THE EFFECT OF THE BLOOD PRESSURE FEEDBACK INTERVENTION TO PHYSICIANS ON THE IMPROVEMENT OF THE BLOOD PRESSURE CONTROL
Abstract: The study aimed to
assess the effect of the blood pressure (BP) feedback intervention to
physicians on the improvement of the blood pressure control of hypertension
subjects. The study was done with controlled repeated intervention design. The
adult hypertensive non-hemodialysis subjects from 4 Indonesian hospitals were
included as intervention and control subjects. Outcomes were measured as the
improvement of systolic BP (SBP). The subjects in intervention (n=385) vs.
non-intervention (n=271) groups had similar age and proportion of males
(p>0.05); proportion of cardiovascular comorbid 78.7% vs. 91.5% (p<0.01)
and the baseline SBP at 144.1±15.8 vs. 139.6±13.8mmHg (p<0.01). The final
SBP 138.2±17.2 vs.140.6±15.4mmHg (adjusted p<0.01); the difference between
(∆) final-baseline SBP: 5.9±20.3 vs. (-)0.9±20.0mmHg (adjusted p<0.01);
∆final-target SBP: (-)6.1±17.3 vs. (-)9.6±15.5 (adjusted p<0.01). There were
more intervention subjects with good controlled final SBP; odds ratio (OR)
1.4(CI95%:1.0-1.9, adjusted p<0.05). Based on the ∆final-baseline SBP, the
∆final-target SBP, and OR SBP reached the target; theintervention subjects had
significant SBP improvement.
Author: Rita Suhadi
Journal Code: jpfarmasigg140031
