EFFICIENCY OF EDUCATION AT THE SCHOOL OF PREVENTIVE MEDICINE FOR THE PATIENTS WITH ARTERIAL HYPERTENSION EXPOSED TO RADIATION
Introduction: medical counselling promoting healthy lifestyles and behaviour can significantly reduce developmental riskand eliminate the leading causes of hypertension (AH) in the patients exposed to radiation. Adherence to treatment can be enhanced by therapeutic education.
Aim: evaluation the effectiveness of school of preventive medicine for patients with arterial hypertension exposed to radiation.
Methods: During the period 2015-2017 24 cycles of lectures on therapeutic training were conducted on the basis of the rehabilitation centre of the SRI RME within the framework of the organization of a school of health for the patients with hypertension. The study included 403 patients which were divided to main group (202 patients) and control group (202 patients). After 3 months, 6 months and one year, blood pressure, cholesterol, BMI, adherence to therapy, anxiety and depression were monitored. Study design: a controlled clinical trial with historical control. Statistical processing: IBM SPSS Statistics 20.
Results: it was shown a statistically significant increase in adherence to therapy from 6.0 to 11.9% within 6 months after training, a decrease in the proportion of persons with consistently high blood pressure (from 60.8% to 47.2% after 3 months), statistically significant differences of these indicators with those of the control group (p <0.05). Six months after the start of the intervention, there was a statistically significant decrease in symptoms of depression and anxiety, as well as the risk of coronary complications, which were statistically significant differences from the control group.
Conclusion: The need for widespread introduction of such a technology of therapeutic and prophylactic intervention as health schools for AH patients is caused by the importance of timely correction and prevention of AH complications at the level of primary health care.
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Dyussenova L.B., Pivina L.M., Belikhina T.I., Zhunussova T. Efficiency of education at the school of preventive medicine for the patients with arterial hypertension exposed to radiation // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 4, pp. 86-96. doi 10.34689/SH.2020.22.4.009Related publications:
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