IMPROVING COMPLIANCE WITH THERAPEUTIC REGIMENS IN HYPERTENSIVE PATIENTS IN A COMMUNITY-HEALTH CENTER

被引:42
作者
TAKALA, J
NIEMELA, N
ROSTI, J
SIEVERS, K
机构
[1] UNIV TURKU, DEPT PUBL HLTH, SF-20500 TURKU 50, FINLAND
[2] UNIV HELSINKI, DEPT PUBL HLTH, SF-00290 HELSINKI 29, FINLAND
关键词
D O I
10.1161/01.CIR.59.3.540
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 1-year, randomized study was conducted to test the possibility of improving compliance with therapeutic regimens in hypertensives by means of certain simple arrangements. Patients were given written treatment instructions concerning hypertension, a personal blood-pressure follow-up card, and, for those who failed to attend their blood-pressure check-up, an invitation for a new check-up. Using matched pairs, 202 Finnish hypertensives were randomly allocated either to an ordinary or a reorganized treatment group. By means of the latter system, patient compliance could be significantly (p<0.01) improved: Only 4% of the patients in this group dropped out of treatment, compared with 19% in the ordinary treatment group. By the end of the year, blood pressure had been lowered by at least 10% in 95% of the patients in the reorganized group and in 78% of those in the ordinary group (p<0.01). This was achieved in approximately 60% of cases using chlorthalidone alone.
引用
收藏
页码:540 / 543
页数:4
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