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Master Thesis

Evaluation de l’impact d’une brochure d’information sur l’hypertension artérielle sur l’observance thérapeutique des patients hypertendus en médecine générale en Ile de France

Abstract : Hypertension is the first chronic disease in the world and one of the major cardiovascular risk factors. Almost 50% of treated hypertensive patients are not controlled because of a lack of compliance.
The purpose of this study was to assess the impact of an information booklet about hypertension delivered by GPs on adherence to treatment and blood pressure level.
It was an interventional, randomized, multicentric study, in 2 balanced parallel groups. Included patients were treated for high blood pressure, major, consulting their GP for the renewal of their treatment. They were randomized in 2 groups : group A receiving the booklet about hypertension and group B (witness). Patients were submitted to a compliance questionnaire and blood pressure was measured during 2 consultations. The primary outcome was the compliance score and the secondary outcome the blood pressure level.
After the second consultation, the difference in the compliance score was -0,41 in group A and -0,30 in group B (p = 0,650). The difference in measurement of systolic BP between the 2 consultations was -3,46 mmHg in groupe A, -0,67 mmHg in group B (p= 0,421), with a diastolic BP difference of -1,08 mmHg in group A, -0,09 mmHg in group B (p=0,704). At the first consultation, 27,7% of patients had good compliance. The factors of good compliance were female sex and advanced age.
This study didn’t show any improvement in compliance or better control of blood pressure in patients who received the information booklet. Compliance is a complex and multifactorial process who must be better assessed by GP, who need to provide comprehensive, patient-specific and ongoing information.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03481418
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Submitted on : Wednesday, December 15, 2021 - 12:31:37 PM
Last modification on : Thursday, April 21, 2022 - 5:11:07 PM
Long-term archiving on: : Wednesday, March 16, 2022 - 6:51:19 PM

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Audrey Laguionie. Evaluation de l’impact d’une brochure d’information sur l’hypertension artérielle sur l’observance thérapeutique des patients hypertendus en médecine générale en Ile de France. Médecine humaine et pathologie. 2019. ⟨dumas-03481418⟩

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