EVALUATION OF THE REACHING TARGET VALUES IN PATIENTS WITH HYPERTENSION AND IMPORTANCE OF TENSION FOLLOW-UP CARDS

Abstract

Aim: To detect the efficiancy of the tension follow-up cards, which are used to follow tension, in achieving target values in the treatment of hypertensionl. Material and method: The research planned as a multicenteral, noninterventional observe and follow-up. was made in IS different Family Health Care units in different 7 cities, in Turkey, between November 2011 and April 2012. Patients diagnosed as essential hypertension and who were already taking at least one antihypertensive medicine, who were above 18 years old, were informed about the study and accepted 529 patients were involved into the study The patients involved were divided into two groups as experimental group and control group. The patients in the experimental group were given,a tension follow up card while the control group were not Both of the groups were given appoinments for control at the end of the fourth week. For statistical analysis, chi-square test, t-test and multiple variable logistic regression analysis were used. Results: Study was performed on 529 hypertensive patients; 247 (46.7%) were in the experimental, 282 (53.3%) were in the control group. In total; 332 patients (62.8%) were women and 197 patients (37.2%) were men. Mean age for the patients was 58.15 +/- 10.68 (mm 32 max:90) and mean body mass index was 30.76 +/- 5.18 (min:18.31 max 52.07) No statistical difference Was found between experimental and control groups for the begining tension values, except for the first visit first systole measurement. After one month, all measurements were repeated. For all measurements in the second visit, tension values of the experimental group were statistically lower than the control group (p<0.00 I). Conclusion: Patients who get treatment for hypertension but don't reach target blood pressure values constitudes high risk in the society. Data obtained from the study showed that; to control hypertension effectively, patients must be under control and must participate in the follow-up actively.