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Evaluation of patients cooperation in hypertension control
Suada Brankovic1, Aida Pilav1, Seila Cilovic-Lagarija2
1Faculty of Health Sciences, University of Sarajevo, Bosnia and Herzegovina.
Insights
Hypertension management is crucial for preventing cardiovascular diseases. This study found that regular antihypertensive therapy significantly improves blood pressure control, with stress being a major contributing factor to elevated readings.
Area of Science:
- Cardiology
- Public Health
Background:
- Hypertension is a widespread disease and a leading risk factor for cardiovascular diseases like stroke and coronary heart disease.
- Cardiovascular diseases cause approximately 17 million deaths globally each year, with an anticipated increase, particularly in developing nations.
Purpose of the Study:
- To correlate the success of antihypertensive therapy with provoking factors.
- To determine patient satisfaction with antihypertensive therapy outcomes.
Main Methods:
- A study involving 80 patients was conducted at the Primary Health Care Center Stari Grad - Sarajevo.
- Data was collected via questionnaires administered through interviews with patients and their relatives.
- Statistical analysis was performed using SPSS 20.0.
Main Results:
- Patients regularly using antihypertensive therapy had average blood pressure of 125/69 mmHg, compared to 157/96 mmHg for irregular users.
- Stress (65%), heat (20%), and salty foods (15%) were identified as key provoking factors for increased blood pressure.
- 58 participants achieved good blood pressure control (122/74 mmHg), while 22 had poor control (155.5/92 mmHg).
Conclusions:
- Regular adherence to antihypertensive therapy is vital for effective blood pressure management.
- Identifying and mitigating provoking factors like stress can enhance treatment success.
- Patient satisfaction with therapy should be considered in overall hypertension management.
Introduction:
Hypertension (high blood pressure) is one of the most widely spread diseases of our time and one of the leading risk factors for heart and vascular diseases, particularly stroke and coronary heart disease. According to the World Health Organization (WHO) cardiovascular diseases are the leading cause of death in the world of who dies each year about 17 million persons, of which 5 million in Europe. The World Health Organization estimates based on monitoring of demographic trends, trends in mortality and morbidity as economic models, further growth of cardiovascular diseases, especially in developing countries.
Goal:
Correlate the success of antihypertensive therapy and provoking factors, and to determine the degree of satisfaction with the effect of antihypertensive therapy of the patient.
Material And Methods:
The study was conducted at the Primary Health Care Center Stari Grad - Sarajevo. Conducted is study that included 80 patients. Data for this study were collected by a questionnaire. The questionnaire was completed by the examiner using interviews with patients and their relatives (parents, guardians).After sorting, control and grouping the data were imported into the statistical software package SPSS 20.0, where after defining variables was performed statistical analysis.
Results:
The average age of male respondents was 60.80±13.03 and 63.50 ± 7.48 years of female respondents. The average value of systolic blood pressure amounted to 148mmHg (130-180), while the average value of diastolic blood pressure was 88.75mmHg (70-120). Student's t test showed that the average value of systolic pressure was statistically significantly different from the reference value (t=2.387, DF=19, p=0.028), and also the average values of diastolic blood pressure were statistically significantly different compared to baseline (p=3.561, DF=19, p=0.002). Of the total number of subjects included in this study good blood pressure control had 58 participants, and the average value of systolic blood pressure was 122mmHg and diastolic 74mmHg. With poor regulation of blood pressure were 22 patients, with average values of systolic pressure of 155.5mmHg and diastolic 92 mmHg. The most common additional factor influencing the increase in blood pressure of patients surveyed was stress is 65 % (n=52), followed by heat 20% (n=16), and salty foods was a provoking factor in 15% (n=12) subjects. By analyzing the frequency of controlling blood pressure has been determined that respondents on average control blood pressure once a week, and control frequency is in range from daily to monthly. The average value of the blood pressure of subjects who regularly used antihypertensive therapy amounted to 125/69 mmHg, while the respondents who did not regularly use the antihypertensive therapy that value was 157/96 mmHg.
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