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1دورية أكاديمية
المصدر: Рациональная фармакотерапия в кардиологии, Vol 10, Iss 4, Pp 391-396 (2015)
مصطلحات موضوعية: артериальная гипертензия, пациенты старше 60 лет, комплаенс, суточное мониторирование артериального давления, Therapeutics. Pharmacology, RM1-950, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: Aim. To study the efficacy of antihypertensive therapy in elderly patients under the condition of research program and outpatient practice by ambulatory blood pressure (BP) monitoring (ABPM) and office BP evaluation, as well as explore patients' treatment compliance.Material and methods. Patients with arterial hypertension, 1-2 degree (n=75) were included into the study. Patients were invited to in-person physician visit again after 4 years. Evaluation of office BP, ABPM, Morisky-Green questionnaire survey was performed. Besides patients were asked to give their understanding of factors that could influence treatment compliance. Patients were divided into 2 cohorts (adherers and non-adherers), depending on the results of Morisky-Green questionnaire survey.Results. Contact was got in 50 of 75 patients after 4 years. Only 10 of patients (20%) were compliant according to Morisky-Green questionnaire survey, and 13 patients (26%) revealed a high risk of non-compliance. 26 of patients (52%) forgot to take medications, 25 patients (50%) were inaccurate regarding time of drug administration. Some patients missed medicines taking when they were in good condition (58%), or they were unwell (36%) due to sharp BP decrease after taking drugs.Conclusion. The patients' treatment compliance remains one of the most important problems of chronic diseases therapy. Only 20% of elderly hypertensive patients are compliant.
وصف الملف: electronic resource
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المؤلفون: N. A. Borisova, Y. Tomashevskaya, I. V. Eliseeva, V. E. Olejnikov, S. S. Fadeeva
المصدر: Racionalʹnaâ Farmakoterapiâ v Kardiologii, Vol 10, Iss 4, Pp 391-396 (2015)
مصطلحات موضوعية: medicine.medical_specialty, arterial hypertension, lcsh:Diseases of the circulatory (Cardiovascular) system, Ambulatory blood pressure, суточное мониторирование артериального давления, RM1-950, elderly patients, compliance, Physician visit, Treatment compliance, Internal medicine, Medicine, Diseases of the circulatory (Cardiovascular) system, Pharmacology (medical), комплаенс, business.industry, lcsh:RM1-950, Drug administration, Questionnaire, артериальная гипертензия, пациенты старше 60 лет, ambulatory blood pressure monitoring, lcsh:Therapeutics. Pharmacology, lcsh:RC666-701, RC666-701, Physical therapy, Therapeutics. Pharmacology, Cardiology and Cardiovascular Medicine, business
الوصف: Aim. To study the efficacy of antihypertensive therapy in elderly patients under the condition of research program and outpatient practice by ambulatory blood pressure (BP) monitoring (ABPM) and office BP evaluation, as well as explore patients' treatment compliance.Material and methods. Patients with arterial hypertension, 1-2 degree (n=75) were included into the study. Patients were invited to in-person physician visit again after 4 years. Evaluation of office BP, ABPM, Morisky-Green questionnaire survey was performed. Besides patients were asked to give their understanding of factors that could influence treatment compliance. Patients were divided into 2 cohorts (adherers and non-adherers), depending on the results of Morisky-Green questionnaire survey.Results. Contact was got in 50 of 75 patients after 4 years. Only 10 of patients (20%) were compliant according to Morisky-Green questionnaire survey, and 13 patients (26%) revealed a high risk of non-compliance. 26 of patients (52%) forgot to take medications, 25 patients (50%) were inaccurate regarding time of drug administration. Some patients missed medicines taking when they were in good condition (58%), or they were unwell (36%) due to sharp BP decrease after taking drugs.Conclusion. The patients' treatment compliance remains one of the most important problems of chronic diseases therapy. Only 20% of elderly hypertensive patients are compliant.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::347cdca95952205973b29b9244882b06
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المصدر: Рациональная фармакотерапия в кардиологии.
مصطلحات موضوعية: АРТЕРИАЛЬНАЯ ГИПЕРТЕНЗИЯ, ПАЦИЕНТЫ СТАРШЕ 60 ЛЕТ, КОМПЛАЕНС, СУТОЧНОЕ МОНИТОРИРОВАНИЕ АРТЕРИАЛЬНОГО ДАВЛЕНИЯ
الوصف: Цель. Изучить эффективность антигипертензивной терапии у пожилых пациентов в условиях исследовательской программы и амбулаторной практики посредством суточного мониторирования артериального давления (СМАД) и оценки офисного АД, а также проанализировать приверженность пациентов назначаемому лечению. Материал и методы. В группу наблюдения включены 75 пациентов с артериальной гипертензией 1-2 степени. Пациентов повторно вызывали спустя 4 года, проводили измерение офисного АД, СМАД, опрос по анкете Мориски-Грина, а также в ходе беседы просили дать оценку ряду основных факторов, которые могли повлиять на приверженность лечению. В зависимости от результатов заполнения анкеты Мориски-Грина больные были распределены на 2 когорты: комплаентных и некомплаентных. Результаты. Спустя 4 года контакт был установлен с 50 пациентами из 75. При анализе опросника Мориски-Грина выявлено, что только 10 пациентов (20%) являются комплаентными, у 13 пациентов (26%) был высок риск развития неприверженности. 26 пациентов (52%) забывали принимать препараты, 25 пациентов (50%) невнимательно относились ко времени приема лекарственных средств. 29 опрошенных (58%) не принимали препараты при хорошем самочувствии, 18 (36%) если чувствовали себя плохо после приема лекарственных средств из-за резкого снижения АД. Заключение. Приверженность пациентов лечению по-прежнему остается одной из важнейших проблем терапии хронических заболеваний. Только 20% больных являлись очень высоко приверженными терапии, что вполне согласуется с данными других исследователей, полученными в российской популяции пожилых лиц с сердечнососудистой патологией.
Aim. To study the efficacy of antihypertensive therapy in elderly patients under the condition of research program and outpatient practice by ambulatory blood pressure (BP) monitoring (ABPM) and office BP evaluation, as well as explore patients' treatment compliance. Material and methods. Patients with arterial hypertension, 1 -2 degree (n=75) were included into the study. Patients were invited to in-person physician visit again after 4 years. Evaluation of office BP, ABPM, Morisky-Green questionnaire survey was performed. Besides patients were asked to give their understanding of factors that could influence treatment compliance. Patients were divided into 2 cohorts (adherers and non-adherers), depending on the results of Morisky-Green questionnaire survey. Results. Contact was got in 50 of 75 patients after 4 years. Only 10 of patients (20%) were compliant according to Morisky-Green questionnaire survey, and 13 patients (26%) revealed a high risk of non-compliance. 26 of patients (52%) forgot to take medications, 25 patients (50%) were inaccurate regarding time of drug administration. Some patients missed medicines taking when they were in good condition (58%), or they were unwell (36%) due to sharp BP decrease after taking drugs. Conclusion. The patients' treatment compliance remains one of the most important problems of chronic diseases therapy. Only 20% of elderly hypertensive patients are compliant.وصف الملف: text/html
URL الوصول: https://explore.openaire.eu/search/publication?articleId=od______2806::94057067c3b8ee874079a52161a6cbd6
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المصدر: Саратовский научно-медицинский журнал.
مصطلحات موضوعية: ОСТРЫЙ ХОЛЕЦИСТОПАНКРЕАТИТ, МАЛОИНВАЗИВНОЕ ХИРУРГИЧЕСКОЕ ВМЕШАТЕЛЬСТВО, ПАЦИЕНТЫ СТАРШЕ 60 ЛЕТ
الوصف: С 1998 по 2007 г. в клинике госпитальной хирургии Ульяновского госуниверситета на базе хирургических отделений МУЗ УГКБСМП больным с желчнокаменной болезнью выполнено более 2000 лапароскопических холецистэктомий, 154 путем минилапаротомии, 173 путем традиционной лапаротомии. Малоинвазивное хирургическое лечение острого холецистопанкреатита у пациентов старше 60 лет из минидоступа целесообразно у лиц с высокой степенью операционно-анестезиологического риска.
Since 1998 to 2007 in the clinic of hospital surgery (based on surgical wards) of Ulianovsk State University the following types of surgical treatment of patients with cholelithic disease were carried out: more than 2000 laparoscopic cholecystectomies, 154 mini-laparotomies and 173 traditional laparatomies. Low-invasive surgical treatment of acute cholecystopancreatitis of patients over 60 years due to miniacess is advisable for persons with high degree of operationally anesthetic risk.وصف الملف: text/html
URL الوصول: https://explore.openaire.eu/search/publication?articleId=od______2806::b3d2cd090f05e88faef0bfe9687a4073
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