Title : Compliance of hypertensive patients monitoring modifiable risk factors in the family doctor's office-personal study
Abstract:
Motivation of the Work: Identification of barriers in enrolling patients, identification of risk factors, compliance and adherence to treatment and lifestyle changes proposed by specialists Compliance, the patient's behavioral response to the lifestyle change and the prescribed treatment have a primary role in the ultimate success or failure of the therapy
Personal Study: We evaluated within the everything for your heart program, 150 patients (53%) men and women (47%) upon enrollment, the patients were evaluated using the questionnaire included in the program, analyzes were collected, they were reevaluated after 1 month and answered a questionnaire to assess compliance and adherence to the prescribed treatment motivational interview - at the end.
Result: Adherence to treatment of patients evaluated in the pandemic is higher in patients with chronic personal or heredocollateral conditions - 91% in patients who only required a lifestyle change, 84%. Treatment adherence and compliance are significantly higher in patients with a SCORE risk greater than 10% compared to those with a SCORE value below 5.
Benefits of the Study: Understanding the determinants of chronic patient non-compliance with the initiation and continuation of antihypertensive/CVD treatment at the family doctor is useful in order to dynamically approach the subject in medical practice. Awareness of the patient, communication with him and a good management of the organization of time in the office in relations with other specialists and with the authorities lead to overcoming the barriers in chronic disease monitoring. In this way, multiple benefits are obtained at low cost and minimal risk. At the negotiation table, the doctor has authority, professionalism and an important capital of credibility conferred by the follow-up over time of generations of patients together with their families.
Conclusion: The family doctor is perhaps the only specialty that treats the patient "holistically", by initiating and promoting a healthy lifestyle. controls endogenous or exogenous risk factors, monitoring the occurrence of complications and imprints a humanistic sanogenic conduct and attitude. He can be authoritative, permissive, conciliatory, direct, impulsive or discreet, credible or evasive, depending on the given situation, personal behavioral typology and the patient in front of him. To be accepted and followed the chosen therapy and lifestyle, will have to communicate effectively and sufficiently credible, in a language adapted to the patient, who has different expectations, information, time and expectation.
