TY  - JOUR
TT  - Effects on Blood Pressure Control and Compliance For Medical Treatment in Hypertensive Patients By Sending Daily SMS as a Reminder
AU  - Ekinci, Ferhat
AU  - Tuncel, Bilge
AU  - Merder Coşkun, Demet
AU  - Akman, Mehmet
AU  - Uzuner, Arzu
PY  - 2017
DA  - July
DO  - 10.18521/ktd.288633
JF  - Konuralp Medical Journal
PB  - Duzce University
WT  - DergiPark
SN  - 1309-3878
SP  - 136
EP  - 141
VL  - 9
IS  - 2
KW  - Uyum
KW  - antihipertansif
KW  - kısa mesaj
KW  - kan basıncı
KW  - hipertansiyon
N2  - BACKGROUND: According to the World Health Organization non-compliancein long term medical treatments such as hypertension, diabetes and dyslipidemiacauses serious problems on patients health and general economic benefits. Theaverage compliance ratio for using antihypertensive medications is 64%. The aimof this study is determine the effects on blood pressure control and compliancefor medical treatment in hypertensive patients by sending daily `sms`. METHOD: This is a randomized controlled study. Participants wereselected among hypertensive patients of Marmara University department of familymedicine outpatient clinics and randomized into sms and non-sms groups. Whileeveryday an sms has been send to the patients in the sms group for two months, therewas no intervention for the control group except routine care. One weekambulatory blood pressure measurements have been requested twice of all thepatients. Blood pressure measurements were done at the first and the last visit.Medicine compliance was scaled by using Modified Morrisky Questionnaire. Bloodpressure measurements and compliance for medical treatment of each group wascompared. RESULTS: A total of sixty patients who fulfilled the inclusion criteriawere enrolled in the study:45 were female,15 male; mean age was 55±11; mean BMIwas 30±5; mean number of tablets per day was 4±2. There was statisticallysignificant difference between the first and the last visit measurements forSBP and DBP for the intervention group (p=0.051 for SBP, p=0.057 for DBP). Nostatistically significant difference has been determined in the control group.In intervention group one week ambulatory BP measurements averages differedbetween the first visit and the last visit (SBP 145±8mmHg/DBP 82±6mmHg; SBP131±7mmHg/DBP 73±7mmHg; p < 0.001). Medicine compliance ratio was 36,7% forthe control group, 96,7% for the intervention group. CONCLUSION: Reminding taking antihypertensive treatment with daily smsis an effective method to control blood pressure and and to raise compliance inhypertensive patients.
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UR  - https://doi.org/10.18521/ktd.288633
L1  - https://dergipark.org.tr/en/download/article-file/332499
ER  -