Increasing the Effectiveness of Public Information on Risk Factors and Self-Control of Hypertensive Disease in Primary Link

Abstract

The past 5-year data from 222 randomiy selected outpatient cards of hypertensive patients who were
followed up at a family polyclinic (n=54) and in a number of rural ambulances (n=168) of the Republik of
Uzbekistan were retrospectively analyzed. The physicians from the Tashkent family polyclinic and rural
ambulances of a number of the Republic’s regions, who had taken 10-month retraining courses for general
practitioners, were questioned. Questionnaires were used to study 156 and 119 physicians before and after
retraining, respectively. Two hundred and fifty-six hypertensive patients followed up at the family hospital
and rural ambulances were interviewed using questionnaires and examined. Then some of them (a study
group) took a course of training at a school for the hypertensive patient and the others (a comparison group)
did not participate in the education program. All the patients were followed up for 2 years with a subsequent
reexamination and study. Most outpatient cards give recommendations for non-drug treatment incompletely.
In a number of cases, the physicians who attach importance to the detection and correction of risk factors
has substantially increased after education. The patients who had taken training courses were found to be
significantly (?<0,001) more aware of their having hypertension and the major risk factors of hypertensive
disease, to be more adherent to treatment, and to know its adequacy.