Arteriālās hipertensijas ārstēšanas problēmas senioriem primārajā veselības aprūpē
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Date
2023
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Arteriālā hipertensija ir plaši izplatīta saslimšana starp senioriem, kas rada palielinātu
risku dažādām kardiovaskulārām saslimšanām, piemēram, hroniskai sirds mazspējai,
insultam, vaskulārai demencei un hroniskai nieru saslimšanai. Senioru populācijā arteriālās
hipertensijas ārstēšana ir problemātiska gan pašu pacientu nepietiekamās līdzestības, gan
primārās aprūpes speciālistu neieinteresētības dēļ.
Tika veikts pētījums, ar mērķi noskaidrot problēmu iemeslus arteriālās hipertensijas
ārstēšanā senioriem un kāda ir iespējamā taktika šo problēmu mazināšanā primārajā veselības
aprūpē. Pētījuma laikā tika aptaujāti seniori vecumā no 65 gadiem, kuriem klīniski apstiprināta
arteriālā hipertensija. Pēc nejaušības principa tika veidotas nejaušas izlases apakšgrupu
salīdzinājumam pēc konkrētās pazīmes.
Tika secināts, ka arteriālās hipertensijas smaguma pakāpi ietekmē dzīvesveida faktori -
respondentu grupai ar pirmās pakāpes arteriālo hipertensiju fizisko aktivitāšu biežums un
ilgums bija lielāks, un viņiem bija arī vieglāka saslimšanas radītā simptomātika, taču grupām
ar lielākām un vairākām dzīvesveida kļūdām bija arī smagākā arteriālās hipertensijas pakāpe.
Tāpat lielāks skaits respondentu ar trešās pakāpes arteriālo hipertensiju neievēroja diētu ar
samazinātu sāls saturu, kas arī var liecināt par to, kāpēc šai grupai saslimšanas izpausmes ir
smagākas. Nozīmīga ir arī pacienta sadarbība ar primāras aprūpes speciālistu, jo samazināta
pacienta līdzestība un ģimenes ārsta neieinteresētība rezultējas ar terapijas kļūdām vai
antihipertensīvās terapijas svarīguma neizprašanu, tādējādi nepietiekami kontrolējot
saslimšanas izpausmes un nesasniedzot mērķa asinsspiedienu.
Arterial hypertension is a widespread disease among the elderly, which leads to an increased risk of various cardiovascular diseases, such as chronic heart failure, stroke, vascular dementia and chronic kidney disease. In the elderly population, the treatment of arterial hypertension is problematic both due to the insufficient compliance of the patients themselves and the lack of interest of primary care specialists. A study was conducted with the aim of finding out the causes of problems in the treatment of arterial hypertension in seniors and what are the possible tactics for reducing these problems in primary health care. During the study, seniors aged 65 and over with clinically confirmed arterial hypertension were interviewed. Random samples were randomly generated for comparison of subgroups according to the specific characteristic. It was concluded that the degree of severity of arterial hypertension is influenced by lifestyle factors - the group of respondents with first-degree arterial hypertension had a higher frequency and duration of physical activities had lighter symptoms caused by the disease, but the groups with greater and more lifestyle errors had the most severe degree of arterial hypertension . Also, a larger number of respondents with third-degree arterial hypertension did not adhere to a diet with reduced salt content, which may also indicate why the manifestations of the disease are more severe in this group. The patient's cooperation with the primary care specialist is also important, because reduced patient cooperation and family doctor's disinterest result in therapy errors or misunderstanding of the importance of antihypertensive therapy and may lead to insufficient control of disease manifestations and failure to reach the target blood pressure.
Arterial hypertension is a widespread disease among the elderly, which leads to an increased risk of various cardiovascular diseases, such as chronic heart failure, stroke, vascular dementia and chronic kidney disease. In the elderly population, the treatment of arterial hypertension is problematic both due to the insufficient compliance of the patients themselves and the lack of interest of primary care specialists. A study was conducted with the aim of finding out the causes of problems in the treatment of arterial hypertension in seniors and what are the possible tactics for reducing these problems in primary health care. During the study, seniors aged 65 and over with clinically confirmed arterial hypertension were interviewed. Random samples were randomly generated for comparison of subgroups according to the specific characteristic. It was concluded that the degree of severity of arterial hypertension is influenced by lifestyle factors - the group of respondents with first-degree arterial hypertension had a higher frequency and duration of physical activities had lighter symptoms caused by the disease, but the groups with greater and more lifestyle errors had the most severe degree of arterial hypertension . Also, a larger number of respondents with third-degree arterial hypertension did not adhere to a diet with reduced salt content, which may also indicate why the manifestations of the disease are more severe in this group. The patient's cooperation with the primary care specialist is also important, because reduced patient cooperation and family doctor's disinterest result in therapy errors or misunderstanding of the importance of antihypertensive therapy and may lead to insufficient control of disease manifestations and failure to reach the target blood pressure.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Arteriālā hipertensija, Seniori, Primārā veselības aprūpe, Arterial hypertension, Seniors, Primary health care