The preventive consultation efficiency in patients with arterial hypertension and high cardiovascular risk
https://doi.org/10.18705/1607-419X-2015-21-6-647-654
Abstract
The aim of the investigation was to compare the efficiency of individual and group preventive consultation in hypertensive patients with high cardiovascular risk.
Design and methods. Altogether 200 hypertensive patients with cardiovascular risk factors, who had undergone clinical examination three months before, were included. All of them underwent individual (the first group, n = 100) or group (the second group, n = 100) preventive consultation. The compliance to the medical recommendations and their awareness about risk factors, as well as anxiety level and life quality were evaluated by questionnaires and tests. The initial medical documentation was screened for the relevant medical data, including the achievement of target blood pressure (BP).
Results.
Three months after preventive consultation, 42 % patients in the 1st group and 20 % in the 2nd group did not follow medical recommendations regarding antihypertensive therapy. Target BP was achieved in 43 and 50 % patients in the 1st and 2nd group, respectively. Fixed combination drugs were taken by 83,3 and 96,8 % patients in the 1st and 2nd group, respectively (such as perindopril arginine / indapamide — Noliprel A and Noliprel Forte).
Conclusions. Insufficient efficiency of the individual and group preventive consultation is due to poor compliance to the recommendations concerning cardiovascular risk factors correction. This results from the poor awareness and relatively satisfactory quality of life.
About the Authors
P. M. Karzukhin
City Out-Patient Department № 6, Omsk, Russia
Russian Federation
Russian Federation
MD, Deputy Chief Physician, City in the Out-Patient Department № 6
10 Fugenfirova street, Omsk, 644081 Russia. Phone: +7 (381)275–56–00
O. Yu. Korennova
Omsk State Medical University, Omsk, Russia
Russian Federation
Russian Federation
MD, PhD, DSc, Professor, Department of Internal Medicine and Family Medicine, Omsk State Medical University
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For citations:
Karzukhin P.M., Korennova O.Yu. The preventive consultation efficiency in patients with arterial hypertension and high cardiovascular risk. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2015;21(6):647-654. (In Russ.) https://doi.org/10.18705/1607-419X-2015-21-6-647-654
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