Acil Servise Başvuran Hipertansiyon Hastalarının Klinik Özellikleri ve Acil Servise Başvuru Sıklığını Etkileyen Faktörlerin İncelenmesi

Yıl 2020, Cilt: 7 Sayı: 2, 219 - 224, 30.06.2020

Canan Akman , Ercan Akşit

https://doi.org/10.34087/cbusbed.731511

Öz

Amaç: Acil servis doktorları yüksek kan basıncı nedeniyle acil servise başvuran hastalar ile sık olarak karşılaşmaktadır. Bu çalışmanın amacı, acil servise başvuran hipertansiyon hastalarının klinik özelliklerini ve acil servise başvuru sıklığını etkileyen faktörleri incelemektir.
Gereç ve Yöntem: Bu çalışmaya hastanemiz acil servisine başvuran daha önce hipertansiyon tanısı olan 100 gönüllü hasta alınmıştır. Araştırmanın veri toplama aşamasında yüz yüze görüşülerek anket uygulanmıştır.
Bulgular: Hastaların %52’sinde 10 yıldan fazladır hipertansiyon mevcuttu. Hastaların %81’ine yaşam tarzı değişikliği hakkında bilgilendirme yapılmıştır. Hastaların sadece %32’sine acil durumda kullanması için ilaç reçete edilmiştir. Takipte olduğu doktor tarafından, hipertansiyonun uç organlarına zarar verebileceği hastaların yalnız %40’ına anlatılmıştır. Son bir yıl içinde hipertansiyon nedeni ile iki veya daha fazla sayıda acil servise başvuran hasta oranı %57’dir.
Sonuç: Bu çalışma hipertansiyon tanısı ile bir yıl içinde iki veya üstü sayı ile acil servise başvurunun olduğunu göstermektedir. Hipertansiyon hastalarına hastalıkları hakkında ayrıntılı bilgilendirme yapmak hastaların acil servise başvuru sıklıklarını azaltabilir.

Anahtar Kelimeler

hipertansiyon, acil servis, bilgilendirme

Destekleyen Kurum

Yok

Proje Numarası

-

Teşekkür

-

The Clinical Features of the Hypertension Patients Who Apply to Emergency Service and Investigation of Factors Affecting Frequency of Application to the Emergency Service

Öz

Objective: Emergency service physicians often deal with patients presenting to emergency service with high blood pressure. The aim of this study is to examine the clinical features of hypertension patients who apply to emergency service and factors that affecting frequency of application to the emergency service.
Material and Method: This study was participated by a total of 100 volunteer patients who were previously diagnosed with hypertension and presented to the emergency service in our hospital. The data of the study were collected through surveys in face to face interviews.
Results: Hypertension was present in 52% of the patients for more than 10 years. 81% of the patients were informed about life-style changes. Only 32% of the patients were prescribed medication for emergency use. Also, only 40% of the patients were informed by their doctors about the fact that hypertension may damage end-organs. Due to hypertension, 57% of the patients presented to the emergency service twice or more times in the last 1 year.
Conclusion: This study shows that many patients diagnosed with hypertension have visited emergency service twice or more times in the last one year. Providing hypertension patients with detailed information about their diseases can reduce the frequency of patients admission to the emergency service.

Anahtar Kelimeler

hypertension, emergency service, informing

Proje Numarası

-

Kaynakça

• 1. Ettehad, D, Emdin, CA, et al, Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis, Lancet, 2016, 387, 957–967.
• 2. Whelton, PK, Carey, RM, et al, Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. 2017 High Blood Pressure Clinical Practice Guideline, Hypertension, 2018, 71(6), 1269-1324.
• 3. Williams, B, Mancia, G,et al, Guidelines for the management of arterial hypertension. The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH), European Heart Journal, 2018, 39, 3021–3104.
• 4. Brunstrom, M, Carlberg, B, Association of blood pressure lowering with mortality and cardiovascular disease across blood pressure levels: a systematic review and meta-analysis, Journal of American Medical Association Internal Medicine, 2018, 178, 28–36.
• 5. Bohm, M, Schumacher, H, et al, Achieved blood pressure and cardiovascular outcomes in high-risk patients: results from ONTARGET and TRANSCEND trials, Lancet, 2017, 389, 2226–2237.
• 6. Chow, CK, Teo, KK, et al, Prevalence, Awareness, Treatment, and Control of Hypertension in Rural and Urban Communities in High-, Middle-, and Low-Income Countries, Journal of American Medical Association, 2013, 310(9), 959-968.
• 7. Arıcı, M, Birdane A, et al, Türk hipertansiyon uzlaşı raporu, Türk Kardiyoloji Derneği Arşivi, 2015, 43(4), 402–409.
• 8. Altun, B, Arici, M, et al, Prevalence, awareness, treatment and control of hypertension in Turkey (the PatenT study), 2005, Journal of Hypertension, 23, 1817-1823.
• 9. He, J, Muntner, P, et al, Factors Associated with hypertension control in the general population of the United States. Archives of Internal Medicine 2002, 162 (9), 1051-1058.
• 10. Zoungas, S, Chalmers, J, et al, Follow-up of blood-pressure lowering and glucose control in type 2 diabetes. New England Journal of Medicine, 2014, 371, 1392–1406.
• 11. Filipovsky, J, Seidlerova, J, et al, Automated compared to manual office blood pressure and to home blood pressure in hypertensive patients. Blood Press, 2016, 25, 228–234.
• 12. Bliziotis, IA, Destounis, A, et al, Home versus ambulatory and office bloodpressure in predicting target organ damage in hypertension: a systematic review and meta-analysis. Journal of Hypertension, 2012, 30, 1289–1299.
• 13. Dickinson, HO, Mason, JM, et al, Lifestyle interventions to reduce raised blood pressure: a systematic review of randomized controlled trials, Journal of Hypertension, 2006, 24, 215–233.
• 14. Fletcher, BR, Hartmann-Boyce, J, et al, The effect of selfmonitoring of blood pressure on medication adherence and lifestyle factors: a systematic review and meta-analysis. American Journal of Hypertension, 2015, 28, 1209–1222.
• 15. Gülpınar, MA, Gürpınar, E, et al, Mezuniyet Öncesi Tıp Eğitimi Ulusal Çekirdek Eğitim Programı ‐ 2014. http://www.ktu.edu.tr/dosyalar/medtip_752c6.pdf
• 16. Bakris, G, Ali, W, et al, ACC/AHA versus ESC/ESH on hypertension guidelines, JACC guideline comparison, Journal of American College of Cardiology, 2019, 73, 3018-3026.
• 17. Zernike, W, Henderson, A, Evaluating the effectiveness of two teaching strategies for patients diagnosed with hypertension, Journal of Clinical Nursing, 1998, 7, 37-44.
• 18. Yıldırım, JG, Çevirgen, A, Kronik hastalıkların yönetiminde kullanılan bilişim tabanlı uygulamalar, Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 2019, 6(1), 65-73.