Education for the control of arterial hypertension in older adults: An effective approach
DOI:
https://doi.org/10.56294/cid20213Keywords:
Educational Early Intervention, Aged, HypertensionAbstract
Introduction: The research focuses on evaluating the understanding of arterial hypertension among patients, especially in the geriatric population, with the aim of educating them and promoting their participation in pharmacological and non-pharmacological treatment. This study seeks to improve medical care and communication between health professionals and patients, in order to reduce the risk of cardiovascular complications and improve the quality of life of the community served by the health center.
Methods: A study was conducted to assess the knowledge and management of hypertension in patients over 60 years of age in a private clinic in Mendoza, Argentina. Surveys, review of medical records, and blood pressure measurements before and after educational activities were used.
Results: In the study, it was observed that most of the patients were men (83,56 %) and were in the age group 70-79 years (78,08 %). The main risk factors identified were stress (93,15 %) and smoking (73,97 %). Following the intervention, there was a significant increase in disease awareness (97,26 %) and an improvement in blood pressure control, with the majority of patients moving into the partially controlled category (83,56 %) from the uncontrolled category (16,43 %) before the intervention.
Conclusions: Education improved knowledge and control of hypertension
References
1. Maiello M, Zito A, Ciccone MM, Palmiero P. Metabolic syndrome and its components in postmenopausal women living in southern Italy, Apulia region. Diabetes Metab Syndr 2017;11:43-6. https://doi.org/10.1016/j.dsx.2016.08.003.
2. Kirk JK, Allsbrook J, Hansell M, Mann EM. A systematic review of hypertension outcomes and treatment strategies in older adults. Arch Gerontol Geriatr 2017;73:160-8. https://doi.org/10.1016/j.archger.2017.07.018.
3. Webster AC, Nagler EV, Morton RL, Masson P. Chronic Kidney Disease. Lancet Lond Engl 2017;389:1238-52. https://doi.org/10.1016/S0140-6736(16)32064-5.
4. Rochoy M, Rivas V, Chazard E, Decarpentry E, Saudemont G, Hazard P-A, et al. Factors Associated with Alzheimer’s Disease: An Overview of Reviews. J Prev Alzheimers Dis 2019;6:121-34. https://doi.org/10.14283/jpad.2019.7.
5. Filippini T, Torres D, Lopes C, Carvalho C, Moreira P, Naska A, et al. Cadmium exposure and risk of breast cancer: A dose-response meta-analysis of cohort studies. Environ Int 2020;142:105879. https://doi.org/10.1016/j.envint.2020.105879.
6. Leddy J, Green JA, Yule C, Molecavage J, Coresh J, Chang AR. Improving proteinuria screening with mailed smartphone urinalysis testing in previously unscreened patients with hypertension: a randomized controlled trial. BMC Nephrol 2019;20:132. https://doi.org/10.1186/s12882-019-1324-z.
7. Gargiulo G, Esposito G, Avvedimento M, Nagler M, Minuz P, Campo G, et al. Cangrelor, Tirofiban, and Chewed or Standard Prasugrel Regimens in Patients With ST-Segment-Elevation Myocardial Infarction: Primary Results of the FABOLUS-FASTER Trial. Circulation 2020;142:441-54. https://doi.org/10.1161/CIRCULATIONAHA.120.046928.
8. Song P, Zhang Y, Yu J, Zha M, Zhu Y, Rahimi K, et al. Global Prevalence of Hypertension in Children: A Systematic Review and Meta-analysis. JAMA Pediatr 2019;173:1154-63. https://doi.org/10.1001/jamapediatrics.2019.3310.
9. Gong J, Chen X, Li S. Efficacy of a Community-Based Physical Activity Program KM2H2 for Stroke and Heart Attack Prevention among Senior Hypertensive Patients: A Cluster Randomized Controlled Phase-II Trial. PloS One 2015;10:e0139442. https://doi.org/10.1371/journal.pone.0139442.
10. Saco-Ledo G, Valenzuela PL, Ruiz-Hurtado G, Ruilope LM, Lucia A. Exercise Reduces Ambulatory Blood Pressure in Patients With Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Am Heart Assoc 2020;9:e018487. https://doi.org/10.1161/JAHA.120.018487.
11. Schrauben SJ, Inamdar A, Yule C, Kwiecien S, Krekel C, Collins C, et al. Effects of Dietary App-Supported Tele-Counseling on Sodium Intake, Diet Quality, and Blood Pressure in Patients With Diabetes and Kidney Disease. J Ren Nutr Off J Counc Ren Nutr Natl Kidney Found 2022;32:39-50. https://doi.org/10.1053/j.jrn.2021.08.006.
12. Baffour-Awuah B, Dieberg G, Pearson MJ, Smart NA. Blood pressure control in older adults with hypertension: A systematic review with meta-analysis and meta-regression. Int J Cardiol Hypertens 2020;6:100040. https://doi.org/10.1016/j.ijchy.2020.100040.
13. Escortell-Mayor E, Del Cura-González I, Ojeda-Ruiz E, Sanz-Cuesta T, Rodríguez-Salceda I, García-Soltero J, et al. A primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension: The Education and Coronary Risk Evaluation (Educore) study-A pragmatic, cluster-randomized trial. PloS One 2020;15:e0226398. https://doi.org/10.1371/journal.pone.0226398.
14. Graniela AM. Disfunción protésica valvular. Salud Cienc Tecnol 2021;1:8-8. https://doi.org/10.56294/saludcyt20218.
15. Cleven L, Krell-Roesch J, Nigg CR, Woll A. The association between physical activity with incident obesity, coronary heart disease, diabetes and hypertension in adults: a systematic review of longitudinal studies published after 2012. BMC Public Health 2020;20:726. https://doi.org/10.1186/s12889-020-08715-4.
16. Kirkpatrick AW, Roberts DJ, Jaeschke R, De Waele JJ, De Keulenaer BL, Duchesne J, et al. Methodological background and strategy for the 2012-2013 updated consensus definitions and clinical practice guidelines from the abdominal compartment society. Anaesthesiol Intensive Ther 2015;47 Spec No:s63-77. https://doi.org/10.5603/AIT.a2015.0081.
17. Figueroa PL. La auditoría como pilar de la gestión de servicios de salud. Salud Cienc Tecnol 2021;1:18-18. https://doi.org/10.56294/saludcyt202118.
18. Huston P, McFarlane B. Health benefits of tai chi: What is the evidence? Can Fam Physician Med Fam Can 2016;62:881-90.
19. Chen H, Shen F-E, Tan X-D, Jiang W-B, Gu Y-H. Efficacy and Safety of Acupuncture for Essential Hypertension: A Meta-Analysis. Med Sci Monit Int Med J Exp Clin Res 2018;24:2946-69. https://doi.org/10.12659/MSM.909995.
20. Chen X, Maguire B, Brodaty H, O’Leary F. Dietary Patterns and Cognitive Health in Older Adults: A Systematic Review. J Alzheimers Dis JAD 2019;67:583-619. https://doi.org/10.3233/JAD-180468.
21. Andersson White P, Ludvigsson J, Jones MP, Faresjo T. Inequalities in cardiovascular risks among Swedish adolescents (ABIS): a prospective cohort study. BMJ Open 2020;10:e030613. https://doi.org/10.1136/bmjopen-2019-030613.
22. Ateia AM, Elbassiouny A, El-Nabi SH, Fahmy NA, Ibrahim MH, El-Garawani I, et al. Predictive value of haptoglobin genotype as a risk of cerebral vasospasm after aneurysmal subarachnoid hemorrhage. Clin Neurol Neurosurg 2020;199:106296. https://doi.org/10.1016/j.clineuro.2020.106296.
23. Brophy P. Maternal determinants of renal mass and function in the fetus and neonate. Semin Fetal Neonatal Med 2017;22:67-70. https://doi.org/10.1016/j.siny.2017.01.004.
24. Sweeney C, Ryan F, Ledwidge M, Ryan C, McDonald K, Watson C, et al. Natriuretic peptide-guided treatment for the prevention of cardiovascular events in patients without heart failure. Cochrane Database Syst Rev 2019;10:CD013015. https://doi.org/10.1002/14651858.CD013015.pub2.
25. Vetrano DL, Palmer KM, Galluzzo L, Giampaoli S, Marengoni A, Bernabei R, et al. Hypertension and frailty: a systematic review and meta-analysis. BMJ Open 2018;8:e024406. https://doi.org/10.1136/bmjopen-2018-024406.
26. van den Brink AC, Brouwer-Brolsma EM, Berendsen AAM, van de Rest O. The Mediterranean, Dietary Approaches to Stop Hypertension (DASH), and Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) Diets Are Associated with Less Cognitive Decline and a Lower Risk of Alzheimer’s Disease-A Review. Adv Nutr Bethesda Md 2019;10:1040-65. https://doi.org/10.1093/advances/nmz054.
27. Luo W, Liu X, Bao K, Huang C. Ischemic stroke associated with COVID-19: a systematic review and meta-analysis. J Neurol 2022;269:1731-40. https://doi.org/10.1007/s00415-021-10837-7.
28. Bass R, Eneli I. Severe childhood obesity: an under-recognised and growing health problem. Postgrad Med J 2015;91:639-45. https://doi.org/10.1136/postgradmedj-2014-133033.
29. Szoeke C, Lehert P, Henderson VW, Dennerstein L, Desmond P, Campbell S. Predictive Factors for Verbal Memory Performance Over Decades of Aging: Data from the Women’s Healthy Ageing Project. Am J Geriatr Psychiatry Off J Am Assoc Geriatr Psychiatry 2016;24:857-67. https://doi.org/10.1016/j.jagp.2016.05.008.
30. Ben Nasr N, Rouault A, Cornillet N, Bruandet M, Beaussier H, Tersen I, et al. Evaluation of a hypertension-based patient education program in a stroke center. Int J Clin Pharm 2018;40:1490-500. https://doi.org/10.1007/s11096-018-0745-2
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