Márquez-Hernández Verónica Victoria, Granados Gámez Genoveva, Roales-Nieto Jesús Gil
Departamento de Enfermería, Fisioterapia y Medicina, Universidad de Almería, Almería, España.
Departamento de Enfermería, Fisioterapia y Medicina, Universidad de Almería, Almería, España.
Aten Primaria. 2015 Feb;47(2):83-9. doi: 10.1016/j.aprim.2014.03.009. Epub 2014 Jun 2.
To test the effectiveness of a program to improve treatment adherence in new onset hypertensive patients.
This is a quasi-experimental study.
Four health centers in Almeria.
A total of 120 subjects between 18 and 65 years, diagnosed with hypertension within the previous 12 months.
The participants were divided into three groups: intervention group A, which received educational instruction, intervention group B, educational instruction and feedback process, and the control group C, received usual care. Adherence was determined by lifestyle (diet, physical activity, smoking, alcohol) and drug treatment.
As regards diet and physical activity, there were significant differences between performance groups after intervention (p<0,05), with better adherence levels being found in group B subjects for these variables. Better adherence to pharmacological treatment was also observed in these patients. No significant results were found regarding alcohol and smoking.
In the study population, patients undergoing educational instruction and feedback had better adherence levels than those who received only instruction or usual treatment.
测试一项旨在提高新发高血压患者治疗依从性的项目的有效性。
这是一项准实验研究。
阿尔梅里亚的四个健康中心。
共有120名年龄在18至65岁之间、在过去12个月内被诊断为高血压的受试者。
参与者被分为三组：干预组A，接受教育指导；干预组B，接受教育指导和反馈过程；对照组C，接受常规护理。依从性通过生活方式（饮食、体育活动、吸烟、饮酒）和药物治疗来确定。
在饮食和体育活动方面，干预后各表现组之间存在显著差异（p<0.05），在这些变量上，B组受试者的依从性水平更高。在这些患者中也观察到对药物治疗的更好依从性。在饮酒和吸烟方面未发现显著结果。
在研究人群中，接受教育指导和反馈的患者比仅接受指导或常规治疗的患者具有更好的依从性水平。
