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Ann Cardiol Angeiol (Paris) ; 62(3): 204-9, 2013 Jun.
Article in French | MEDLINE | ID: mdl-23759734

ABSTRACT

UNLABELLED: HTA Vasc offers an approved educational program for hypertensive patients at high cardiovascular risk (CVR). METHOD: A telephone survey (December 2011-July 2012) evaluated the benefits of different workshops "my treatment", "my blood pressure" and "my nutrition", more than 6 months after the end of the program. The follow-up data (TS) were compared to inclusion data (T0) and to final data (TF) in 73 hypertensive patients. RESULTS: The follow-up period was 6 to 31 months. The number of hypertensive controlled patients [blood pressure (BP)<140/90 mmHg] increased from 55.4% to 75.4% (P=0.0158) in TF, which remained over time. The practice of physical activity increased from 47.9% (T0) to 79.5% (TS) (P=0.001). The follow-up period of 18 months or more was associated with a tendency to weight gain (P=0.0059) and with a decline in physical activity [89.7% (<18 months) to 67.5% (≥ 18 months) (P=0.0198)]. The practice of self-measurement BP increased from 41.1% (T0) to 71.2% (TS) (P<0.0001); knowledge of the "rule of three" increased from 6.8% (T0) to 74% (TS) (P<0.0001). CONCLUSION: An educational support contributes to a better long-term BP control. The motivation for lifestyle rules decreases with time. The implementation of a structured motivational follow-up could maintain the lifestyle motivation at these CVR patients.


Subject(s)
Antihypertensive Agents/therapeutic use , Blood Pressure Monitoring, Ambulatory , Blood Pressure/drug effects , Health Education/organization & administration , Hypertension/drug therapy , Motor Activity , Telephone , Weight Loss , Aged , Blood Pressure Monitoring, Ambulatory/statistics & numerical data , Female , Follow-Up Studies , France , Health Education/standards , Health Surveys , Humans , Hypertension/therapy , Male , Middle Aged , Program Evaluation , Risk Factors , Surveys and Questionnaires , Time Factors
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