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Patients' and physicians' assessment of risks associated with hypertension and benefits from treatment.

Artikel i vetenskaplig tidskrift
Författare Karin I Kjellgren
Johan Ahlner
Björn Dahlöf
R. H. Gill
Thomas Hedner
Roger Säljö
Publicerad i Journal of cardiovascular risk
Volym 5
Nummer/häfte 3
Sidor 161-6
ISSN 1350-6277
Publiceringsår 1998
Publicerad vid Institutionen för invärtesmedicin, Avdelningen för internmedicin
Institutionen för invärtesmedicin, Avdelningen för klinisk farmakologi
Institutionen för pedagogik och didaktik, enheten för Lärande och undervisning
Sidor 161-6
Språk en
Länkar www.ncbi.nlm.nih.gov/entrez/query.f...
Ämnesord Adult, Aged, Aged, 80 and over, Antihypertensive Agents, adverse effects, therapeutic use, Attitude to Health, Blood Pressure, drug effects, Female, Humans, Hypertension, drug therapy, Male, Middle Aged, Patient Compliance, Physician-Patient Relations, Risk Assessment
Ämneskategorier Klinisk farmakologi, Kardiovaskulär medicin, Omvårdnad, Vårdpedagogik

Sammanfattning

BACKGROUND: Perceptions of effects of a medical regimen may affect patients' adherence to therapy. OBJECTIVE: To assess concordance between patients' and physicians' estimations of the risks of hypertension and benefits of treatment during a regular follow-up appointment. DESIGN: A population-based Swedish multicentre study. Patients were included consecutively from a randomized selection of centres (55 primary health care centres and 11 clinics of internal medicine). METHODS: A questionnaire was given to 1013 patients undergoing their individually prescribed antihypertensive therapy and 212 physicians who were caring for these patients. RESULTS: Without therapy, patients perceived the risks of cardiovascular complications to be higher than did their physicians. Patients were not aware that an increasing number of risk factors has an impact on the risk of complications. Patients furthermore rated the benefits of treatment higher than did their physicians (P<0.001). Of the patients, 14% had blood pressures < or = 140/90 mmHg. Most of the patients (61%) were not aware of their target blood pressure. However, when the target pressure was communicated to patients by the physician, patients remembered it accurately. The patients were generally not willing to trade even minor side effects from antihypertensive therapy for benefits of treatment. CONCLUSIONS: There was a high degree of inconsistency between patients' and physicians' estimations of risks of hypertension. Patients estimated the effects of treatment to be more beneficial than did their physicians.

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