Volume : 10, Issue : 09, September – 2023

Title:

06. A PROSPECTIVE OBSERVATIONAL STUDY ON MANAGEMENT OF HYPERTENSION AND ITS COMPLICATIONS AT A TERTIARY CARE TEACHING HOSPITAL

Authors :

Mahe Naaz Sultana, Syed Atef Qadri, Waqura Sameen, Uzma Nishat, Mohd.Abdul Khader

Abstract :

Aims And Objectives: The study aims to study about hypertension its management and its associated complications at tertiary care teaching hospital To evaluate the reasons of non- adherence for anti-hypertensive drugs, To observe management of hypertension and its complications
Methodology: It is a prospective observational study which was conducted for 6 month at the general medicine department of the tertiary care Osmania General Hospital. The study covered all in patients hypertension and associated consequences, regardless of their sex or presence of co-morbid conditions and . Patients above the age of 18 were enrolled in this study. Pregnant or nursing women, patients who refused to participate in the trial, and patients under the age of 18 were excluded from the study.
Results: During the study period, a total 100 Patients were enrolled. Out of which 58% were males and common age group was ≥48years. Up to 34% were alcoholic,32% were smokers. Majority of the subjects developed co morbidities like Endocrinological disorders which is 30%. It was found that 74% have HTN for a duration of >2 years, 66% were taking medication for HTN, 31% had no knowledge about their medications. Diuretics were the most commonly prescribed class . It was reported that55% were adherent to HTN medication, 34% were not following low salt diet, non-adherence to physical activity was 46%, adherence to non-smoking was 61% and 53% of the patients were not adhered to alcohol abstinence.
Conclusion: HTN is high among old aged (>48yrs) diabetic males with High risk of cardiovascular disease and kidney disease with stage II hypertension, Defined as systolic blood pressure of ≥160mmHg and diastolic blood pressure of ≥100mmHg.Ourstudy revealed that the majority of patients experienced HTN for >two years. Diuretics were prescribed frequently, followed by other anti-hypertensives. Poor understanding of consequences with uncontrolled hypertension, non-adherence to medication and low salt diet , alcohol abstinence, ,increased stress, decreased physical activity, and advanced age were the causes of uncontrolled BP. Early blood pressure monitoring by a clinical pharmacist can improve patient’s quality of life . To prevent problems, ongoing patient counselling, health education, and information about patients’ adherence and satisfaction in each follow-up are crucial.
KEYWORDS: Hypertension, Diabetes, Coronary artery disease, Diuretics, Clinical pharmacist

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