The influence of patients' knowledge of hypertension on the control of their blood pressure: Qualitative study

Halgato, Tinde I.; Kaloci, Dora K.; Grujić, Roland N.; Mora, Sabolč J.; Tomas, Ana D.; Paut-Kusturica, Milica M.; Horvat, Olga J.

doi:10.5937/hpimj2002942H

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Hospital Pharmacology - International Multidisciplinary Journal

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Hospital Pharmacology - International Multidisciplinary Journal

2020, vol. 7, br. 2, str. 942-953

Uticaj znanja pacijenata o hipertenziji na kontrolu krvnog pritiska - u kvalitativnoj studiji

Halgato Tinde I.^a, Kaloci Dora K.^a, Grujić Roland N.^a, Mora Sabolč J.^a, Tomas Ana D.^b, Paut-Kusturica Milica M.^b, Horvat Olga J.^b

^aHealth Center "Dr Janoš Hadži", Bačka Topola
^bUniverzitet u Novom Sadu, Medicinski fakultet, Katedra za farmakologiju i toksikologiju

e-adresa: olga.horvat@mf.uns.ac.rs

Projekat:

Interakcije ksenobiotika i uticaj na sisteme u biomedicini (MPNTR - 41012)
This study was supported by the Provincial Secretariat for Science and Technological Development, Autonomous Province of Vojvodina [grant number 142-451-2565/2019-02].

Ključne reči: antihipertenzivna terapija; znanje o antihipertenzivnoj terapiji; antihipertenzivni lekovi

Sažetak

Uvod: Hipertenzija je značajan faktor rizika za nastanak cerebrovaskularnog insulta i akutnog infarkta miokarda. Održavanje krvnog pritiska na odgovarajućem nivou pomaže u sprečavanju nastanka komplikacije. Cilj: Cilj ove studije je bio da se ispita uticaj znanje o hipertenziji i pratećih faktora na kontrolu krvnog pritiska kod vanbolničkih pacijenata sa hipertenzijom u opštini Bačka Topola, Republika Srbija. Metod: Studija je sprovedena u martu 2019. godine u službama opšte medicine Doma Zdravlja u opštini BačkaTopola, među pacijentima koji su posetili svog lekara i popunili anonimni upitnik. Upitnik je obuhvatao pitanja o socio-demografskim karakteristikama, o faktorima vezanih za antihipertenzivne lekove, kao i o znanju o hipertenziji. Rezultati: Prosečnastarost ispitanika je bila 62.9 ± 10.7 godina. Najčešće propisivani antihipertenzivni lekovi bili su ACE inhibitori 80,8%, zatim b-blokatori 46.8%, blokatori kalcijumskih kanala 22.6%, diuretici 21%, a fiksna kombinacija antihipertenziva korišćena je kod 4.8% pacijenata. Većina ispitanika sa adekvatnom znanjem imala je dobro kontrolisan krvni pritisak (91.4%), dok samo 37.1% ispitanika sa prosečnom znanjem je imala dobro kontrolisan krvni pritisak. Ostali faktori koji su najčešće povezani sa lošom kontrolom krvnog pritiska i znanja nižeg nivoa o hipertenziji bili su: starija starosna dob, ženski pol, niži stepen obrazovanja, ređa poseta izabranog lekara, pacijenti sa više od jednog antihipertenzivnog leka, pacijenti sa dužim trajanjem lečenja hipertenzije i pacijenti koji nisu imali doplatu na antihipertenzivne lekove. Zaključak: Rezultati studije ukazuju da znanje pacijenata o hipertenziji i pratećih faktora u vezi sa lečenjem hipertenzije ima važnu ulogu na održavanju krvnog pritiska na adekvatnom nivou. Stoga edukacija ima ključnu ulogu na utemeljivanju racionalne upotrebe antihipertenziva i lečenja hipertenzije.

Abstract

Introduction: Hypertension is a significant risk factor for stroke, myocardial infarction, and heart failure. Maintaining adequate blood pressure helps preventing cardiovascular complications. Aim: The aim of this study was to investigate the knowledge about hypertension and associated factors in controlling high blood pressure among hypertensive outpatients in the municipality of Bačka Topola, Republic of Serbia. Methods: The outpatients who visited their doctors and agreed to fill out an anonymous questionnaire were included in the survey conducted in March 2019 at the Primary Health Care Center of the municipality of Bačka Topola. The questions were related to the sociodemographic characteristics and medication-associated factors of significance for assessment of the outpatients' knowledge about antihypertensive drugs. Results: The mean age of patients was 62.9±10.7 years. Most frequently prescribed antihypertensive drugs were ACE inhibitors (80.8%) followed by beta blockers (46.8%), calcium channel blockers (22.6%) and diuretics (21%), fixed dose antihypertensive drugs were used by 4.8% patients. Majority of adequate knowledge participants had well controlled blood pressure (91.4%), while only 37.1% of average knowledge participants had well controlled blood pressure. The other factors related to poor blood pressure control and lower level of knowledge about hypertension were older age, female gender, lower level of education, less frequent visits to the GP, patients with more than one antihypertensive drug, patients with longer duration of hypertension treatment and patients who were not paying copayment for their antihypertensive drugs. Conclusions: The results of our study indicate that the patients' knowledge about hypertension and associated factors regarding the treatment of hypertension play an important role in maintaining blood pressure at the safe level. Therefore, educational campaigns are the key factors for the quality and satisfactory knowledge about use of antihypertensive drugs and management of hypertension.

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O članku

jezik rada: engleski
vrsta rada: originalan članak
DOI: 10.5937/hpimj2002942H
objavljen u SCIndeksu: 18.09.2020.

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