Education of Patient — Possibility of Improvement the Effectiveness Hypertension Treatment

Abstract

Despite of the progress in diagnosis and treatment of hypertension, the proportion of hypertensive patients succesfully treated is still low.

Current review, based on results of selected studies where different methodology was employed, aims to answer the question of whether and how the organized patient-oriented education programs can increase the efficacy of antihypertensive therapy.

All cited programs largely improved therapy in terms of number of patiens succesfully treated, while allowing to decrease the number of drugs prescribed an improving patient's compliance. It was manifested by adherence to the follow-up schedule, nonpharmacological and pharmacological treatment, and more frequent blood pressure measurements. In addition one study (Stanford Five -City Project) reported a 55% decrease in total and hypertension related morality.

The form of educational program is an issue of importance. Currently the opinion prevails that the best effects are achieved in small groups (less than 10 participants) shortly after diagnosis of hypertension has been made, and with active involvement of patient's family. This kind of education increased the efficacy of treatment by 12%.

We conclude that education programs are important part of therapeutic millieu, capable to increase the efficacy of pharmacological treatment and thus to valuably add to prevention of cardiovascular disease.