OUTPATIENTS WITH ARTERIAL HYPERTENSION: IS IT IMPORTANT TO TAKE INTO ACCOUNT FEELING-ACTIVITY-MOOD?


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Clinical experience shows that achievement of target blood pressure (BP) in patients with arterial hypertension (AH) is probably only in case of full mutual understanding with the doctor. The assessment of levels of feeling, activity and mood (FAM) in patients allows not only initiating the trust relations with patient but also predicting the success of his treatment. The study involving 119 hypertensive patients showed that active management of complex patients, taking into account their psychological status, helps to achieve not only the target BP, but also improve psychological well-being of patients in most cases. In the case of low rating in FAM test, patient should revisit doctor in 10-14 days, and, as possible, visit psychologist or psychotherapeutist. Careful attention to these patients and their problems may be the missing link in the successful treatment and the early achievement of target BP levels.

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Y Averin

Evgeniy Averin

参考

  1. Weiss A, Boaz M, Beloosesky Y, et al. Pulse pressure predicts mortality in elderly patients. J Gen Intern Med. 2009;24(8):893 - 6.
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  3. Доскин В.А., Лаврентьева Н.А., Мирошников М.П. и др. Тест дифференцированной самооценки функционального состояния. // Вопросы психологии. 1973. № 6. С.141 -44.

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