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Effect of Therapeutic Group Education on Adherence and Blood Pressure Control among Uncontrolled Hypertensive Patients in Sub Saharan Africa

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World Journal of Cardiovascular Diseases 2018年第3期8卷 183-195页

作者： Chris Nadege Nganou-Gnindjio Heloise Guidelle Kenmogne Domning Liliane Mfeukeu-Kuate Ba Hamadou Felicite Kamdem georges bediang Aurel T.Tankeu Alain Patrick Menanga Samuel Kingue Faculty of Medicine and Biomedical Sciences University of Yaounde IYaoundeCameroon Cardiology Unit Yaounde Central HospitalYaoundeCameroon Faculty of Health Sciences Universite des MontagnesBangangteCameroon Faculty of Medicine and Pharmaceutical Sciences University of DoualaDoualaCameroon Internal Medicine Department Douala General HospitalDoualaCameroon Internal Medicine Department Yaounde General HospitalYaoundeCameroon

Background: Hypertension is the leading cardiovascular risk factor worldwide, with the greatest burden in low-income settings. Blood pressure (BP) control is usually low resulting in high rates of uncontrolled patients and complications. Low awareness resulting in poor therapeutic adherence represents an important factor for insufficient blood pressure control in developing countries. Methods: This was a three months non-randomized control trial at the cardiology clinic of the Yaoundé Central Hospital. We included adults with essential and uncontrolled hypertension. The intervention consisted of group educative sessions every week focusing on knowledge of hypertension risk factors, complications, treatment, comorbidities, home self-monitoring of BP. Home blood pressure figures, drug compliance, and knowledge regarding hypertension were evaluated before and after. Results: 17 participants (8 women) with a mean age 56.2 ± 8.1 years. During intervention, mean SBP decreased by 30 mmHg while mean DBP drooped by 11 mmHg using home BP measures. Knowledge regarding hypertension, adherence and drug compliance increased by 36.5%, 88.2% and 81.4% respectively. Conclusion: Therapeutic group education resulted in a significant improvement in BP control amongst uncontrolled hypertensive patients in sub Saharan Africa.

关键词： Therapeutic Group Education Hypertension Adherence Knowledge

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