How can we improve the effectiveness of treatment in elderly hypertensives?

How can we improve the effectiveness of treatment in elderly hypertensives?
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DOI:
10.1080/08038020500428740
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发表时间:
2005-12-01
期刊:
影响因子:
1.8
通讯作者:
Gryglewska, B
Gryglewska, B
中科院分区:
医学4区
文献类型:
--
作者:
Gryglewska, B

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尽管有证据表明治疗老年高血压的益处,但只有少数老年患者的血压得到充分控制。原因是复杂的,包括与医生、患者对治疗的依从性和抗高血压药物的性质相关的因素的组合。在拟订和传播建议与实际执行建议之间存在着巨大差距。老年患者更有可能难以坚持服药。在老年患者中实现更好的依从性应该包括一个复杂的策略。此外,医生的信息战略必须得到改善。
Despite evidence for the benefits of treating hypertension in old age, only a small number of elderly patients have adequate blood pressure control. The reasons are complex and include a combination of factors related to physician, patient adherence to therapy and properties of the antihypertensive drugs. Substantial gaps have been documented between the development and dissemination of recommendations and their implementation in practice. Older patients are more likely to have difficulty with medication adherence. Better compliance achievement among the elderly patients should include a complex strategy. Moreover, physician information strategies must be improved.