THERAPEUTIC PROTOCOL OF HYPERTENSION MANAGEMENT IN ABU TEACHING HOSPITAL, ZARIA: A 12-MONTH RETROSPECTIVE STUDY (NOVEMBER 1997- NOVEMBER 1998)
THERAPEUTIC PROTOCOL OF HYPERTENSION MANAGEMENT IN ABU TEACHING HOSPITAL, ZARIA: A 12-MONTH RETROSPECTIVE STUDY (NOVEMBER 1997- NOVEMBER 1998)
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Date
2000-07
Authors
YUSUF, FATIMAH BINTA
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Abstract
Hypertension or high blood pressure has been described by the world Health
Organisation (WHO), expert committee on arterial hypertension as, "the persistent
elevation of arterial blood pressure". (4)
Hypertension is a very common condition which if untreated increases the risk of
complications (such as heart attack, stroke, kidney failure and retinal damage)
and decreases life expectancy.
Therefore, good management and control, as promoted by WHO are required. A
necessary step to be taken is to adhere to a good therapeutic protocol in the
management and control of hypertension. This protocol covers the choice of
effective antihypertensive drugs, prescriber preferences as well as patient
perception and satisfaction, which serve as important indicators of certain aspects
of the complex process of hypertension control and management.
The benefits to be derived from good and effective management of hypertension
include prevention of morbid and fatal cardiovascular and renal events,
improvement in the quality of life gained by avoiding hospital admission and
reduction in the need for rehabilitation.
programme to study therapeutic protocol of hypertension management may take
any of several approaches as described by the WHO. (233) The patient approach
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was used in this study. It involved selection of a sample of patients with
established hypertension. These patients were interviewed and their case histories
were reviewed as well. This is called a retrospective assessment.
In this study, five (5) evaluative criteria were surveyed using both patient records
and questionnaires, personal data, family, social, clinical and drug histories were
surveyed as well as non-drug therapeutic measures used in the management of
hypertension, for the period of this study, (November 1997 to November 1998), in
Ahmadu Bello University Teaching Hospital, ABUTH, Zaria.
The exclusion criterion was that newly diagnosed hypertensive patients were not
selected and only those known hypertensive patients that attended the cardiac
clinic during the period of the survey were selected.
41 hypertensive patients were studied (hypertension prevalence has a normal
distribution in the population and a sample can be used to study the whole
population). There were more female sufferers of hypertension (76%).
Hypertension was highest between 41 - 69 years in female and between 50 - 70
years in male patients. Many patients were obese (31%). Female patients were
either housewives or petty traders (36%) Male patients had varied occupations.
There was no parental history of hypertension in (70%) of patients while (15%) had
hypertensive fathers and (15%) had hypertensive mothers. Among some female
patients hypertension was pregnancy related. The prevalence of pregnancy -
induced hypertension was (43%) while 17% of cases were pregnancy - aggravated.
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Description
A CLINICAL THESIS SUBMITTED TO THE DEPARTMENT OF
PHARMACOLOGY AND CLINICAL PHARMACY, FACULTY OF
PHARMACEUTICAL SCIENCES , AHMADU BELLO UNIVERSITY,
ZARIA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE
AWARD OF THE DEGREE OF MASTER OF SCIENCE,
PHARMACOLOGY (M.SC PHARMACOLOGY)
Keywords
THERAPEUTIC,, PROTOCOL,, HYPERTENSION,, MANAGEMENT,, RETROSPECTIVE