The Key to the Cardiovascular Diseases Situation Improvement in Conditions of North-West Region of Russia

摘要

The purpose of research - studying patients' adherence of arterial hypertension and ischemic illness of heart to treatment in conditions of Northwest region of Russia. In the period from 2012 to 2013 by analogy with a "Regular Treatment and Prevention as the Key to Improving CVD Situation in Russia - RELIEF" large-scale study on assessing patients adherence to doctor's recommendations was conducted. The study analyzed the factors that have more or less significant impact on the quality of treatment and the adherence to treatment of hypertension and CHD. Assessment of adherence to treatment of patients is given according to data received from 28 district doctors/general practitioners who have included 78 patients with proven hypertension/CHD. Analysis of the received data is performed with the help of Program Statistica 10, Stat Soft. There is insufficient awareness among respondents about risk factors and disease outcome. A radical change has been proposed for principles of preventive care for patients, taking into account all the prevention elements for hypertension/CHD in cardiac treatment centers or preventive medicine and rehabilitation centers, with creating dynamic active register of patients with hypertension/CHD and related complications.