Effectiveness of different educational models in elderly hypertensive patients with heart failure
https://doi.org/10.18705/1607-419X-2010-16-3-305-310
Abstract
Design and methods. We observed 64 geriatric patients (67,3 3,9 years old) with chronic heart failure (CHF) and
arterial hypertension (AH), which had been divided into 2 groups. The fi rst group included 32 patients who received classical
group educational model, the second - 32 patients who were individually educated based on effective medical consulting.
All patients received standard treatment of AH and CHF (angiotensin-converting enzyme inhibitors, -blockers, diuretics,
aldosterone antagonists and digoxin). Results. Initially less than 14 % of patients had good compliance. After 12 months
of intervention, medication adherence increased to 59,4 % in I group and 87,5 % in II group. In 6 months the dynamics of
clinical symptoms and functional status was positive in all groups, particularly after individual education, the difference
between groups was signifi cant in 12 months. Only in II group we observed signifi cant reduction of emergency calls and
extra hospital admissions due to decompensation of CHF. Conclusion. The complex approach to education of elderly patients
is effective and has economic benefi ts.
arterial hypertension (AH), which had been divided into 2 groups. The fi rst group included 32 patients who received classical
group educational model, the second - 32 patients who were individually educated based on effective medical consulting.
All patients received standard treatment of AH and CHF (angiotensin-converting enzyme inhibitors, -blockers, diuretics,
aldosterone antagonists and digoxin). Results. Initially less than 14 % of patients had good compliance. After 12 months
of intervention, medication adherence increased to 59,4 % in I group and 87,5 % in II group. In 6 months the dynamics of
clinical symptoms and functional status was positive in all groups, particularly after individual education, the difference
between groups was signifi cant in 12 months. Only in II group we observed signifi cant reduction of emergency calls and
extra hospital admissions due to decompensation of CHF. Conclusion. The complex approach to education of elderly patients
is effective and has economic benefi ts.
About the Authors
V. V. Simerzin
Samara State Medical University
Russian Federation
Russian Federation
S. V. Garkina
Samara State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Simerzin V.V., Garkina S.V. Effectiveness of different educational models in elderly hypertensive patients with heart failure. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2010;16(3):305-310. (In Russ.) https://doi.org/10.18705/1607-419X-2010-16-3-305-310
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