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全科医生对高血压管理的认知

Awareness of General Practitioners toward Hypertension Management.

作者信息

Rawat Ramakant, Ram Vidya Sagar, Kumar Granth, Varshney Amit, Kumar Manoj, Kumar Pankaj, Agrawal Navneet

机构信息

Department of Medicine, U.P. University of Medical Sciences, Etawah, India.

Department of Medicine, United Institute of Medical Sciences, Prayagraj, Uttar Pradesh, India.

出版信息

J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1513-S1516. doi: 10.4103/jpbs.jpbs_268_21. Epub 2021 Nov 10.

Abstract

INTRODUCTION

The silent killer, hypertension (HTN), is a significant risk factor for cardiovascular disease. In India, HTN has a major public health effect on cardiovascular health and health-care systems.

AIM

The present study was aimed to evaluate the awareness of general practitioners (GPs) toward HTN management and also their approach toward management.

MATERIALS AND METHODS

The present study was a questionnaire-based assessment study. A total of 100 GPs were included in the study as our study sample. All the participants were well informed about the study and after that those who were willing to participate were enrolled after obtaining a written informed consent.

RESULTS

The common presenting symptoms of hypertensive patients were predominantly morning headache (71%), dizziness (41%), palpitation (39%), and fatigability (29%). Majority (84%) practiced cuff placement method covering about 2/3 of the arm at heart level. The preferred position while blood pressure (BP) examination of patient by majority of practitioners was while sitting (53%). The number of readings usually taken for measuring BP for each patient was as follows: one (3%), two (42%), and three (55)%.

CONCLUSION

Although GPs in our study are well informed and up to date on certain aspects of HTN diagnosis and treatment, they may still lack an appropriate approach to HTN history taking, diagnosis, and treatment.

摘要

引言

无声杀手——高血压(HTN)是心血管疾病的重要危险因素。在印度,高血压对心血管健康和医疗保健系统具有重大的公共卫生影响。

目的

本研究旨在评估全科医生(GPs)对高血压管理的认识以及他们的管理方法。

材料与方法

本研究是一项基于问卷的评估研究。共有100名全科医生作为研究样本纳入本研究。所有参与者均充分了解该研究,之后,那些愿意参与的人在获得书面知情同意后被纳入研究。

结果

高血压患者常见的症状主要是晨起头痛(71%)、头晕(41%)、心悸(39%)和疲劳(29%)。大多数(84%)采用将袖带置于心脏水平覆盖约2/3手臂的方法。大多数从业者在为患者测量血压(BP)时,首选的体位是坐位(53%)。每位患者测量血压时通常读取的次数如下:一次(3%)、两次(42%)和三次(55%)。

结论

尽管我们研究中的全科医生对高血压诊断和治疗的某些方面有充分的了解且与时俱进,但他们在高血压病史采集、诊断和治疗方面可能仍缺乏适当的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1e/8686870/1956622a9547/JPBS-13-1513-g001.jpg

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