Preview

Rational Pharmacotherapy in Cardiology

Advanced search

CHANGE OF CARDIOVASCULAR RISK FACTORS AND QUALITY OF LIFE IN YOUNG HYPERTENSIVE PATIENTS AS A RESULT OF PREVENTIVE CONSULTATION IN PRIMARY HEALTH CARE

https://doi.org/10.20996/1819-6446-2009-5-4-25-32

Full Text:

Abstract

Aim. To evaluate changes of quality of life (QL) in young hypertensive patients having «Health School» educational course in comparison with patients having standard non-drug therapy.

Material and methods. 114 young patients with arterial hypertension, stage 1, and low and moderate cardiovascular risk were involved in the study. Patients were randomized in 2 groups. Patients of the 1st group (n=59) were trained at «Health School». Patients of the 2nd group had the routine doctor consultation. Changes of systolic and diastolic blood pressure (BP) and QL were evaluated in 6, 12 and 36 months.

Results. Decrease of systolic and diastolic BP as well as improvement of QL was observed in both groups. However «Health School» demonstrated significantly higher efficacy in comparison with routine consultation.

Conclusion. Non-drug correction of the risk factors is effective method of BP control in young hypertensive patients. High efficacy of «Health School» educational course allows recommending it for implementation in practical medicine. 

About the Author

M. I. Shupina
Omsk State Medical Academy
Russian Federation
Lenina ul. 12, Omsk, 644099


References

1. European Society of Hypertension-European Society of Cardiology Guidelines Committee. 2003 European Society of Hypertension-European Society of Cardiology guidelines for the management of arterial hypertension. J Hypertens 2003;21(6):1011–53.

2. Оганов Р.Г., редактор. Школа Здоровья для пациентов с артериальной гипертонией. Информационно-методическое пособие для врачей. М., 2002.

3. Рекомендации Российского медицинского общества по артериальной гипертонии и Всероссийского научного общества кардиологов. Кардиоваскулярная терапия и профилактика 2008; 7(6 приложение 2):3- 32.

4. McHorney C..A, Ware J.E. Jr., Raczek A.E. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 1993;31(3):247-63.

5. Tarlov A.R., Ware J.E. Jr., Greenfield S. et al. The Medical Outcomes Study. An application of methods for monitoring the results of medical care. JAMA 1989;262(7):925-30.

6. Zernike W., Henderson A. Evaluating the effectiveness of two teaching strategies for patients diagnosed with hypertension. J Clin Nurs 1998;7(1):37– 44.

7. Lewis C.E., Grandits A., Flack J. et al. Efficacy and tolerance of antihypertensive treatment in men and women with stage 1 diastolic hypertension. Results of the Treatment of Mild Hypertension Study. Arch Intern Med 1996;156(4):377-85.

8. Dukat A., Balazovjech I. 5-year follow-up of preventive approach to patients with essential hypertension. J Hum Hypertens 1996;10 Suppl 3:S131-3.

9. Гремлинг С., Ауэрбах С. Практикум по управлению стрессом. СПб: Питер; 2002.

10. Гринберг Д. Управление стрессом СПб: Питер; 2002.


For citation:


Shupina M.I. CHANGE OF CARDIOVASCULAR RISK FACTORS AND QUALITY OF LIFE IN YOUNG HYPERTENSIVE PATIENTS AS A RESULT OF PREVENTIVE CONSULTATION IN PRIMARY HEALTH CARE. Rational Pharmacotherapy in Cardiology. 2009;5(4):25-32. (In Russ.) https://doi.org/10.20996/1819-6446-2009-5-4-25-32

Views: 261


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1819-6446 (Print)
ISSN 2225-3653 (Online)