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

机译：门诊高血压患者学校活动的临床和成本效应结果

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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6年（1999-2005）次外门“高血压患者学校”（HPS）的临床和成本效率在RF国防部的咨询和诊断中心N 52。材料和方法：共有232名高血压患者，随访2年分为两组：120名第1款患者参加了HPS的教育抗高血压计划，并根据Chrono = Pharmacology接受组合治疗; 112名患者没有参加HPS，并常规处理。结果：HPS的讲座提高了对患者的意识及其疾病的意识，其风险因素从45.8％到100％（P <0.05），符合从71.7〜99.2％（P <0.001），治疗充足率为15.8至88.3％（P <0.01），提高生活质量从13.3至95.0％（P <0.001），最终导致高血压危机和住院治疗从32.5％降低到2.5％（P <0.01），副作用频率为30.8至3.3％（P < 0.05）。一个患者的门诊管理费用下降了3661.0卢布。结论：HPS学习可防止基础高血压并发症，促进对收缩和舒张压的充分控制，提高生活质量，提高疾病治疗的成本效果。

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