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[Evaluation of the degree of compliance in arterial hypertension protocol]
E Delgado1, E Hernández, J M Izquierdo
1Unidad Docente de Medicina Familiar y Comunitaria de Basauri, Vizcaya.
Insights
This study evaluated a hypertension protocol, finding it effective for blood pressure control, especially when patients were included. Modifications are suggested for better primary care integration.
Area of Science:
- Cardiology
- Public Health
- Healthcare Management
Background:
- Hypertension management requires effective protocols for patient care.
- Evaluating existing protocols is crucial for identifying areas of improvement.
Purpose of the Study:
- To assess compliance with a hypertension protocol's variables.
- To determine the number, demographics, and blood pressure control rates of hypertensive patients.
- To compare outcomes between patients included and not included in the protocol.
Main Methods:
- Retrospective review of 1,429 hypertensive patients' medical and nursing protocol parameters.
- Analysis of the mean of the three last blood pressure readings.
- Calculation of protocol inclusion rates and compliance percentages.
Main Results:
- 67.2% of patients were included in the hypertension protocol.
- Compliance exceeded 80% for most protocol items, with 61.8% of nursing controls completed.
- 68.1% of patients achieved blood pressure control (≤159/94 mmHg), with higher rates in protocol-included patients.
Conclusions:
- The hypertension protocol demonstrated utility in managing blood pressure.
- Higher patient inclusion in the protocol correlated with better blood pressure control.
- Protocol modifications are recommended to enhance its effectiveness in primary care settings.
Abstract:
We report an evaluation of the hypertension protocol. Its aims were to assess the degree of compliance with its variables, the number, age and sex of hypertensives, and the rate in whom blood pressure levels were controlled in the patients included and not included in the protocol. The study was carried out in the Basauri Teaching Unit from January 1987 to June 1989. We reviewed all the parameters of the medical and nursing protocol of 1,429 patients diagnosed as hypertensive and the mean value of the three last blood pressure readings. A total of 67.2% of patients were included in the protocol. The compliance was higher than 80% in most of its items; 61.8% of the prescribed nursing controls were carried out. Blood pressure was less than or equal to 159/94 in 68.1% of patients. This rate was higher in the patients included in the protocol. The protocol was useful for the control of hypertension, although it should be modified directing it to primary care.