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Structured patient education for out-patients with hypertension in general practice : a model project in Germany

GRUESSER, M ; HARTMANN, P ; SCHLOTTMANN, N ; LOHMANN, F. W ; SAWICKI, P. T ; JOERGENS, V

Journal of human hypertension, 1997-08, Vol.11 (8), p.501-506 [Periódico revisado por pares]

Basingstoke: Nature Publishing

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Título:
Structured patient education for out-patients with hypertension in general practice : a model project in Germany
Autor: GRUESSER, M ; HARTMANN, P ; SCHLOTTMANN, N ; LOHMANN, F. W ; SAWICKI, P. T ; JOERGENS, V
Assuntos: Adult ; Aged ; Aged, 80 and over ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood pressure ; Blood Pressure Determination ; Body weight ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Diuretics ; Education - standards ; Family Practice - education ; Female ; Germany ; Health care ; Humans ; Hypertension ; Hypertension - therapy ; Male ; Medical sciences ; Middle Aged ; Outpatients - education ; Patient Compliance ; Patient Education as Topic - methods ; Patient Education as Topic - standards ; Patients ; Physician-Patient Relations ; Primary care ; Reproducibility of Results ; Retrospective Studies ; Surveys and Questionnaires ; Teaching Materials
É parte de: Journal of human hypertension, 1997-08, Vol.11 (8), p.501-506
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: In a model project, office-based physicians in two regions of Germany provided a structured treatment and teaching programme for out-patients with hypertension. The project was carried out in co-operation with the German Hypertension League and designed to evaluate the practicability and efficacy of the implementation in routine primary health care. A total of 111 primary health care practices in two German districts who had participated in a training course were interviewed. In 43 of these offices documented data of all patients who had received the standardised treatment and teaching were evaluated. The programme was well received by the physicians of which 81% rated the training course and 93% the teaching material as 'very good' or 'good'. A total of 466 patients were trained. Data collected on 272 patients (22 weeks after the intervention) demonstrated the efficacy of the programme at treatment level: reduction of body weight (2 kg, P < 0.001) and blood pressure (from systolic 158+/-18 to 148+/-17 mm Hg, P < 0.001; diastolic 91 +/-9 to 86+/-9, P < 0.001). Sixty-five per cent of patients learned for the first time how to perform blood pressure self-monitoring during the programme. The number of blood pressure readings by the patients' increased significantly from 1+/-3 measurements per week before, to 8+/-7 measurements per week after the programme (P < 0.001). The results of the study demonstrate the practicability and efficacy of the implementation of the programme for patients with hypertension into routine primary health care.
Editor: Basingstoke: Nature Publishing
Idioma: Inglês

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Structured patient education for out-patients with hypertension in general practice : a model project in Germany

GRUESSER, M ; HARTMANN, P ; SCHLOTTMANN, N ; LOHMANN, F. W ; SAWICKI, P. T ; JOERGENS, V

Basingstoke: Nature Publishing

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