scholarly journals : REASONABLENESS IN PRESCRIPTION FOR TREATMENT OF HYPERTENSION OUTPATIENT

2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Bùi Đặng Phương Chi ◽  
Bùi Tùng Hiệp ◽  
Nguyễn Thị Xuân Hoàng

Objective: To evaluate the reasonableness of prescription for treatment of hypertension outpatients at the examination department of Hau Nghia Regional General Hospital - Long An. Objects and methods: Cross-sectional, retrospective, non-intervention descriptive studies on 180  patients who came to examine and treat hypertension at the examination department, stored on the software of the Hau Nghia Regional General Hospital - Long An. Results: All cases of patients using angiotensin inhibitors, diuretics, calcium channel blockers, AT1 receptor inhibitors were used at the correct dose and the correct number of times a day. In the case of mandatory indications, all patients with comorbidities had a reasonable indication of 100%, only patients with myocardial infarction and diabetes had reasonable indications of 94.74% and 94.12% respectively. The majority of treatment regimens were correctly applied on the specific patient. The rational use rate of prescription regimen was 95.51%, 2-drug regimen was 95.45% and that of 3-drug regimen reached 100%. There were no violations of contraindications in the use of therapeutic regimens. Conclusion: The use of hypertension drugs all had reasonable indications, achieving a high rate, there was no violation of contraindications in the use of treatment regimens.

Author(s):  
VU TRI-THANH ◽  
NGUYEN-HUYNH DUNG-TAM

Objective: The study was conducted to analyze the rationality of treatment regimens and thrombosis prophylaxis used in coronary artery intervention to compare to guidelines for treatment according to VNHA and recommendation of ACC/AHA at Interventional cardiology in Can Tho Central General Hospital. Methods: The cross-sectional study was based on the data collected from entire medical records of patients at Interventional cardiology in Can Tho Central General Hospital from August 2017 to February 2018. The rationality of the antithrombotic regimen used at the Hospital is assessed through criteria such as medical combination, dosage, time to take medicine, clinical trials during the treatment. Results: The study found that 95.6% and 90.7% were suitable for medical combination before and after PCI; 100% fit for the use of medicine; and 100% was suitable for antithrombotic agents and clinical trials during treatment time; in terms of dosage, the result showed that entrance and maintenance were 84.9% and 100% for aspirin respectively; 71.7% and 100% for clopidogrel; 100% and 94.7% for ticagrelor; 90.2-92.8% and 98.1% for enoxaparin; especially, heparin-100% anticoagulant was appropriate to recommend. Conclusion: The study showed that treatment regimens and thrombosis prophylaxis in percutaneous coronary intervention at Interventional cardiology in Can Tho Central General Hospital were quite suitable compared to the recommendations of the Heart Association. The results from the study are a scientific basis for the Hospital to maintain or consider adjustments to improve the quality of treatment, ensure the effectiveness and safety of patients.


2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Hoàng Đức Thái ◽  
Bùi Đặng Minh Trí ◽  
Bùi Minh Hiệp ◽  
Huỳnh Thị Thúy Quyên

Objective: To investigate the treatment adherence rate of patients with hypertension who managed at Tri Ton General Hospital. Subjects and methods: Cross-sectional descriptive and analyzed study on 236 patients diagnosed with hypertension who were treated outpatient and managed at Tri Ton general hospital from November, 2019 to April, 2020. Results: The majority of patients complied with drug treatment (72.03%), still 66 patients did not comply well with drug treatment (27.97%). The majority of patients adhered to the non-drug treatment regimen: adhering to the diet (86.02%), adhering to the alcohol use restriction (81.36%), good adherence to the activities and physical training (83.47%). Most patients adhere to general treatment (88.98%). Conclusion: Compliance with drug treatment and non-drug treatment in patients with hypertension accounted for a high rate, from about 72.03% to 88.98%.


1995 ◽  
Vol 29 (12) ◽  
pp. 1213-1217 ◽  
Author(s):  
Sirpa H Wallenius ◽  
Kirsti K Vainio ◽  
Maarit Jh Korhonen ◽  
Abraham G Hartzema ◽  
Hannes K Enlund

Objective: To assess the prevalence of patient-initiated modification of drug instructions and the association between different classes of problems and the modification of hypertension therapy. Design And Methods: In this cross-sectional study, all patients (n = 1215) who had been examined at a hypertension clinic during a 1-year period were surveyed. The response rate to the questionnaire was 85%. of the 1035 respondents, 623 currently taking antihypertensive medication (self-report) were included in the study. Results: Of the patients taking antihypertensive drugs, 36% admitted that they had tried to manage their condition with a lower dosage and/or fewer drugs than prescribed. The percentage of patients who modified their drug regimen decreased with increasing age. One or more problems with the treatment of hypertension were reported by 79% of the respondents. The odds ratio (95% confidence interval) for modification among patients who reported 1 or more problems compared with those not reporting any problem was 3.5 (2.12 to 5.67). The prevalence of modification increased with the number of problems; this was seen in all age groups and among men and women. Conclusions: Perceived problems in drug taking in the treatment of hypertension have an important impact on the prevalence of modifying drug instructions.


2021 ◽  
Vol 14 ◽  
pp. 117863292110208
Author(s):  
Phuoc Thao Nguyen Vo ◽  
Anh Tuan Tran ◽  
Hoat Van Nguyen ◽  
Minh Van Hoang

Patient experience is being widely considered in evaluating the quality of health care services. This is a cross-sectional study with 860 inpatients hospitalized in 4 clinical departments (General Internal Medicine; Cardiology; General Surgery; Surgery, and Orthopedic Trauma) of the Kien Giang General Hospital, from April to June 2020. Data was collected through a two-part questionnaire used to evaluate the inpatient experience during hospital treatment, using the Likert scale 5 points. The patient’s experience is classified into 3 aspects (environment—facilities, healthcare staff's care, treatment information). In total, 815 participants responded to the interview (94.8%). The rates of patients having a positive experience on the environment and facilities, the care of health workers, and treatment information are 31.7%, 85.9%, and 74.2%, respectively. The patient’s positive overall experience rate is 65.5%. Factors related to the patient's overall experience are the department of treatment, residential area, age, and employment status ( P < .05). Overall, the positive experience of inpatients at some clinical departments of Kien Giang General Hospital was a relatively low rate (65.5%). Specifically, healthcare staff's care is experienced at a high rate, this factor should be continuously promoted. Improving and upgrading factors in the aspects of the environment—facilities and the treatment information should be implemented if the hospital wants to improve its quality of healthcare services.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Armada Karima ◽  
Yuyun Setyorini

Abstract : Myocardial Infarction, Anxiety, Length of Stay. The purpose of nursing care of cardiovascular patients are to repair hemodynamic, to suffice oxygen need and to decrease anxiety. AMI patients who are undergoing treatment can use anxiety and may the length of stay. Research purpose to determine the relationship between the anxiety and length of stay in myocardial infarction patients at ICVCU Dr. Moewardi General Hospital. This study is descriptive analytic correlation using cross sectional approach. The subject is all AMI patients. The sampling technique using in this research is total sampling. A questionnaire was constructed to collect data. The collection data was analyzed by using spearman. Retrieved from 30 respondents, it is the average age of patients with myocardial infarction is 51-65 (63,3%) and the majority of the majority of the male gender with percentage 63,3%. Majority of AMI patients moderate anxiety with percentage 43,3% and long of stay fast with a percentage 56,7%. Analysis of test result obtained probality value 0.41. Based on the analysis it can be concluced that there is a significant relationship between anxiety and length of day in myocardial infarction patient at ICVCU Dr. Moewardi General Hospital Surakarta.


2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Bùi Tùng Hiệp ◽  
Nguyễn Thị Xuân Hoàng ◽  
Đỗ Văn Mãi ◽  
Nguyễn Đức Lộc

Objectives: To assess the current situation of using hypertension drugs for outpatients at the examination department of Hau Nghia Regional General Hospital - Long An. Objects and methods: Study of Cross-sectional description, retrospection, non-intervention on 180 patients who came to examine and treat hypertension at the examination Department, stored on the software of the Hau Nghia Regional General Hospital - Long An. Results: Among the drug groups used to treat hypertension, the group of drugs used the most was calcium channel blockers (58.25%), the lowest was diuretics with 3.88%. The regimens used for patients, the number of regimens using one drug accounted for the largest proportion, accounting for 86.67%. The regimen using 2 drugs accounted for 12.22% and the lowest was the combination regimen of 3 drugs with only 2 patients, accounting for 1.11%. In monotherapy was preferred by the doctor over combination therapy, in which Amlodipine was the most prescribed drug. The number of times of drug use per day of some drugs did not comply with recommendations and drug interactions accounted for a high proportion. Conclusion: The treatment regimen of hypertension was mainly monotherapy with calcium blockers, the most common being Amlodipine. However, the number of drugs used per day of some drugs did not comply with recommendations and drug interactions accounted for a high proportion.


2021 ◽  
Vol 62 (1) ◽  
Author(s):  
Đặng Minh Trí Bùi ◽  
Văn Mãi Đỗ ◽  
Thị Như Huỳnh Nguyễn ◽  
Thu Hằng Phạm

Objectives: To investigate the current situation of using drugs to treat gastroenteritis of outpatients at the gastrointestinal department of Vinh Long General Hospital. Subjects and methods: Study of retrospective cross- sectional description on 310 medical records of patients over 18 years old diagnosed with gastroenteritis, outpatient treatment at the internal department, Vinh Long General Hospital from November 2019 to July 2020. Results: Patients using PPI drugs in gastroenteritis accounted for 95.16%, of which Esomeprazole was used the most 38.39%, rabeprazole accounted for 31.94%, lansoprazole accounted for 11.94%, pantoprazole 3.87%. Most of the patients were used in combination with supportive drug treatment. The group of antiemetic drugs, reduce flatulence used with a high rate of 59.68%, the group of mucosal protection drugs accounted for 54.84%. The most common side effects were mild, with 9.35%. Conclusion: Patients using PPI drugs in gastroenteritis accounted for 95.16%, rarely encounter drug interactions and side effects.


1984 ◽  
Vol 51 (02) ◽  
pp. 236-239 ◽  
Author(s):  
A D’Angelo ◽  
P M Mannucci

SummaryForty-one patients with phlebographically proven DVT of the popliteal, femoral or iliac veins were treated with different regimens of urokinase (UK) given by continuous intravenous infusion. The four groups were comparable with respect to localization, extension and estimated age of the thrombi. Another phlebographic picture was taken within 48 hr after the end of UK infusion. Substantial lysis had occurred in 2 of 10 patients treated with 1500 U/kg/h for 2 days, in 4 of 11 treated with 2500/U/kg/h for 3 days, in 2 of 10 treated with 2500 U/kg/h for 7 days and in 4 of 10 treated with 4000 U/kg/h for 4 days. Only thrombi younger than 8 days could be lysed, with 61% (8/13) rate of lysis for thrombi less than 5 days old. Bleeding complications were observed more frequently with the higher doses and longer durations of therapy. The four treatment regimens all induced dose-dependent changes in fibrinogen, fibrin(ogen) degradation products, plasminogen and antiplasmin. Neither pre- nor postinfusion values of these parameters could differentiate patients with lysis from those without lysis. It is concluded that UK can provoke a high rate of thrombolysis of DVT treated early after the appearance of symptoms but that there is no relationship between UK-induced modifications of fibrinolysis and the outcome of therapy.


2020 ◽  
Vol 27 (1) ◽  
pp. 1-4
Author(s):  
Fatan Abshari ◽  
Zulfikar Ali

Objective: Transurethral lithotripsy using Holmium-YAG laser has been reported to be beneficial in breaking up bladder stones with large size (>4cm in diameter) with lower risk of mucosal injury and hematuria. The aim of this study is to evaluate the utilization of Holmium-YAG laser for the management of bladder stones at Kardinah General Hospital, Tegal. Material & Methods: This is a cross-sectional study conducted from January 2017 to March 2017. Patient’s demography, which included age, sex, length of surgery, stone size, and laser’s energy count were recorded. Results: We included 120 patients in this study. Mean of patients age in this study was 51.93 years old with age range were 41-85 years old. Most of the patients were male (109 vs 11) with a mean size of stone 25.09 ± 3.04 mm. Length of surgery ranges from 15 to 75 minutes and mean energy of the laser 28.99 ± 19.34 kJ. There was 100% stone’s clearance following surgery with no major complication occurred. Conclusion: Holmium-YAG laser is effective in managing bladder stones at Kardinah General Hospital particularly for large size stones. Length of surgery and energy of laser used depend on the stone size in which bigger stone size is associated with longer surgery time and bigger laser energy needed.


2018 ◽  
Vol 1 (2) ◽  
pp. 89-94
Author(s):  
Intan Sari

Low Birth Weight (LBW) is an infant born with a birth weight of less than 2500 grams regardless of gestation. Birth weight is the weight of the baby weighed in 1 hour after birth. (Depkes RI, 2009). Based on WHO and UNICEF data, in 2013 about 222 million babies were born in the world, of which 16% were born with low birth weight. The percentage of LBW in developing countries is 16.5% twice that of developed countries (7%) (Scholar Unand, 2014). The purpose of this study was to determine whether there is a relationship between anemia and Smoking Habit in Pregnant Women with LBW occurrence in General Hospital Dr. Mohammad Hoesin Palembang Year 2016. This research use analytical survey method with cross sectional approach. The population in this study were all mothers who gave birth monthly in Midwifery Installation of Dr. General Hospital Mohammad Hoesin Palembang in 2016 as many as 315 respondents. The sample of this research is some of mothers who give birth enough month in Midwifery Installation of Dr. General Hospital Mohammad Hoesin Palembang Year 2016 as many as 315 respondents. ". From the results of bivariate analysis of anemic respondents with the occurrence of LBW obtained statistical test X2 count = 23.22 which means there is a significant relationship between anemia with the incidence of BBLR. Respondents smoking with the occurrence of LBWR obtained statistical test X2 count = 41.20 which means there is a relationship Meaningful between smoking and LBW incidence. From the results of this study is expected that this research can be a reference material and is a complete information and useful for the development of knowledge about LBW.


Sign in / Sign up

Export Citation Format

Share Document