影响北印度州高血压患者留在高血压治疗中的因素:一项混合方法研究
Nidhi Jaswal1, Sonu Goel2, Kritika Upadhyay2
1Arogya World, Pennsylvania, USA.
Journal of clinical hypertension (Greenwich, Conn.)
|July 18, 2024
概括
改善印度的高血压控制需要解决药物坚持和进入障碍. 在初级保健保健和健康中心 (HWCs) 患者的留住率更好,但在更高的设施中血压控制较差.
科学领域:
- 公共卫生 公共卫生
- 心血管疾病管理管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高血压是一个重要的全球健康问题,特别是在低收入至中等收入国家,意识和控制不足.
- 药物不合规是有效控制血压的主要障碍,导致严重的健康后果和增加医疗保健成本.
- 印度政府 (GOI) 已实施国家战略,打击包括高血压在内的非传染性疾病.
研究的目的:
- 分析北印度不同医疗保健级别的高血压治疗中的患者保留率.
- 调查医疗保健提供者 (HCP) 和患者对影响高血压控制的因素的观点.
- 在高血压管理中识别药物坚持和患者随访的障碍.
主要方法:
- 在北印度的一个地区,采用混合方法并发研究设计.
- 关于患者人口统计和随访率的回顾性定量数据被收集了一年.
- 通过聚焦小组讨论 (FGD) 和与医疗保健专家和患者进行深入访谈 (IDI) 收集了定性数据.
主要成果:
- 在研究期间,只有63%的高血压门诊患者在研究期间实现了血压控制.
- 与较高级别的设施相比,健康与健康中心 (HWC) 的患者保留率更高,尽管在这些更高级别的设施中血压控制较差.
- 发现的关键障碍包括药物副作用,药物负担,有限的医疗保健准入,以及女性的跟进情况较差.
结论:
- 有效的高血压管理需要克服患者留守和药物坚持方面的挑战.
- 加强初级保健服务,如HWC,通过改善访问和以患者为中心的干预措施至关重要.
- 解决药物副作用和获得医疗保健等特定障碍对于改善长期血压控制至关重要.
相关概念视频
01:28Factors affecting Blood pressure
3.1K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.1K
01:18Hypertension and Regulation of Blood Pressure
2.0K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.0K
01:25Errors occurring during blood pressure monitoring
675
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
675
01:28Special considerations while measuring blood pressure
712
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
712
01:16Antihypertensive Drugs: Action of Diuretics
658
Diuretics are antihypertensive drugs used to treat hypertension resulting from sodium and water retention. Sodium, vital for fluid balance and nerve or muscle function, is regulated by the kidneys through millions of nephrons. Blood enters nephrons via afferent arterioles, which branch into capillaries called glomeruli. These filter blood plasma, allowing water and solutes, like sodium ions, to pass through capillary walls into Bowman's capsule. The filtrate then flows through various...
658
01:30Blood Pressure
1.1K
Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
1.1K