Almas Aysha, Bhamani Faridah, Khan Aamir Hameed
Department of Medicine, The Aga Khan University Hospital, Karachi.
Department of Medicine, Ziauddin Medical University, Karachi.
J Coll Physicians Surg Pak. 2014 Dec;24(12):952-4.
Control of hypertension is an important cornerstone in prevention of cardiovascular morbidity and mortality. This study was designed to compare physician encounter score in patients with controlled and uncontrolled hypertension. It was conducted at three tertiary care hospitals in Karachi. Patients were categorized into controlled and uncontrolled hypertension based on their initial blood pressure readings on presentation. Primary outcome variable was control of hypertension and physician encounter score (a composite score of 12 item question) was the main candidate variable. Higher scores reflected favorable encounter with physician. Mean age of participants was 57.7 ± 12 years; 224 (50.1%) were men. Controlled hypertension was present in 72.3% (323) and uncontrolled hypertension was present in 27.4% (124). Mean physician encounter score in uncontrolled hypertensive was 7.25 ± 2.64 versus 7.83 ± 2.22 (p=0.02) in controlled hypertensive. Patient-physician encounter is an important milestone in control of hypertension in hypertensive patients and directly translates into better adherence to antihypertensives in these patients.
控制高血压是预防心血管疾病发病率和死亡率的重要基石。本研究旨在比较血压得到控制和未得到控制的高血压患者的医患接触评分。该研究在卡拉奇的三家三级护理医院进行。根据患者就诊时的初始血压读数，将患者分为血压得到控制和未得到控制的高血压患者。主要结局变量是高血压的控制情况，医患接触评分（一个由12项问题组成的综合评分）是主要的候选变量。分数越高表明与医生的接触情况越好。参与者的平均年龄为57.7±12岁；224名（50.1%）为男性。72.3%（323名）患者的高血压得到控制，27.4%（124名）患者的高血压未得到控制。未得到控制的高血压患者的平均医患接触评分为7.25±2.64，而血压得到控制的高血压患者为7.83±2.22（p=0.02）。医患接触是高血压患者控制高血压的一个重要里程碑，并且直接转化为这些患者对抗高血压药物更好的依从性。
