Preventive education effectiveness in elderly patients with arterial hypertension
Aim. To study the effects of preventive education on modifiable cardiovascular disease (CVD) risk factors (RF) in elderly patients with arterial hypertension (AH).Material and methods. Structured preventive education was performed 1-5 years (3,5±0,15 years) before studying the education effectivenes...
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| Main Author: | |
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| Format: | Article |
| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2008-12-01
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| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/1631 |
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| Summary: | Aim. To study the effects of preventive education on modifiable cardiovascular disease (CVD) risk factors (RF) in elderly patients with arterial hypertension (AH).Material and methods. Structured preventive education was performed 1-5 years (3,5±0,15 years) before studying the education effectiveness in AH patients aged ≥60 years (Group I; n=102). The effectiveness was assessed by mean blood pressure (BP) level, prevalence of effective antihypertensive treatment (BP ≤ 140/90 mm Hg), body mass index (BMI), plasma level of total cholesterol (TCH), and smoking prevalence, comparing to those in uneducated AH patients (Group II, similar by age and sex structure; n=72).Results. Preventive education was performed in the group with high prevalence of myocardial infarction, stroke, and Type 2 diabetes mellitus. After the education program, mean BP level was close to target figures in Group I. In Group II, hemodynamics control was substantially worse (p<0,01). Treatment effectiveness was 61,8% in Group I vs. 13,9% in Group II (p<0,01), due to inadequate therapy compliance in the latter group. Overweight prevalence was similar in both groups (80-90%). TCH level was optimal only in Group I males (p<0,05), being significantly lower than that in females and Group II participants.Conclusion. Preventive education of elderly patients improved therapy compliance, AH control, and lipid metabolism. It could be recommended for increasing elderly patients' participation in preventive programs. |
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| ISSN: | 1728-8800 2619-0125 |