DYNAMICS OF ADHERENCE IN PATIENTS WITH ARTERIAL HYPERTENSION AGAINST GRADE I-II DURING A COMPLEX SANATORIUM-RESORT TREATMENT WITH THE USE OF TRAINING TECHNOLOGIES IN THE FRAMEWORK OF HEALTH SCHOOL " ARTERIAL HYPERTENSION"
The purpose of the study: to assess the impact of educational activities in the health school "Arterial hypertension" on the immediate and long - term results of treatment in patients with hypertension of I-II degree during the basic Spa treatment. Materials and methods: examination, treatment and dynamic monitoring of 94 patients with arterial hypertension of I-II degree in sanatorium conditions for 21 days was carried out. Patients were randomly divided into the main group and the comparison group. Patients of the main group received basic Spa therapy and studied at the health school "Arterial hypertension". The comparison group received only the basic treatment. Results: the highest increase was found according to the indicator of adherence to medical support, the indicator increased by 32.5 % (p<0.05), and remained consistently high in the catamnesis, after 3 months by 29.8 % (p<0.05), after 6 months by 23.8 % (p<0.05) and after 12 months by 14.4 % (p<0.05). In terms of adherence to lifestyle modification, it significantly increased by 26.7 % (p<0.05), after 3 months by 24.9 % (p<0.05), after 6 months by 19.3 % (p<0.05), and after 12 months by 15.3 % (p<0.05). Adherence to drug therapy significantly increased by 16.9 % (p<0.05) immediately after treatment, after 3 months by 16.2 % (p<0.05), after 6 months by 13.0 % (p<0.05) and after 12 months by 9.0 % (p<0.05). In the main group, after treatment, integral adherence significantly increased by 25.2 % (p<0.05). Patients in the main group maintained a high level of integral adherence throughout the year, besides it was significantly higher than in the comparison group. Conclusion: the inclusion of educational classes at the health school "Arterial hypertension" in the complex Spa treatment of patients with hypertension I-II grade has a statistically significant positive effect on treatment adherence immediately after training, and in the catamnesis after 3, 6 and 12 months.