[Clinical and cost-effect results of the activity of the outpatient "Hypertensive Patient School"].

AIM

To analyse clinical and cost efficacy of 6-year (1999-2005) activity of the outpatient "Hypertensive Patient School" (HPS) at the consultative and diagnostic center N 52 of the RF Ministry of Defense.

MATERIAL AND METHODS

A total of 232 hypertensive patients followed up for 2 years were divided into two groups: 120 patients of group 1 participated in the education antihypertensive program at HPS and received combined therapy according to chrono = pharmacology; 112 patients did not attend the HPS and were treated conventionally.

RESULTS

The lectures at HPS raised awareness of the patients about their disease and its risk factors from 45.8 to 100% (p < 0.05), compliance from 71.7 to 99.2% (p < 0.001), treatment adequacy from 15.8 to 88.3% (p < 0.01), improved quality of life from 13.3 to 95.0% (p < 0.001), finally resulting in reduction of hypertensive crises and hospitalizations from 32.5 to 2.5% (p < 0.01), side effects frequency from 30.8 to 3.3% (p < 0.05). The cost of outpatient management of one patient fell by 3661.0 roubles.

CONCLUSION

Learning at HPS prevents complications of essential hypertension, promotes adequate control over systolic and diastolic pressure, improves quality of life, raises cost efficacy of the disease therapy.