Long-Term Effectiveness of a Hypertension Education Program for Patients with Diabetes Mellitus in Germany

2.50
Hdl Handle:
http://hdl.handle.net/10755/150125
Type:
Presentation
Title:
Long-Term Effectiveness of a Hypertension Education Program for Patients with Diabetes Mellitus in Germany
Abstract:
Long-Term Effectiveness of a Hypertension Education Program for Patients with Diabetes Mellitus in Germany
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Nonn, Cleo R., RN, BScN
P.I. Institution Name:University of Witten / Herdecke
Title:MScN, PhD (c)
Co-Authors:Sabine Bartholomeyczik, RN, PhD; G.C.M. Evers, RN, PhD
Introduction: The prevalence of Diabetes mellitus of adults in Germany is estimated between 7%-8%. Approximately 30%-40% of them will develop arterial hypertension during their illness. Lowering high blood pressure is the most important measure for reducing micro- and macro-vascular complications. Successful therapy requires patients continued active involvement in their therapy. There is evidence for short term effectiveness of structured patient-education. Long term effects as well as effectiveness of implementation in clinical practice on a larger scale have not been studied sufficiently. Objective: The aim of this long-term-evaluation was to investigate whether a hypertension-education-program implemented on a large scale in Germany enables patients to participate actively in reducing their high blood pressure. Design: Multi-centred prospective panel-study with 5 data-collection points over a period of 3 years. Setting/ Participants (after 2 years): 33 Diabetes care centres with 311 diabetics (24% type-1 and 76% type-2). Instruments: Standardized questionnaires to assess patient’s blood-pressure taking and eating habits, their blood-pressure, HBA1c-and lipid levels, body weight and knowledge about disease and treatment. Results: The proportion of patients who regularly took their blood-pressure increased about 32%-points and two years after the education programme blood-pressure values are lower than two years before (systolic p<0.05, diastolic p<0.001). 76,9% of the participants reported reduced sodium-chloride in their nutrition. Two years after the education programme knowledge is still higher than before training (p<0.001). Conclusions: Results demonstrate that a hypertension-education- program can be effectively implemented on a large scale in clinical practice enabling diabetics to actively monitor and reduce their bloodpressure. The UKPDS-study findings demonstrated that lowering blood pressure to a mean of 144/82mmHg reduced the risk for diabetes-related mortality up to 32% compared with the group of diabetics with a mean blood-pressure of 154/87mmHg.Results also demonstrate that positive effects can be maintained over a 2 year period.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleLong-Term Effectiveness of a Hypertension Education Program for Patients with Diabetes Mellitus in Germanyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150125-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Long-Term Effectiveness of a Hypertension Education Program for Patients with Diabetes Mellitus in Germany</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Nonn, Cleo R., RN, BScN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Witten / Herdecke</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">MScN, PhD (c)</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">nonn@uni-wh.de</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sabine Bartholomeyczik, RN, PhD; G.C.M. Evers, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">Introduction: The prevalence of Diabetes mellitus of adults in Germany is estimated between 7%-8%. Approximately 30%-40% of them will develop arterial hypertension during their illness. Lowering high blood pressure is the most important measure for reducing micro- and macro-vascular complications. Successful therapy requires patients continued active involvement in their therapy. There is evidence for short term effectiveness of structured patient-education. Long term effects as well as effectiveness of implementation in clinical practice on a larger scale have not been studied sufficiently. Objective: The aim of this long-term-evaluation was to investigate whether a hypertension-education-program implemented on a large scale in Germany enables patients to participate actively in reducing their high blood pressure. Design: Multi-centred prospective panel-study with 5 data-collection points over a period of 3 years. Setting/ Participants (after 2 years): 33 Diabetes care centres with 311 diabetics (24% type-1 and 76% type-2). Instruments: Standardized questionnaires to assess patient&rsquo;s blood-pressure taking and eating habits, their blood-pressure, HBA1c-and lipid levels, body weight and knowledge about disease and treatment. Results: The proportion of patients who regularly took their blood-pressure increased about 32%-points and two years after the education programme blood-pressure values are lower than two years before (systolic p&lt;0.05, diastolic p&lt;0.001). 76,9% of the participants reported reduced sodium-chloride in their nutrition. Two years after the education programme knowledge is still higher than before training (p&lt;0.001). Conclusions: Results demonstrate that a hypertension-education- program can be effectively implemented on a large scale in clinical practice enabling diabetics to actively monitor and reduce their bloodpressure. The UKPDS-study findings demonstrated that lowering blood pressure to a mean of 144/82mmHg reduced the risk for diabetes-related mortality up to 32% compared with the group of diabetics with a mean blood-pressure of 154/87mmHg.Results also demonstrate that positive effects can be maintained over a 2 year period.</td></tr></table>en_GB
dc.date.available2011-10-26T10:17:04Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:17:04Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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