Mustafa APARCI, Ejder KARDEŞOĞLU, Ömer YİĞİNER, Namık ÖZMEN, Bekir Yılmaz CİNGÖZBAY, Bekir Sıtkı CEBECİ

Sosyoekonomik düzeyi farklı bölgelerde bulunan iki sağlık ocağında takip edilen hipertansiyon hastalarının tedaviye uyum süreci ve değişik özelliklerinin karşılaştırılması

AMAÇ: Hipertansiyon aterosklerotik kalp hastalığının major risk faktörü ve metabolik sendromun bir bileşenidir. Hipertansiyon prevalansı toplumların sosyokültürel düzeyi ile yakından ilişkilidir. Bu çalışmada da toplumumuzun alt ve üst sosyokültürel düzeyli alt gruplarında (ASKT ve ÜSKT) kan basıncı kontrolünü incelemeyi amaçladık. YÖNTEM: İstanbul’da alt ve üst sosyokültürel düzeyli iki semtten 53 ve 36 hastanın tedavi altında iken kan basınçları ölçüldü. Hastaların tedavi altında iken sistolik (SKB) ve diyastolik kan basınçları (DKB), tedavi süreleri, eğitim ve gelir düzeyleri kayıt edildi ve yaşadıkları toplumlara göre karşılaştırmaları yapıldı. İstatistiki analizler Independent samples t testi ve Pearson Ki-kare testi ile SPSS 11.0 kullanılarak yapıldı. BULGULAR: ÜSKT ve ASKT arasında yapılan karşılaştırmada yaş (51,08±5,6 ve 55,5±5,9,

Anahtar Kelimeler:

Yaygınlık, Sağlık ocakları, Kültürel değerlendirme, Eğitim durumu, Hipertansiyon, Hasta uyumu, Tedavi uyumu

Comparison of the treatment period and individual properties of patients with hypertension followed up in the two cottage hospitals from the different social cultural subgroups

BACKGROUND: Hypertension is a major risk factor and also a component of metabolic syndrome. Its prevalence is closely related with social-cultural levels of a society. In this study we aimed to evaluate the blood pressure control in populations from lower (LSC) and higher social-cultural (HSC) subgroups of our society. METHOD: 53 and 36 hypertensive patients from societies with high and low social-cultural level, respectively. Systolic (SBP) and diastolic blood pressures (DBP), duration of the treatment, education and income levels of patients were recorded and analyzed. Independent samples t test and Pearson’s Chi-Square test were used for statistical analyses. RESULTS: Age (51,08±5,6 vs 55,5±5,9 <0,05), SBP (128,8±7,8 vs 142,8±15,11 <0,05), and DBP (81,6±6,3 vs 88,01±6,9, <0,05) were found significantly increased in LSC. Blood pressure was not under control in LSC. The education and income level were statistically lower in the patients with high blood pressures. Also, it was noticed that the onset of hypertension treatment was significantly delayed in LSC when compared to the HSC. CONCLUSION: Control of blood pressure could not be achieved by the current hypertension drug treatment in the patients living in lower social-cultural subgroup of our society. Hypertension should be more effectively treated and monitored in the patients living in rural areas in order to reduce the prevalence of stroke and cardiovascular disease. It should be one of the health policies in preventive health care

Keywords:

Prevalence, Community Health Centers, Cultural Evolution, Educational Status, Hypertension, Patient Compliance, Medication Adherence,

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