Ensayo sobre la eficacia de los programas de educación para la salud en el cumplimiento terapéutico de la hipertensión arterial

• Autores: Emilio Márquez Contreras, J. J. Casado Martínez, J. Ramos Pérez, S. Sáenz Soubrier, J. P. Moreno García, B. Celotti Gómez, J. Gascón Vivó, José Luis Martín de Pablos
• Localización: Atención primaria: Publicación oficial de la Sociedad Española de Familia y Comunitaria, ISSN 0212-6567, Vol. 21, Nº. 4, 1998, págs. 199-204
• Idioma: español
• Títulos paralelos:
  • Trial on the efficacy of programmes of health education on hypertension therapy compliance
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• Resumen

  • Objective. To analyse by means of a group session and postal support the efficacy of health education (HE) on compliance with therapy for light-to-moderate essential Hypertension.

    Design. Controlled clinical trial with randomised distribution.

    Setting. Primary Care.

    Patients. 110 hypertense patients with new or uncontrolled Hypertension, for whom treatment with Trandolapril as a start or change of medication was indicated.

    Interventions. The patients were split into two groups at random, with observation for six months after inclusion in the study and monthly attendance: 1) Control group (CG) of 55 patients who received HE from their family doctor; 2) Intervention group (IG) of 55 patients controled.

    Measurements and results. Patients were defined as compliant if their consumption was 80-110% of what was prescribed. The counting of pills was recorded. Percentages of compliant patients and mean compliance were analysed with the Chi squared and Student's t tests. 109 people completed, 77 of them women. Neither group differed as to age, sex, length of evolution, number of diseases or doses of drugs consumed.

    Conclusions. Intervening in HE with a group session and postal follow-up is an efficacious measure to improve therapeutic compliance in Hypertension cases.