Hypertension in patients admitted to clinical units at university hospital: post-discharge evaluation rated by telephone

ABSTRACT Objective To characterize hypertensive patients after admission to hospital considering the current status, compliance to treatment, habits and lifestyle, and knowledge and beliefs about the disease. Methods This was an exploratory study with 265 hypertensive patients admitted to a medi...

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Main Authors: Cássia Lima de Campos, Angela Maria Geraldo Pierin, Natalia Alencar de Pinho
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Series:Einstein (São Paulo)
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000100045&lng=en&tlng=en
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author Cássia Lima de Campos
Angela Maria Geraldo Pierin
Natalia Alencar de Pinho
author_facet Cássia Lima de Campos
Angela Maria Geraldo Pierin
Natalia Alencar de Pinho
author_sort Cássia Lima de Campos
collection DOAJ
description ABSTRACT Objective To characterize hypertensive patients after admission to hospital considering the current status, compliance to treatment, habits and lifestyle, and knowledge and beliefs about the disease. Methods This was an exploratory study with 265 hypertensive patients admitted to a medical inpatients unit of a university hospital. Data were collected in an interview over the telephone. The level of significance was set as p<0.05. Results It was found that 32% of hypertensive patients had died. One hundred patients were interviewed, mean age of 64.15 (13.2) years, 51% were women, 56% non-white, 51% with primary education, 52% were retired, 13% were smokers, 38% used alcohol, 80% did not perform physical exercise, and the mean body mass index was 35.9 (15.5) kg/m2. The comorbidities were heart problem (52%), diabetes (49%) and stroke (25%). As to antihypertensive treatment, 75% were on use, 17.3% stopped taking them and 21.3% missed visits. The treatment sites were the primary care unit (49%) and hospital (36%). As for knowledge and beliefs, 25% believed hypertension is curable, 77% that treatment should last for the rest of their lives, and hypertension brings complications (84%). A total of 46.7% were controlled. The lack of control was associated (p<0.05) with non-white ethnicity and absence of heart problems. Conclusion There were significant deaths occurred after hospitalization and poor control of blood pressure, probably due to inadequate habits and lifestyles and non-compliance to antihypertensive treatment.
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spelling doaj.art-111ee9f8fe8946eb9bd1c9ba8beec3ff2022-12-22T00:40:21ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-6385151454910.1590/s1679-45082017ao3862S1679-45082017000100045Hypertension in patients admitted to clinical units at university hospital: post-discharge evaluation rated by telephoneCássia Lima de CamposAngela Maria Geraldo PierinNatalia Alencar de PinhoABSTRACT Objective To characterize hypertensive patients after admission to hospital considering the current status, compliance to treatment, habits and lifestyle, and knowledge and beliefs about the disease. Methods This was an exploratory study with 265 hypertensive patients admitted to a medical inpatients unit of a university hospital. Data were collected in an interview over the telephone. The level of significance was set as p<0.05. Results It was found that 32% of hypertensive patients had died. One hundred patients were interviewed, mean age of 64.15 (13.2) years, 51% were women, 56% non-white, 51% with primary education, 52% were retired, 13% were smokers, 38% used alcohol, 80% did not perform physical exercise, and the mean body mass index was 35.9 (15.5) kg/m2. The comorbidities were heart problem (52%), diabetes (49%) and stroke (25%). As to antihypertensive treatment, 75% were on use, 17.3% stopped taking them and 21.3% missed visits. The treatment sites were the primary care unit (49%) and hospital (36%). As for knowledge and beliefs, 25% believed hypertension is curable, 77% that treatment should last for the rest of their lives, and hypertension brings complications (84%). A total of 46.7% were controlled. The lack of control was associated (p<0.05) with non-white ethnicity and absence of heart problems. Conclusion There were significant deaths occurred after hospitalization and poor control of blood pressure, probably due to inadequate habits and lifestyles and non-compliance to antihypertensive treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000100045&lng=en&tlng=enHipertensão/prevenção & controleConhecimentos, atitudes e prática em saúde
spellingShingle Cássia Lima de Campos
Angela Maria Geraldo Pierin
Natalia Alencar de Pinho
Hypertension in patients admitted to clinical units at university hospital: post-discharge evaluation rated by telephone
Einstein (São Paulo)
Hipertensão/prevenção & controle
Conhecimentos, atitudes e prática em saúde
title Hypertension in patients admitted to clinical units at university hospital: post-discharge evaluation rated by telephone
title_full Hypertension in patients admitted to clinical units at university hospital: post-discharge evaluation rated by telephone
title_fullStr Hypertension in patients admitted to clinical units at university hospital: post-discharge evaluation rated by telephone
title_full_unstemmed Hypertension in patients admitted to clinical units at university hospital: post-discharge evaluation rated by telephone
title_short Hypertension in patients admitted to clinical units at university hospital: post-discharge evaluation rated by telephone
title_sort hypertension in patients admitted to clinical units at university hospital post discharge evaluation rated by telephone
topic Hipertensão/prevenção & controle
Conhecimentos, atitudes e prática em saúde
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000100045&lng=en&tlng=en
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AT nataliaalencardepinho hypertensioninpatientsadmittedtoclinicalunitsatuniversityhospitalpostdischargeevaluationratedbytelephone