An Occupational Physician-Pharmacist Cooperative Management for Hypertension by the Use of Educational Letters and Posters

Abstract

Objectives: To provide an occupational physician-pharmacist cooperative management for hypertension, we aimed to improve blood pressure (BP) control for workers with high-normal BP or hypertension.Method Office systolic and diastolic BP decreased after the hypertension management by the use of educational letters and posters (−3.1 mmHg; p<0.001, −1.5 mmHg; p=0.02). The prevalence of workers with high-normal BP and hypertension also decreased after those activities (−15% and −7%; p<0.001). The subjects who started or continued the antihypertensive medication were more likely to show reductions in office BP and body mass index than those who received no treatment.Conclusions: An occupational physician-pharmacist cooperated hypertension management by the use of educational letters and posters may improve BP control for subjects with high-normal BP or hypertension.

Physician and patient perspectives on hypertension management and factors associated with lifestyle modifications in Japan: results from an online survey

“…Patients without an initial diagnosis of hypertension and those who did not undergo regular follow-up assessments were excluded. The age and sex composition of the analyzed patient population was matched to that of patients with hypertension in Japan, as outlined in the JSH 2014 guidelines [8]; once the target proportion of men and women in the predefined age groups (20,30,40,50,60, 70, and 80 s) was reached, subsequent respondents were excluded from the analysis.…”

“…The most common explanations for this failure to control hypertension are insufficient patient lifestyle changes [14] and nonadherence to antihypertensive drugs, as well as treatment-resistant hypertension [15][16][17][18]. While knowledge of factors that contribute to nonadherence to lifestyle and therapeutic interventions is limited, it is widely believed that effective patient education (e.g., explanation of hypertension and the aims, effects and adverse effects of treatment, and good physician-patient relationships) is vital to improve BP control rates and achieve better patient quality of life and long-term clinical outcomes [8,15,[19][20][21]. The 2017 American College of Cardiology/American Heart Association, 2018 European Society of Cardiology/European Society of Hypertension, and JSH 2014 guidelines recommend team-based behavioral and motivational strategies to achieve healthy lifestyles [8,13].…”

Perspectives of patients and physicians regarding hypertensive management from an online survey for excellence: a subanalysis of the PARADOX study by physician categories

“…At the initial consultation, the majority of physicians (regardless of subgroup) acknowledged and provided education to patients on education items included in the 2014 JSH-guideline treatment strategy, such as the importance of adherence to treatment, reasons for treating hypertension and its associated complications, and educating patients about target BP [10]. Ensuring that patients received appropriate education around the benefits of good BP control has been shown to improve adherence to lifestyle and drug interventions [12][13][14][15][16]. In the current survey, specialists provided significantly more guidance to patients around lifestyle management factors than did nonspecialists in four key self-management areas: daily exercise (specialist: 83.1% vs nonspecialist: 64.5%, P < 0.01), weight reduction and maintenance (88.1% vs 62.0%, P < 0.001), decreased salt intake (89.8% vs 76.8%, P = 0.02), and moderation of alcohol intake (76.3% vs 49.2%, P < 0.001).…”

Process of developing a cervical cancer education program for female university students in a health and physical education teacher training course: an action research

“…The effect of dissemination of cancer knowledge using printed materials has been reported in Japan, mainly in school education [19]. Although not cancer, the effectiveness of printed materials for health education focusing on hypertension management has been demonstrated, even in occupational elds [20]. A study that distributed health education materials to employees reported that women tend to read printed materials more than men [21].…”