Hypertension Clinical Trial
Official title:
Efficacy of Nursing Intervention "Teaching: Individual" to Increase Adherence to Therapeutic Regimen in People With Hypertension Arterial and/or Diabetes Mellitus Type 2
The purpose of this study is to improve the adherence of therapeutic regimen in people with hypertension arterial and/or diabetes mellitus type 2. Our hypothesis is the nursing intervention "Teaching: Individual", is more effective to increase adherence of therapeutic regimen in people with hypertension arterial and/or diabetes mellitus type 2, than usual care.
Introduction: The hypertension arterial and diabetes mellitus are chronic diseases with a
high burden of disease. It affects approximately 25% of the adult population worldwide and is
an important risk factors for global mortality. As for the diabetes, worldwide there are
about 346 million people with diabetes and 80% of them live in countries with low and middle
income. The recommendations for treating of these diseases includes the pharmacological
treatment and modification of lifestyle: salt restriction, moderation in alcohol consumption,
high consumption of fruits and vegetables, low-fat diet, weight reduction and regular
physical activity. The adherence to these guidelines are essential keys to success in
handling these pathologies. The lack of adherence to the prescribed treatment regimen remains
a problem among patients with long-term treatment.
Objective: To evaluated the efficacy of nursing intervention "Teaching: Individual" compared
with usual care, to increase adherence of therapeutic regimen in people with hypertension
arterial and/or diabetes mellitus type 2.
Methods: Randomized controlled trial. 200 patients with hypertension arterial and/or diabetes
mellitus type 2 attending cardiovascular risk programs of Bucaramanga, Colombia will include
. Nursing intervention to evaluate is "Teaching: Individual" consisting in six educational
sessions. The investigators will measure 0, 6 y 12 months: Treatment Behavior: Illness or
Injury (1609) (adherence treatment), glycosylated hemoglobin (HbA1c) and systolic blood
pressure for 24 hours. Base characteristics of the groups will be compare through
chi-square/Fisher´s exact or Students-T/Mann-Whitney U test. Outcomes will be evaluate by
paired T-tests or Wilcoxon test at different follow-up times and statistical significance
with p-value < 0.05 will considered.
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