How to avoid discontinuation of antihypertensive treatment: The experience in São Paulo, Brazil
Clinics
; Clinics;65(9): 857-863, 2010. graf, tab
Article
en En
| LILACS
| ID: lil-562828
Biblioteca responsable:
BR1.1
ABSTRACT
OBJECTIVES:
To evaluate the importance of providing guidelines to patients via active telephone calls for blood pressure control and for preventing the discontinuation of treatment among hypertensive patients.INTRODUCTION:
Many reasons exist for non-adherence to medical regimens, and one of the strategies employed to improve treatment compliance is the use of active telephone calls.METHODS:
Hypertensive patients (n=354) who could receive telephone calls to remind them of their medical appointments and receive instruction about hypertension were distributed into two groups a) "uncomplicated" - hypertensive patients with no other concurrent diseases and b) "complicated" - severe hypertensive patients (mean diastolic >110 mmHg with or without medication) or patients with comorbidities. All patients, except those excluded (n=44), were open-block randomized to follow two treatment regimens ("traditional" or "current") and to receive or not receive telephone calls ("phone calls" and "no phone calls" groups, respectively).RESULTS:
Significantly fewer patients in the "phone calls" group discontinued treatment compared to those in the "no phone calls" group (4 vs. 30; p<0.0094). There was no difference in the percentage of patients with controlled blood pressure in the "phone calls" group and "no phone calls" group or in the "traditional" and "current" groups. The percentage of patients with controlled blood pressure (<140/90 mmHg) was increased at the end of the treatment (74 percent), reaching 80 percent in the "uncomplicated" group and 67 percent in the "complicated" group (p<0.000001).CONCLUSION:
Guidance to patients via active telephone calls is an efficient strategy for preventing the discontinuation of antihypertensive treatment.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Bloqueadores de los Canales de Calcio
/
Bloqueadores del Receptor Tipo 1 de Angiotensina II
/
Cumplimiento de la Medicación
/
Hidroclorotiazida
/
Hipertensión
/
Antihipertensivos
Tipo de estudio:
Clinical_trials
/
Guideline
Límite:
Female
/
Humans
/
Male
País/Región como asunto:
America do sul
/
Brasil
Idioma:
En
Revista:
Clinics
Asunto de la revista:
MEDICINA
Año:
2010
Tipo del documento:
Article
Pais de publicación:
Brasil