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Clinical and cost-effect results of the activity of the outpatient Hypertensive Patient School

机译：门诊高血压病人学校活动的临床和成本效果结果

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摘要

AIM: To analyse clinical and cost efficacy of 6-year (1999-2005) activity of the outpatient "Hypertensive Patient School" (HPS) at the consultative and diagnostic center N 52 of the RF Ministry of Defense. MATERIAL AND METHODS: A total of 232 hypertensive patients followed up for 2 years were divided into two groups: 120 patients of group 1 participated in the education antihypertensive program at HPS and received combined therapy according to chrono = pharmacology; 112 patients did not attend the HPS and were treated conventionally. RESULTS: The lectures at HPS raised awareness of the patients about their disease and its risk factors from 45.8 to 100% (p < 0.05), compliance from 71.7 to 99.2% (p < 0.001), treatment adequacy from 15.8 to 88.3% (p < 0.01), improved quality of life from 13.3 to 95.0% (p < 0.001), finally resulting in reduction of hypertensive crises and hospitalizations from 32.5 to 2.5% (p < 0.01), side effects frequency from 30.8 to 3.3% (p < 0.05). The cost of outpatient management of one patient fell by 3661.0 roubles. CONCLUSION: Learning at HPS prevents complications of essential hypertension, promotes adequate control over systolic and diastolic pressure, improves quality of life, raises cost efficacy of the disease therapy.
机译：目的：分析RF国防部咨询和诊断中心N 52的门诊“高血压患者学校”（HPS）的六年（1999-2005）活动的临床和成本效益。材料与方法：总共232名接受2年随访的高血压患者被分为两组：第1组的120名患者参加了HPS的抗高血压教育计划，并按照时间顺序=药理学接受了联合治疗; 112名患者未参加过HPS并接受了常规治疗。结果：在HPS上的演讲使患者对其疾病及其危险因素的认识从45.8％上升至100％（p <0.05），顺应性从71.7％上升至99.2％（p <0.001），治疗充分性从15.8％上升至88.3％（p <0.01），生活质量从13.3％提高到95.0％（p <0.001），最终使高血压危机和住院率从32.5降低到2.5％（p <0.01），副作用发生频率从30.8降低到3.3％（p < 0.05）。一名患者的门诊管理成本下降了3661.0卢布。结论：在HPS学习可以预防原发性高血压并发症，促进对收缩压和舒张压的充分控制，改善生活质量，提高疾病治疗的成本效益。

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