Las medidas no farmacológicas en el manejo de la Hipertensión Arterial

  1. Santiago Reinoso Hermida 1
  2. Gabriel J. Díaz Grávalos 2
  1. 1 Centro de Saúde O Carballiño. O Carballiño (Ourense)
  2. 2 Centro de Saúde Cea. Cea (Ourense)
Revista:
Revista Clínica de Medicina de Familia

ISSN: 2386-8201

Ano de publicación: 2009

Volume: 2

Número: 7

Páxinas: 344-347

Tipo: Artigo

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Outras publicacións en: Revista Clínica de Medicina de Familia

Resumo

Objective. To determine family physicians’ (FP) use of the recommended non-pharmacological treatment (NPT) for hypertension. Design. Cross-sectional survey. Setting. Primary care practices in rural and urban areas. Participants. Patients with hypertension from 30 urban and rural practices. Measurements. We recorded the prescription of NPT (weight loss, alcohol and salt intake reduction, diet, physical activity, and smoking cessation). If the measure was not applicable, it was recorded as such. Data were analyzed with SPSS.15.0. Results. We included 150 patients, 70 (46.7%) males. Mean (SD) age was 65.5 (10.2) years, and 50% resided in urban areas. 77.5% of the above measures were recommended, 98% of the patients were receiving some counselling and 42% received counselling on all the indicated measures. There were no signifi cant differences between urban and rural doctors, or according to the sex or age of the physicians. Counselling was more common in younger patients (Spearman _ - 0.28, p <0001). A regression analysis considering the degree of counselling as the dependent variable showed a signifi cant association of counselling with patient age (t = -2.9, p = 0.04). Conclusions. Non-pharmacological treatment for hypertension could be increased in the Primary Care setting. Older people were less likely to be given relevant counselling. There were no differences as regards FP rural/urban practice, sex or age.

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