| Author/Editor | Petek Šter, Marija; Barbič-Žagar, Breda | |
| Title | Treatment of patients with arterial hypertension in family medicine in Slovenia - Assessment of the situation after the introduction of modal practices | |
| Translated title | Obravnava bolnikov z arterijsko hipertenzijo v ambulantah družinske medicine v Sloveniji - Ocena stanja po uvedbi referenčnih ambulant | |
| Type | članek | |
| Vol. and No. | Letnik 90, št. 9/10 | |
| Publication year | 2021 | |
| Volume | str. 478-487 | |
| ISSN | 1318-0347 - Zdravniški vestnik : glasilo Slovenskega zdravniškega društva : Slovenian medical journal | |
| Language | slv | |
| Abstract | zhodišča: Večino bolnikov z nezapleteno arterijsko hipertenzijo obravnavamo zdravniki družinske medicine. Namen raz-iskave je bil ugotoviti, kako poteka obravnava bolnikov z arterijsko hipertenzijo v timu družinske medicine v Sloveniji ter oceniti urejenost krvnega tlaka.Metode: V prospektivni opazovalni raziskavi smo v obdobju od 21. 11. 2017 do 28. 3. 2019 šest mesecev spremljali obravna-vo dotlej še nezdravljenih bolnikov z esencialno arterijsko hipertenzijo v 158 ambulantah družinske medicine v Sloveniji. Ob koncu spremljanja smo ocenili urejenost krvnega tlaka (KT).Rezultati: Vključenih je bilo 1.060 bolnikov, katerih povprečna starost je bila 58,6 % 12,1 let. Med vključenimi bolniki je bilo 579 (55 %) moških in 481 (45 %) žensk. Povprečna vrednost sistoličnega KT ob vstopu je bila 165,2 % 14,5 mm Hg, diasto-ličnega pa 96,2 % 10,0 mm Hg. 751 bolnikov (70,8 %) je imelo pridružene dejavnike tveganja za bolezni srca in ožilja. 408 (38,5 %) bolnikov je imelo ocenjeno srčno-žilno tveganje kot veliko oz. zelo veliko. Antihipertenzivna zdravila so bila uve-dena pri 1.046 (98,7 %) bolnikih; pri 418 bolnikih (39,4 %) je bilo uvedeno kombinacijsko zdravljenje dveh ali več učinkovin v prosti ali fiksni kombinaciji. 331 bolnikov (31,6 %) je med spremljanjem opravilo obisk pri diplomirani medicinski sestri.Raziskavo je zaključilo 929 (87,6 %) bolnikov. Povprečna vrednost sistoličnega KT ob zaključku raziskave je bila 135,4 % 10,9 mm Hg, diastoličnega pa 81,8 % 8,0 mm Hg, ciljni KT je dosegalo 63,3 % bolnikov. Zaključek: Prepoznali smo nekatere priložnosti za izboljšanje vodenja. V prihodnje bo potrebno še okrepiti timsko obrav-navo bolnikov ter spodbujati zdravnike k uvajanju kombinacijskega zdravljenja, najbolje v obliki dveh oziroma treh zdra-vilnih učinkovin v eni tableti.Background: Most patients with uncomplicated arterial hypertension are treated by family physicians. The purpose of the research was to discuss how to consider patients with arterial hypertension in Slovenia and to assess blood pressure control.Methods: In a prospective observational survey, in 21.11.2017 to 28.3. In 2019, six months observation time were reviewed for previously untreated patients with essential arterial hypertension in 158 family medicine clinics in Slovenia. On the end of follow up period, blood pressure (BP) control was evaluated.Results: A total of 1060 patients were included, with the mean age 58.6 % 12.1 years old. Among the patients included, 579 (55%) were men and 481 (45%) were women. The mean systolic BP on entry was 165.2 % 14.5 mm H, diastolic 96.2 % 10,0 mm Hg. 751 patients (70.8%) had associated cardio-vascular disease factors. 408 (38.5%) patients had assessed cardiovas-cular risk as high or very high. Antihypertensive medication was initiated in 1046 (98.7%) patients; in 418 patients (39.4%) combinatory antihypertensive therapy with two or more antihypertensive drugs in free or fixed drug combinations was initiated. 331 patients (31.6%) had a visit to a practice nurse.929 (87.6%) patients completed the study. The mean systolic BP at the conclusion of the study was 135.4 % 10.9 mm Hg and diastolic 81,8 % 8,0 mm Hg. 63.3% of patients received target BP.Conclusion: We recognized some room for improvements. In the future, it will be necessary to strengthen the team man-agement of patients and to encourage doctors to introduce combination therapy, preferably in a fixed dose combination of two or three drugs in one tablet. | |
| Descriptors | Arterijska hipertenzija Družinska medicina | |
| Keywords | referenčne ambulante timsko delo kombinacijsko zdravljenje |