, al finalizar el estudio, en el grupo de intervención continuado (GIC) se observó una media de 23,06 respuestas acertadas, mientras que en el grupo de intervención inicial (GII) la media fue de 20,91, siendo la diferencia estadísticamente significativa (p < 0,001). Al finalizar el estudio la cifra media de PAS fue de 127,5 mmHg en el GIC y de136.57 mmHg en el grupo GII. Asimismo, se observó un menor porcentaje de pacientes con IMC ≥ 25 en el GIC (78,2%) que en le GII 82,6%, siendo esta diferencia estadísticamente significativa (p < 0,001). Este mismo efecto se observó sobre el perímetro abdominal, observándose en el GIC un perímetro abdominal aumentado en un 46,3% frente a un 68,8% en el GII (p < 0,001).Conclusión:Una intervención educativa continuada aumenta el grado de conocimiento sobre la hipertensión respecto a una intervención inicial. Asimismo, esta intervención se asocia a una mejoría en las cifras de presión arterial, peso, índice de masa corporal y perímetro abdominal. (AU)
Introduction and objectives:Hypertension is one of the main cardiovascular risk factors. An educational intervention, aimed at increasing or reinforcing the patient's knowledge, can contribute to better control of their blood pressure. Our goal was to evaluate the efficacy of a continuing therapeutic education versus an initial intervention in hypertensive patients.Methods:Experimental study of multicenter community intervention, through the application of a therapeutic education program in hypertension.Results:980 patients on antihypertensive treatment were included, 490 in each group, with a mean age of 65 years, and 50% women, baseline mean SBP in both groups was136 mmHg. Regarding knowledge about hypertension, although a similar initial improvement was observed in both groups, at the end of the study, in the continuous intervention group (CIG) an average of 23.06 correct answers was observed, while in the Initial intervention group (IIG) the mean was 20.91, being the difference statistically significant (p < 0.001). At the end of the study, the mean SBP was 127.5 mmHg in the CIG and 136.57 mmHg in the IIG group. Likewise, a lower percentage of patients with a BMI ≥25 was observed in the CIG (78.2%) than in the IIG 82.6%, this difference being statistically significant (p < 0.001). This same effect was observed on the abdominal perimeter, observing an increased abdominal perimeter in 46.3% of the CIG compared to 68.8% in the IIG (p < 0.001).Conclusión:A continuous educational intervention increases the degree of knowledge about hypertension compared to an initial intervention. Likewise, this intervention is associated with an improvement in blood pressure, weight, body mass index and abdominal girth figures. (AU)
Subject(s)
Humans , Antihypertensive Agents/therapeutic use , Arterial Pressure , Body Mass Index , Time Factors , Hypertension/complications , Hypertension/drug therapyABSTRACT
INTRODUCTION AND OBJECTIVES: Hypertension is one of the main cardiovascular risk factors. An educational intervention, aimed at increasing or reinforcing the patient's knowledge, can contribute to better control of their blood pressure. Our goal was to evaluate the efficacy of a continuing therapeutic education versus an initial intervention in hypertensive patients. METHODS: Experimental study of multicenter community intervention, through the application of a therapeutic education program in hypertension. RESULTS: 980 patients on antihypertensive treatment were included, 490 in each group, with a mean age of 65 years, and 50% women, baseline mean SBP in both groups was136 mmHg. Regarding knowledge about hypertension, although a similar initial improvement was observed in both groups, at the end of the study, in the continuous intervention group (CIG) an average of 23.06 correct answers was observed, while in the Initial intervention group (IIG) the mean was 20.91, being the difference statistically significant (p < 0.001). At the end of the study, the mean SBP was 127.5 mmHg in the CIG and 136.57 mmHg in the IIG group. Likewise, a lower percentage of patients with a BMI ≥25 was observed in the CIG (78.2%) than in the IIG 82.6%, this difference being statistically significant (p < 0.001). This same effect was observed on the abdominal perimeter, observing an increased abdominal perimeter in 46.3% of the CIG compared to 68.8% in the IIG (p < 0.001). CONCLUSIóN: A continuous educational intervention increases the degree of knowledge about hypertension compared to an initial intervention. Likewise, this intervention is associated with an improvement in blood pressure, weight, body mass index and abdominal girth figures.
Subject(s)
Hypertension , Aged , Antihypertensive Agents/therapeutic use , Blood Pressure , Body Mass Index , Female , Humans , Hypertension/complications , Hypertension/drug therapy , Male , Time FactorsABSTRACT
Objetivo: Evaluar el grado de conocimientos de la hipertensión en pacientes hipertensos. Método: Estudio multicéntrico descriptivo transversal, realizado en centros de atención primaria y especializada de España. Participaron 980 pacientes hipertensos, mayores de 18 años, con tratamiento farmacológico. Variables principales: años de diagnóstico, factores de riesgo, presión arterial, perímetro abdominal, índice de masa corporal, adherencia a la medicación (test de Morisky-Green), y los ítems de un cuestionario validado sobre conocimientos. Resultados: El 50% mujeres, edad media 65 años. El 46% con más de 10 años del diagnóstico de hipertensión. En relación a la adherencia a la medicación, el 56,6% no lo era, siendo el olvido la primera causa. Al analizar los conocimientos sobre la hipertensión el 41,7% refería que nadie les había informado, el 35,8% no consideraba que la hipertensión fuera para toda la vida y solo el 42,3% conocía los objetivos de presión arterial. El mayor desconocimiento sobre los riesgos que provoca la hipertensión en el organismo fue el relacionado con el riñón, donde solo el 48,6% afirmaba conocer ese dato. En relación a la medicación, solo el 41,4% conocía que era para toda la vida. También se observó que hay diferencias estadísticamente significativas entre nivel de conocimientos y nivel de estudios (p < 0,001). Conclusión: Los conocimientos básicos sobre la hipertensión siguen siendo bajos en estos pacientes. Estos resultados permiten orientar futuras intervenciones. orientando la educación terapéutica al paciente y mejorar su participación en la enfermedad para controlar mejor su hipertensión
Aims: To evaluate the grade of knowledge of hypertension in hypertensive patients. Method: Cross-sectional descriptive multicentre study. Primary and specialized care centres in Spain. Participants: 980 hypertensive patients, older than 18 years, with pharmacological treatment. Main variables: Years of diagnosis, risk factors, blood pressure, abdominal circumference, body mass index, adherence to medication (Morisky-Green test) and the items of a validated questionnaire on knowledge. Results: 50% were women, mean age 65 years. Seventy-eight percent lived with family, 46% over 10 years old diagnosed with hypertension. In relation to adherence to medication, 56.6% were not compliant, forgetting being the first cause. Knowledge about hypertension 41.7% said that no one had explained it, 35.8% did not consider hypertension a lifelong process, and only 42.3% knew the objectives of blood pressure. The area of major lack of knowledge of the risk of hypertension was the problems caused by hypertension in the kidney, only 48.6% answered affirmatively. In relation to medication, only 41.4% knew it is for life. Statistically significant differences were also observed between the level of knowledge and the level of studies (p < .001). Conclusions: Basic knowledge about hypertension remains low in these patients. These results enable future interventions to be oriented by promoting therapeutic education to the patient and improving their involvement in the disease in order to better control their hypertension
Subject(s)
Humans , Male , Female , Young Adult , Adult , Middle Aged , Aged , Aged, 80 and over , Health Knowledge, Attitudes, Practice , Hypertension , Cross-Sectional Studies , Primary Health Care , Surveys and Questionnaires , Risk Factors , Educational StatusABSTRACT
AIMS: To evaluate the grade of knowledge of hypertension in hypertensive patients. METHOD: Cross-sectional descriptive multicentre study. Primary and specialized care centres in Spain. PARTICIPANTS: 980 hypertensive patients, older than 18 years, with pharmacological treatment. MAIN VARIABLES: Years of diagnosis, risk factors, blood pressure, abdominal circumference, body mass index, adherence to medication (Morisky-Green test) and the items of a validated questionnaire on knowledge. RESULTS: 50% were women, mean age 65 years. Seventy-eight percent lived with family, 46% over 10 years old diagnosed with hypertension. In relation to adherence to medication, 56.6% were not compliant, forgetting being the first cause. Knowledge about hypertension 41.7% said that no one had explained it, 35.8% did not consider hypertension a lifelong process, and only 42.3% knew the objectives of blood pressure. The area of major lack of knowledge of the risk of hypertension was the problems caused by hypertension in the kidney, only 48.6% answered affirmatively. In relation to medication, only 41.4% knew it is for life. Statistically significant differences were also observed between the level of knowledge and the level of studies (p<.001). CONCLUSIONS: Basic knowledge about hypertension remains low in these patients. These results enable future interventions to be oriented by promoting therapeutic education to the patient and improving their involvement in the disease in order to better control their hypertension.
Subject(s)
Antihypertensive Agents , Hypertension , Aged , Antihypertensive Agents/pharmacology , Antihypertensive Agents/therapeutic use , Blood Pressure , Child , Cross-Sectional Studies , Female , Health Knowledge, Attitudes, Practice , Humans , Hypertension/complications , Hypertension/therapy , Male , Medication Adherence , SpainABSTRACT
No disponible
Subject(s)
Humans , Home Care Services, Hospital-Based/organization & administration , Emergency Medical Services , Home Care Services, Hospital-Based/standards , Cross-Sectional Studies , Residence CharacteristicsSubject(s)
Home Care Services, Hospital-Based/statistics & numerical data , Patient Discharge/statistics & numerical data , Patient Readmission/statistics & numerical data , Age Factors , Chi-Square Distribution , Cross-Sectional Studies , Diagnosis-Related Groups , Home Care Services, Hospital-Based/economics , Hospital Mortality , Hospitalization , Humans , Length of Stay , Program Evaluation , Sex Factors , Spain , Statistics, NonparametricABSTRACT
BACKGROUND: It is accepted that patient education can be beneficial in the treatment of chronic diseases. We conducted an educational intervention (EI) in hypertensive patients seen at Primary Care centres (PCC) and specialised Hypertension Units (SHU). OBJECTIVES: To assess patient's knowledge of hypertension and to verify the impact of this educational initiative. METHODS: A multicentre quasi-experimental study with the participation of 120 patients with hypertension. EI consisted of oral and written information which included the definition of hypertension, causes, cardiovascular risk factors and means of control. A self-administered questionnaire was used to assess patient's knowledge before and after EI. RESULTS: Sixty-two (52%) patients were from PCC and 58 (48%) from SHU (mean age: 61 ± 13.3 years, 59% were women). There were no differences in baseline characteristics between patients attending at PCC and SHU. The definition of hypertension (blood pressure ≥140 mmHg and/or ≥90 mmHg was known by 48% and 99% of the participants before and after EI, respectively (p < 0.001). Poor baseline knowledge about the risks of hypertension was related to kidneys (54%) and eyes (58%). After EI this knowledge increased to 100% (p < 0.001 and p < 0.001, respectively). A significant improvement in knowledge about medication was observed (51% before and 87% after EI; p = 0.004). CONCLUSIONS: This study shows a positive impact of EI to improve patients' knowledge about hypertension. However, further studies are needed to assess if EI produces behaviour changes in the long term, as this might enhance optimal blood pressure control to prevent kidney disease or delay its progression.
Subject(s)
Health Knowledge, Attitudes, Practice , Hypertension/psychology , Patient Education as Topic/methods , Aged , Blood Pressure , Female , Humans , Hypertension/therapy , Male , Middle Aged , Risk Factors , Surveys and QuestionnairesABSTRACT
Introducción. El factor de riesgo cardiovascular más frecuente entre las personas mayores de 60 años es la hipertensión arterial (HTA). El objetivo del presente estudio es valorar la eficacia de una intervención educativa y la fiabilidad del instrumento utilizado. Material y método. Estudio experimental, prospectivo, aleatorizado y con grupos paralelos en una muestra de 120 pacientes, 62 en el grupo intervención (GI) y 58 en el grupo control (GC). El grupo intervención recibe una intervención educativa escrita y oral sobre conocimientos en hipertensión arterial y riesgo cardiovascular, el grupo control no recibe ningún tipo de intervención. Resultados. Al final de la intervención educativa se observó un aumento en el porcentaje de respuestas correctas, con diferencias estadísticamente significativas en cuanto al grupo control, respecto a los conocimientos sobre la hipertensión, factores de riesgo asociados a ella, riesgos de tener la presión arterial elevada y control de la medicación. Conclusiones. La aplicación de una intervención educativa sobre hipertensión arterial y riesgo cardiovascular asociado a la misma actividad asistencial es capaz de elevar el nivel de conocimientos de los pacientes hipertensos mayores ingresados(AU)
Introduction. Hypertension is the most prevalent cardiovascular risk factor among people over the age 60. The aim of this study is to assess the effectiveness of an educational intervention tool, and its reliability. Material and methods. Experimental study, prospective, randomised, parallel-group in a sample of 120 patients, 62 in the intervention group and 58 in the control group. The intervention group received a written and oral educational program on hypertension and cardiovascular risk; the control group did not receive any intervention. Results. At the end of the intervention there was an increase in the percentage of correct responses, with statistically significant differences compared to the control group, as regards knowledge of hypertension, risk factors associated with the risks of having high blood pressure and control medication. Conclusion. The implementation of an educational intervention on hypertension and cardiovascular risk associated with the same care activity is capable of increasing the level of knowledge by elderly hypertensive patients admitted to hospital(AU)
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Hypertension/epidemiology , Hypertension/prevention & control , Hypertension/rehabilitation , Risk Factors , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/prevention & control , Patient Education as Topic/methods , Patient Education as Topic/trends , Clinical Trial , Effectiveness , Evaluation of the Efficacy-Effectiveness of Interventions , 50303 , Prospective StudiesABSTRACT
INTRODUCTION: Hypertension is the most prevalent cardiovascular risk factor among people over the age 60. The aim of this study is to assess the effectiveness of an educational intervention tool, and its reliability. MATERIAL AND METHODS: Experimental study, prospective, randomised, parallel-group in a sample of 120 patients, 62 in the intervention group and 58 in the control group. The intervention group received a written and oral educational program on hypertension and cardiovascular risk; the control group did not receive any intervention. RESULTS: At the end of the intervention there was an increase in the percentage of correct responses, with statistically significant differences compared to the control group, as regards knowledge of hypertension, risk factors associated with the risks of having high blood pressure and control medication. CONCLUSION: The implementation of an educational intervention on hypertension and cardiovascular risk associated with the same care activity is capable of increasing the level of knowledge by elderly hypertensive patients admitted to hospital.
Subject(s)
Hypertension , Patient Education as Topic , Aged , Female , Humans , Hypertension/therapy , Male , Prospective Studies , Surveys and QuestionnairesABSTRACT
BACKGROUND: The aim of the present study was to evaluate the accuracy of an automated oscillometric device, Lohmeier B-606, for clinical use in hospitals, according to there commendations of the European Society of Hypertension. METHODS: Thirty-three subjects were studied. We performed three pair of sequential comparisons of blood pressure in each patient, first with mercury sphygmomanometer, second with the oscillometric device, obtaining a whole number of 99 comparisons. RESULTS: From the total 99 comparisons, 55 for SBP and 66 for DBP showed differences 3/4 5 mmHg, 86 and 88 differences 3/4 10 mmHg and 99 for SBP and DBP differences 3/4 15 mmHg. Mean differences between procedures (mercury-automatic) were 0.08 (confidence interval [IC] 95%: 14.1, 14.3) for SBP and 0.99 (95% CI: 11.0, 13.0) for DBP. Intraclass correlation coefficients were 0.975 for SBP and 0.944 for DBP. CONCLUSIONS: The blood pressure measurement oscillometric device Lohmeier B-606 satisfies the European Society of Hypertension criteria for clinical use in hospitals.
Subject(s)
Blood Pressure Determination/instrumentation , Equipment Design , Hospitals , Humans , Reproducibility of ResultsABSTRACT
FUNDAMENTO: El objetivo del presente estudio ha sido validar la fiabilidad del aparato oscilométrico Lohmeier B-606 para la medida de la presión arterial de uso hospitalario, siguiendo las recomendaciones de la Sociedad Europea de Hipertensión. MÉTODO: Se ha estudiado a 33 individuos a los que se ha realizado tres pares de medidas secuenciales, primero con el esfigmomanómetro de mercurio y después con el aparato oscilométrico a validar, obteniendo en total 99 comparaciones. RESULTADOS: De las 99 comparaciones, 55 para la presión arterial sistólica (PAS) y 66 para la presión arterial diastólica (PAD) presentaron diferencias 5 mmHg; 86 y 88 diferencias 10 mmHg, y 99 para PAS y PAD diferencias 15mmHg. Las diferencias medias entre ambos procedimientos (manual-automático) fueron de -0,08 (intervalo de confianza [IC] del 95 per cent, -14,1 a 14,3) para la PAS y de 0,99 (IC del 95 per cent, -11,0 a 13,0) para la PAD. Los coeficientes de correlación intraclase fueron de 0,975 para la PAS y 0,944 la PAD.CONCLUSIONES: El aparato oscilométrico Lohmeier B-606 cumple los criterios de validación recomendados por la Sociedad Europea de Hipertensión para la medición de la presión arterial de uso hospitalario (AU)
Subject(s)
Humans , Reproducibility of Results , Blood Pressure Determination , Hospitals , Equipment DesignABSTRACT
No disponible
