Therapeutic education and treatment compliance in hypertensive patients
Abstract
Aim. To study the influence of therapeutic education at the Arterial Hypertension (AH) Patient School on treatment compliance.
Material and methods. Efficacy of AH patients’ education, aimed at improving treatment compliance, was assessed by standard criteria – regularity of blood pressure (BP) self-measurement and antihypertensive drug intake. An original criteria was developed – readiness of AH patients to completely fulfill doctor’s recommendations on purchasing antihypertensive drugs.
Results. After education at the AH School, most patients realize a need for regular anthypertensive therapy. Strong motivation for regular BP measurement is achieved only in some patients. Educated patients are more ready to follow doctor’s recommendations and purchase antihypertensive drugs with proved efficacy.
Conclusion. Therapeutic education of AH patients improves their compliance to the treatment.
About the Authors
S. E. Ushakova
Ivanovo State Medical Academy, Ivanovo
Russian Federation
Russian Federation
A. V. Kontsevaya
Ivanovo State Medical Academy, Ivanovo
Russian Federation
Russian Federation
O. V. Knyazhevskaya
Ivanovo State Medical Academy, Ivanovo
Russian Federation
Russian Federation
T. B. Kontsevaya
Ivanovo State Medical Academy, Ivanovo
Russian Federation
Russian Federation
O. A. Nazarova
Ivanovo State Medical Academy, Ivanovo
Russian Federation
Russian Federation
A. M. Kalinina
State Research Center for Preventive Medicine, Moscow
Russian Federation
Russian Federation
References
1. McCormack PM, Lawlor R, Donegun L, еt. al. Knowledge and attitudes to prescribed drugs in young and olderly patients. Irish Med J 1997; 90: 29-30.
2. Allegra L. Deliberate non-compliance due to dislike of medications. Eur Resp Rew 1995; 5(28): 170-2.
3. Brus SH, van der Laar M, Tool E, et al. Compliance in rheumatoid arthritis and the role of formal patient education. Semin Arthr Rheum 1997; 26(4): 702-10.
4. Chemlic F, Doughty A. Objective measurement of compliance in asthma treatment. Ann Allergy 1994; 73(6): 527-32.
5. Терапевтическое обучение больных. Программа непрерывного обучения для работников здравоохранения в области профилактики хронических заболеваний. Отчет рабочей группы ВОЗ. Москва 2001.
6. Mashida K. Efficacy of pulmonary rehabilitation. Nippon Rinsho 1999; 7(9): 2069-73.
7. McDonald HP, Gard AX, Haynes RB. Intervention to enhance patient adherence to medication prescription. JAMA 2001; 288: 2868-79.
8. Zernike W, Henderson A. Evaluating the effectiveness of two teaching strategies for patients hypertension. J Clin Nyrs 1998; 7: 37-44.
9. Ehlebraht-Kohig I, Bonish A. Basic principles in rheumatoid patient education. Theoretical principles and didactic aspects. Z Rheamat 2002; 61(1): 39-47.
10. Конради А.О., Собалева А.В., Максимова П.А. и др. Обучение больных гипертонической болезнью – бессмысленная трата времени или реальный инструмент повышения качества контроля заболевания. Артер гиперт 2002; 8(6): 217-20.
11. Weingarten SR, Henning JM, Banamgarav E, et al. Intervention used in disease management programmes for patients with chronic illness – which ones work? BMJ 2002; 325: 925-8.
12. Моисеев В.С., Кобалава Ж. Д. Комбинированная фармакотерапия артериальной гипертонии. Сердце 2002; 1(5): 228-31.
13. Metry JM. Measuring compliance in clinical trials and ambulatory care. In: Metry JM, Meyer UA, eds. Drug regimen compliance: issues in clinical trials and patients management. Chichester: Wiley 1999: 1-21.
14. Nuesch R, Schroeder K, Dieterle T, et al. Relation between insufficient response to antihypertensive treatment and poor compliance with treatment: a prospective case-control study. BMJ 2001; 323: 142-6.
15. Cleemut I, Kesteloot K, DeGeest S. A review of the literature on the economics of noncompliance. Room for methodological improvement. Health Policy 2002; 59: 65-94.
16. Котлер Ф., Армстронг Г., Сондерс Д., Вонг В. Основы маркетинга. «Вильямс» 2002.
Review
For citations:
Ushakova S.E., Kontsevaya A.V., Knyazhevskaya O.V., Kontsevaya T.B., Nazarova O.A., Kalinina A.M. Therapeutic education and treatment compliance in hypertensive patients. Cardiovascular Therapy and Prevention. 2005;4(1):32-35. (In Russ.)
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