| Avtor/Urednik | Petek-Šter, Marija; Švab, Igor | |
| Naslov | Nadzor krvnega tlaka pri bolnikih z arterijsko hipertenzijo v Sloveniji | |
| Prevedeni naslov | Blood pressure control in patients with arterial hypertension in Slovenia | |
| Tip | članek | |
| Vir | Zdrav Vestn | |
| Vol. in št. | Letnik 76, št. 6 | |
| Leto izdaje | 2007 | |
| Obseg | str. 397-403 | |
| Jezik | slo | |
| Abstrakt | Blood pressure control is sub-optimal all over the world. The aim of the study was to find out about the quality of the blood pressure control in Slovenia. Randomly selected general practitioners fulfilled a questionnaire for each of the 20 consecutive attenders with arterial hypertension. We collected data for 980 patients with arterial hypertension, who attended their general practitioners in September 2006. Data about blood pressure control was taken from the medical record; we took into account the last two blood pressure measurements in the office before the visit in which we selected the study sample. In the sample of 980 patients there were 47. 4% male and 52.6% female who were from 20 to 97 years old (average 62.3 years, SD 11.9 years). The target blood pressure was reached in 388 (40.1%) patients with hypertension. 927 (94.6%) patients were given an advice on non pharmacological measures. In 986 (98.8%) patients antihypertensive drugs were prescribed. 668 (68.2%) patients took a combined antihypertensive treatment. The most frequently prescribed drug classes were blockers of renin-angiotensine system in 843 (86.0%) patients, 225 (23.2%) patients took blockers of renin-angiotensine receptors. In 527 (53.8%) patients antihypertensive treatment was changed during the treatment. Physicians performed at least one measure to improve blood pressure control in 430 (74.3%) patients with uncontrolled hypertension; changes in drug treatment were made in 252 (43.5 %) patients. | |
| Izvleček | Povsod po svetu je nadzor krvnega tlaka nezadosten. Namen raziskave je bil ugotoviti, kakšen je nadzor krvnega tlaka pri bolnikih z arterijsko hipertenzijo v Sloveniji. Uporabili smo vprašalnik, ki so ga izpolnjevali nak jučno izbrani zdravniki družinske medicine za vsakega od 20 zaporednih obiskovalcev ambulant z arterijsko hipertenzijo. Zbrani so bili podatki o 980 bolnikih z arterijsko hipertenzijo, ki so v septembru 2006 obiskali svojega zdravnika. Podatki o nadzoru krvnega tlaka so bili povzeti po zdravstvenem kartonu splošne medicine; upoštevani sta bili zadnji dve meritvi krvnega tlaka, iz merjenega v ambulanti pred obiskom, ki je služil za izborpreiskovancev. V vzorcu 980 bolnikov je bilo 47,4% moških in 52,6% žensk, ki so bili stari od 20 do 97 let (povprečno 62,3 leta, SD 11,9 leta). Ciljne vrednosti krvnega tlaka je dosegalo 388 (40,1%) bolnikov z arterijsko hipertenzijo. Nasvet za spremembo življenjskega sloga je prejelo 927 (94,6%) bolnikov. Z zdravili je bilo zdravljenih 968 (98,8%) bolnikov. 668 (68,2%) bolnikov je prejemalo kombinacijo dveh ali več različnih antihipertenzivnih zdravil. Najpogosteje uporabljena skupina zdravil so bili zaviralci renin-angiotenzinskega sistema pri 843 (86.0% bolnikih, 225 (23,2%) bolnikov pa je prejemalo zaviralec angiotenzinskih receptorjev. Pri 527 (53,8%) bolnikih so bila med zdravljenjem antihipertenzivna zdravila zamenjana. Zdravniki so ukrepali pri 430 (74,3%) bolnikih z nenadzorovanim krvnim tlakom; za spremembo zdravljenja z zdravili so se odločili pri 252 (43,5%) bolnikih. Pogostejše svetovanje nefarmakoloških ukrepov, bolj intenzivno zdravljenje z zdravili in prilagajanje zdravljenja bolniku je prineslo izboljšanje nadzora krvnega tlaka. | |
| Deskriptorji | HYPERTENSION BLOOD PRESSURE DETERMINATION ANTIHYPERTENSIVE AGENTS TREATMENT OUTCOME |