| Autor: |
Contreras, Emilio Márquez, García, Onofre Vegazo, Claros, Nieves Martel, Guillén, Vicente Gil, von Wichmann, Mariano de la Figuera, Martínez, José Joaquín Casado, Fernández, Raúl |
| Předmět: |
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| Zdroj: |
Blood Pressure; Jun2005, Vol. 14 Issue 3, p151-158, 8p |
| Abstrakt: |
Objective . To study the efficacy of telephone and mail intervention in therapeutic compliance among patients with mild to moderate hypertension. Design . A prospective controlled multicenter clinical trial. Setting . Eighty-five primary care centers in Spain, with a duration of 6 months. Patients . A total of 636 patients with newly diagnosed or uncontrolled hypertension were included. Interventions . The patients were randomized and distributed between the following groups: (i) control (CG) – under routine clinical management; (ii) mail intervention (MIG) – received a mailed message reinforcing compliance and reminding of the visits (15 days, 2 and 4 months); (iii) telephone intervention (TIG) – received a telephone call at 15 days, then at 7 and 15 weeks. Main outcome measure . Five visits were scheduled, with the measurement of blood pressure and counting of tablets. Compliers were defined as subjects showing 80–110% drug consumption. Calculations were made of mean percentage compliance (MPC) and compliers, mean blood pressure and percentage controlled subjects. Results . Five hundred and thirty-eight patients completed the study (261 males); 85.5% were compliers (CI?=?82.5–88.5; n ?=?460). The MPC was 95.1±19.6% (CI?=?93.28–96.92). The CG consisted of 182 individuals, MIG?=?172 and TIG?=?184. Compliers represented 69.2% of the CG (CI 62.5–75.9%), 91.3% (CI?=?87.1–95.5) of the MIG ( p ?=?0.0001) and 96.2% of the TIG (CI 93.5–98.9%); the final MPC was 89.6%±15 in CG, 96.6%±12 in MIG and 99.1±26.8 in TIG ( p ?=?0.0001). The percentage of controlled subjects was 47.2% in CG (CI?=?40–54.4), 61.3% in MIG (CI?=?54.1–68.5%) and 63.3% in TIG (CI?=?56.4–70.2%) ( p <0.05). Conclusions . TIG and MIG are effective measures for improving patient compliance in hypertension. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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