• Medicina clinica · May 2022

    Multicenter Study

    Effect of a repeated educational intervention versus an initial intervention on blood pressure control in hypertensive patients.

    • Dolors Estrada, Rosa Mª Soriano, Ana Isabel Jordán, Carolina Fernández, Miguel Camafort, and Cristina Sierra.
    • Unidad de Hipertensión y Riesgo Cardiovascular, Medicina Interna, Hospital Clínico, Barcelona, España; Grupo de Riesgo Cardiovascular, Nutrición y Envejecimiento del Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS), Universidad de Barcelona, Barcelona, España.
    • Med Clin (Barc). 2022 May 13; 158 (9): 406-412.

    Introduction And ObjectivesHypertension is one of the main cardiovascular risk factors. An educational intervention, aimed at increasing or reinforcing the patient's knowledge, can contribute to better control of their blood pressure. Our goal was to evaluate the efficacy of a continuing therapeutic education versus an initial intervention in hypertensive patients.MethodsExperimental study of multicenter community intervention, through the application of a therapeutic education program in hypertension.Results980 patients on antihypertensive treatment were included, 490 in each group, with a mean age of 65 years, and 50% women, baseline mean SBP in both groups was136 mmHg. Regarding knowledge about hypertension, although a similar initial improvement was observed in both groups, at the end of the study, in the continuous intervention group (CIG) an average of 23.06 correct answers was observed, while in the Initial intervention group (IIG) the mean was 20.91, being the difference statistically significant (p < 0.001). At the end of the study, the mean SBP was 127.5 mmHg in the CIG and 136.57 mmHg in the IIG group. Likewise, a lower percentage of patients with a BMI ≥25 was observed in the CIG (78.2%) than in the IIG 82.6%, this difference being statistically significant (p < 0.001). This same effect was observed on the abdominal perimeter, observing an increased abdominal perimeter in 46.3% of the CIG compared to 68.8% in the IIG (p < 0.001). CONCLUSIóN: A continuous educational intervention increases the degree of knowledge about hypertension compared to an initial intervention. Likewise, this intervention is associated with an improvement in blood pressure, weight, body mass index and abdominal girth figures.Copyright © 2021 Elsevier España, S.L.U. All rights reserved.

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