Characteristics of Patients With Arterial Hypertension Influencing to the Achievement of Target Pressure: Data of Polyclinics of the Working Village

Gerasimov, Stanislav N.; Posnenkova, Olga M.; Kiselev, Anton R.; Popova, Yulia V.; Popov, Iva; Gridnev, Vladimir I.

doi:10.20333/2500136-2017-2-97-103

Cited by 2 publications

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References 2 publications

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“…It was also found that hypertension is more common among older females than among older males [4]. It is known that this disease requires constant monitoring and strict adherence to medically prescribed medications to reduce the risk of cardiovascular [5] and renal disease [6]. Besides this, health professionals emphasize the need to find effective strategies for the treatment and care of elderly patients with hypertension [7,8].…”

Section: Introductionmentioning

confidence: 99%

Arterial hypertension as a factor in the choice of conflict resolution strategies by the older persons

Tikhonova¹,

Демина²,

Klimatckaia³

et al. 2018

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Background. Interpersonal conflicts are one of the causes of depressive syndromes among patients, which contribute to the development of arterial hypertension. Minimizing the risk of conflicts between elderly patients is necessary for providing effective therapy. Objectives. To identify and analyze the behavioral patterns of elderly people in conflict situations suffering from and not suffering from hypertension. Material and methods. The number of patients of the gerontological center who took part in the research amounted to 117 females (55+ years of age). The studies of the Thomas-Kilmann Instrument (TKI) conflict assessment methodology were used to identify the characteristics of the behavior of elderly patients in conflict situations. Results. The largest number of patients was identified as the leading conflict resolution strategy in both groups. We agree that a significant number of those studied could not decide on the leading strategy of behavior in the conflict and use two or more strategies to resolve conflict situations. Patients with hypertension have higher rates of resistance to conflict than those who do not have this disease. Conclusions. The strategy of adaptation is the leading strategy for resolving conflict situations among elderly people who have and have not been diagnosed with hypertension. This is why it was revealed that elderly people with hypertension have higher levels of resistance to conflict.

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Section: Introductionmentioning

confidence: 99%

Arterial hypertension as a factor in the choice of conflict resolution strategies by the older persons

Tikhonova¹,

Демина²,

Klimatckaia³

et al. 2018

fmpcr

View full text Add to dashboard Cite

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Remote outpatient follow-up of patients with arterial hypertenson: the role of a nurse

Строкольская

Kilizhekova

Артамонова

2021

Kompleks. probl. serdečno-sosud. zabol.

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Highlights. Telehealth remote monitoring for patients with arterial hypertension has been developed and implemented. A nurse coaching approach has been reported.Aim. To develop and implement the technology of remote dispensary observation of patients with arterial hypertension (AH) using telemedicine, in which the main performer is a clinic nurse.Methods. The research object is patients with AH who are under dispensary observation at the territorial polyclinic. The study included 183 patients aged 53±12.5 years, of which 64.5% were women. The duration of observation is from 30 to 90 days. The effectiveness was evaluated on the basis of the achievement of target values of blood pressure (BP), number of visits to the doctor for hypertension decompensation, patient compliance. The program used data processing technology applying telemedicine devices for automatic BP measurement.Results. In 75.5% of cases, there was a decrease in the average level of systolic and diastolic BP in comparison with the initial levels. A decrease in the maximum systolic BP and in the frequency of decompensation episodes of BP above 160 mm Hg was recorded in 15.8% of patients. Achievement of the target BP level was identified in 64.2% of patients, in 11.3% there was a positive dynamic in the clinical condition without achieving the target figures, in 24.5% of cases, no dynamics was found. The majority of patients (84.2%) preferred remote forms of counseling while maintaining a stable level of indicators. Among 15.8% of patients, the number of visits to a doctor decreased from 2.0 to 0.75 visits per month. High adherence to preventive measures was observed in 88.7% of cases; 100% of patients in the observation group confirmed the use of prescribed antihypertensive drugs.Conclusion. The original technology of remote dispensary observation of patients with AH using telemedicine devices enhances the continuity in “doctor-nurse-patient” interactions, which contributes to the improvement of medical efficiency by increasing the proportion of patients in the dispensary group who have reached the target level of BP and increase the patients' adherence to preventive measures. Telemedicine technologies reduce the number of scheduled and urgent patient visits to a polyclinic, which is relevant in the context of the shortage of medical personnel and the transition to remote consultation due to the restrictions caused by the epidemic threat [17].

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Characteristics of Patients With Arterial Hypertension Influencing to the Achievement of Target Pressure: Data of Polyclinics of the Working Village

Cited by 2 publications

References 2 publications

Arterial hypertension as a factor in the choice of conflict resolution strategies by the older persons

Arterial hypertension as a factor in the choice of conflict resolution strategies by the older persons

Remote outpatient follow-up of patients with arterial hypertenson: the role of a nurse

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