ЧАСТОТА ВСТРЕЧАЕМОСТИ, СТРУКТУРА АРТЕРИАЛЬНОЙ ГИПЕРТОНИИ И КОМПЛАЕНТНОСТЬ СРЕДИ ВРАЧЕЙ КРУПНОЙ КЛИНИЧЕСКОЙ БОЛЬНИЦЫ ГОРОДА КРАСНОЯРСКА

Evgeny Valeryevich Derevyannich, Natalia Arlenovna Balashova, Roman Anatolyevich Yaskevich, Olga Leonidovna Moskalenko


Аннотация


Цель. Изучение частоты встречаемости, структуры артериальной гипертонии (АГ) и комплаентности среди врачей крупной клинической больницы г. Красноярска.

Материалы и методы. Обследовано 317 врачей в возрасте от 23 до 77 лет. Обследование включало анкетирование, клинические, инструментальные, функциональные и лабораторные методы исследования, изучение приверженности к лечению АГ.

Результаты. По данным проведенного исследования частота встречаемости АГ среди обследованных врачей составила 43,2% и не превышала среднероссийский уровень. Данный показатель был существенно выше среди мужчин врачей, в сравнении с женщинами. Указанное гендерное отличие особенно выражено в возрастной группе 20–29 лет и 30–39 лет. Среди анестезиологов, реаниматологов и врачей лучевой диагностики АГ встречалась чаще по сравнению с врачами других специальностей. У врачей не зависимо от пола чаще отмечалась АГ 1 степени. Несмотря на достаточно высокую информированность о методах профилактики и лечения сердечно-сосудистых заболеваний, показатели приверженности к лечению АГ были ниже среднероссийского уровня. Врачи хирургических отделений имели самые низкие показатели осведомленности и комплаентности, в сравнении с врачами других специальностей.

Заключение. Результаты проведенного исследования позволяют сделать выводы о высокой распространенности АГ среди врачей.


Ключевые слова


врачи; артериальная гипертония; комплаентность; осведомленность

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Литература


Barbarash O.L., Basheva L.I., Smakotina S.A. i dr. Faktory serdechno-sosudistogo riska u vrachey razlichnykh spetsial’nostey [Factors of cardiovascular risk in physicians of various specialties]. Kardiologiya [Cardiology]. 2008. №7, рр. 52–5.

Boytsov S.A., Balanova Yu.A., Shal’nova S.A. i dr. Arterial’naya gipertoniya sredi lits 25–64 let: rasprostranennost’, osvedomlennost’, lechenie i kontrol’. Po materialam issledovaniya ESSE [Arterial hypertension among persons aged 25–64 years: prevalence, awareness, treatment and control. Based on the materials of the ESSE study]. Kardiovaskulyarnaya terapiya i profilaktika [Cardiovascular therapy and prevention]. 2014. V.14. №4, рр. 4–14.

Grinshteyn Yu.I., Petrova M.M., Shabalin V.V. i dr. Rasprostranennost’ arterial’noy gipertenzii v Krasnoyarskom krae po dannym epidemiologicheskogo issledovaniya ESSE-RF [The prevalence of arterial hypertension in the Krasnoyarsk Territory according to the epidemiological study of the ESSE-RF]. Arterial’naya gipertenziya [Arterial hypertension]. 2016. №, рр. 551–559.

Davydov E.L. Yaskevich R.A., Kusaev V.V. et al. Problemy priverzhennosti k lecheniyu patsientov starshikh vozrastnykh grupp s arterial’noy gipertoniey v g. Krasnoyarske v ramkakh organizatsionno-funktsional’noy modeli mediko-sotsial’noy pomoshchi [Problems of adherence to the treatment of patients of older age groups with arterial hypertension in Krasnoyarsk within the framework of the organizational and functional model of medical and social care]. Mezhdunarodnyy zhurnal eksperimental’nogo obrazovaniya [International Journal of Experimental Education]. 2016. № 5–3, рр. 285–289.

Davydov E.L., Yaskevich R.A., Mazharov V.F. Faktory, prepyatstvuyushchie priobreteniyu patsientami starshikh vozrastnykh grupp lekarstvennykh sredstv dlya lecheniya arterial’noy gipertonii [Factors hindering the acquisition by patients of older age groups of medicines for the treatment of arterial hypertension]. Mezhdunarodnyy zhurnal eksperimental’nogo obrazovaniya [International Journal of Experimental Education]. 2016. № 5–3, рр. 290–295.

Derevyannykh E.V., Balashova N.A., Yaskevich R.A., Moskalenko O.L. Analiz rasprostranennosti faktorov riska serdechno-sosudistykh zabolevaniy sredi muzhchin meditsinskikh rabotnikov krupnoy klinicheskoy bol’nitsy goroda Krasnoyarska [An analysis of the prevalence of cardiovascular risk factors among men in the medical clinic of a major clinical hospital in the city of Krasnoyarsk]. V mire nauchnykh otkrytiy [Siberian Journal of Life Sciences and Agriculture]. 2017. V. 9. № 4, рр. 10–33.

Derevyannykh E.V., Polikarpov L.S., Petrova M.M. Chastota arterial’noy gipertonii sredi zhenshchin – meditsinskikh rabotnikov krupnogo promyshlennogo goroda [The frequency of arterial hypertension among women – medical workers of a large industrial city]. Sibirskoe meditsinskoe obozrenie [Siberian Medical Review]. 2008. № 4 (52), рр. 89–92.

Derevyannykh E.V., Polikarpov L.S., Petrova M.M. Chastota arterial’noy gipertonii sredi zhenshchin meditsinskikh rabotnikov klinicheskoy bol’nitsy skoroy meditsinskoy pomoshchi goroda Krasnoyarska [The frequency of arterial hypertension among women of medical workers in the clinical hospital of the ambulance service of the city of Krasnoyarsk]. Vestnik RUDN. Seriya: Meditsina [Bulletin of the Peoples’ Friendship University of Russia. Series: Medicine]. 2008. №7, рр. 130–139.

Derevyannykh E.V., Yaskevich R.A., Balashova N.A., Moskalenko O.L. Rasprostranennost’ izbytochnoy massy tela sredi zhenshchin meditsinskikh rabotnikov krupnoy klinicheskoy bol’nitsy goroda Krasnoyarska [The prevalence of overweight among women medical workers of a major clinical hospital in the city of Krasnoyarsk]. V mire nauchnykh otkrytiy [Siberian Journal of Life Sciences and Agriculture]. 2016. № 7 (79), рр. 26–46.

Derevyannykh E.V., Yaskevich R.A., Balashova N.A. Vozrastnye osobennosti priverzhennosti k lecheniyu arterial’noy gipertonii u muzhchin g. Krasnoyarska [Age features of adherence to the treatment of arterial hypertension in men in Krasnoyarsk]. Mezhdunarodnyy zhurnal prikladnykh i fundamental’nykh issledovaniy [International Journal of Applied and Fundamental Research]. 2016. № 6–1, рр. 48–52.

Derevyannykh E.V., Yaskevich R.A. Vozrastnye osobennosti priverzhennosti k lecheniyu arterial’noy gipertonii sredi meditsinskikh rabotnikov krupnoy klinicheskoy bol’nitsy goroda Krasnoyarska [Age features of adherence to the treatment of arterial hypertension among medical workers of a major clinical hospital in the city of Krasnoyarsk]. Klinicheskaya gerontologiya [Clinical gerontology]. 2017. V. 23. № 9–10, рр. 21–23.

Drozdova L.Yu., Martsevich S.Yu., Voronina V.P. Odnovremennaya otsenka rasprostranennosti i effektivnosti korrektsii faktorov riska serdechno-sosudistykh zabolevaniy sredi vrachey i ikh znaniya sovremennykh klinicheskikh rekomendatsiy. Rezul’taty proekta «Zdorov’e i obrazovanie vracha» [Simultaneous assessment of the prevalence and effectiveness of correction of cardiovascular risk factors among physicians and their knowledge of current clinical recommendations. Results of the project “Health and education of a doctor”]. Ratsional’naya farmakoterapiya v kardiologii [Rational pharmacotherapy in cardiology]. 2011. №7(2), рр. 137–144.

Karamnova N.S., Kalinina A.M., Grigoryan Ts.A. i dr. Rasprostranennost’ faktorov, formiruyushchikh summarnyy kardiovaskulyarnyy risk sredi meditsinskikh rabotnikov pervichnogo zvena zdravookhraneniya [The prevalence of factors that form the total cardiovascular risk among primary health care providers]. Kardiovaskulyarnaya terapiya i profilaktika [Cardiovascular therapy and prevention]. 2009. V. 8. № 6, рр. 54–58.

Kobalava Zh.D., Kotovskaya Yu.V., Shal’nova S.A. Serdechno-sosudistyy risk u vrachey raznykh spetsial’nostey. Rezul’taty Rossiyskoy mnogotsentrovoy nauchno-obrazovatel’noy programmy «Zdorov’e vrachey Rossii» [Cardiovascular risk in doctors of different specialties. Results of the Russian multicenter scientific and educational program “Health of Russian doctors”]. Kardiovaskulyarnaya terapiya i profilaktika [Cardiovascular therapy and prevention]. 2010. № 4, рр. 12–24.

Naydenova N.E., Lobykina E.N. Rasprostranennost’ faktorov riska neinfektsionnykh zabolevaniy u meditsinskikh rabotnikov pervichnogo zvena zdravookhraneniya Tomskoy oblasti [Prevalence of non-infectious disease risk factors among primary health care providers in the Tomsk region]. Profilakticheskaya meditsina [Preventive medicine]. 2015. V.18. № 2, рр. 38–42.

Nevrycheva E.V., Zhmerenetskiy K.V., Nozdrina N.S. Zdorov’e meditsinskikh rabotnikov [Health of medical workers]. Zdravookhranenie Dal’nego Vostoka [Health of the Far East]. 2016. № 1 (67), рр. 72–82.

Polikarpov L.S., Khamnagadaev I.I., Ivanova E.B. i dr. Chastota serdechno–sosudistoy patologii, soderzhanie mikroelementov v razlichnykh sredakh v usloviyakh Severa [The frequency of cardiovascular pathology, the content of trace elements in various environments in the North]. Sibirskiy meditsinskiy zhurnal (g. Tomsk) [Siberian Medical Journal (Tomsk)]. 2005. V.20. № 2, рр. 55–57.

Polikarpov L.S., Khamnagadaev I.I. Manchuk V.T. et al. Sotsial’no-epidemiologicheskaya kharakteristika arterial’noy gipertonii v usloviyakh Severa i Sibiri [Socio-epidemiological characteristics of arterial hypertension in the conditions of the North and Siberia]. Sibirskoe meditsinskoe obozrenie [Siberian Medical Review]. 2008. № 4(52), рр. 92–95.

Polikarpov L.S., Khamnagadaev I.I., Yaskevich R.A., Derevyannykh E.V. Arterial’naya gipertoniya (rasprostranennost’, profilaktika, adaptatsiya i readaptatsiya k razlichnym ekologicheskim usloviyam [Arterial hypertension (prevalence, prophylaxis, adaptation and adaptation to various ecological conditions]. Krasnoyarsk: Izdatel’stvo KrasGMU. 2010. 289 p.

Polikarpov L.S., Derevyannykh E.V., Yaskevich R.A., Balashova N.A. Osobennosti priverzhennosti k lecheniyu arterial’noy gipertonii sredi zhenshchin pozhilogo vozrasta [Features of adherence to the treatment of arterial hypertension among women of advanced age]. Sovremennye problemy nauki i obrazovaniya [Modern problems of science and education]. 2014. №5. URL: http://www.science-education.ru/ru/article/view?id=14899

Rotar’ O.P., Orlov A.V., Boyarinova M.A. et al. Zdorov’e kardiologov: kto, esli ne oni? [Health of cardiologists: who, if not they?]. RKZh [RQF]. 2017. №5 (145), рр. 126–131.

Terent’ev V.P., Chesnikova A.I., Levitskaya E.S., Khliyan K.G. Gendernye osobennosti sostoyaniya zdorov’ya vrachey: kogortnoe issledovanie (na primere g. Rostova-na-donu i oblasti) [Gender features of the state of health of doctors: cohort study (on the example of Rostov-on-Don and the region)]. Problemy zhenskogo zdorov’ya [Problems of female health]. 2011. V.6. №2, рр. 5–9.

Filimonova L.A., Yaskevich R.A., Davydov E.L. Voprosy formirovaniya i techeniya arterial’noy gipertonii v pozhilom i starcheskom vozraste [Questions of formation and course of arterial hypertension in elderly and senile age]. Sovremennye problemy nauki i obrazovaniya [Modern problems of science and education]. 2016. № 6. http://science-education.ru/ru/article/view?id=25458

Khamnagadaev I.I., Yaskevich R.A., Polikarpov L.S., Novgorodtseva N.Ya. Rasprostranennost’ arterial’noy gipertonii i izbytochnoy massy tela sredi sel’skogo naseleniya severnykh regionov [The prevalence of arterial hypertension and overweight among rural population of northern regions]. Sibirskiy meditsinskiy zhurnal (g. Tomsk) [Siberian Medical Journal (Tomsk)]. 2004. V.19. №4, рр. 94–96.

Shal’nova S.A., Oganov R.G., Deev A.D., Kukushkin S.K. Zdorov’e rossiyskikh vrachey. Kliniko-epidemiologicheskiy analiz [The health of Russian doctors. Clinical and epidemiological analysis]. Kardiovaskulyarnaya terapiya i profilaktika [Cardiovascular therapy and prevention]. 2008. V. 7. №6, рр. 28–32.

Yaskevich R.A., Moskalenko O.L. Analiz chastoty i struktury zabolevaniy serdechno-sosudistoy sistemy u migrantov Kraynego Severa v period readaptatsii k novym klimaticheskim usloviyam [Analysis of the frequency and structure of diseases of the cardiovascular system in the migrants of the Far North in the period of adaptation to new climatic conditions]. V mire nauchnykh otkrytiy [Siberian Journal of Life Sciences and Agriculture]. 2017. V. 9. № 4–2, рр. 41–58.

Yaskevich R.A. Osobennosti klinicheskogo techeniya arterial’noy gipertonii u migrantov Kraynego Severa v period readaptatsii k novym klimaticheskim usloviyam [Peculiarities of the clinical course of arterial hypertension in the migrants of the Far North in the period of readaptation to new climatic conditions]. Kardiologiya na perekrestke nauk Tezisy dokladov [Cardiology at the Crossroads of Sciences. Abstracts]. 2017, рр. 346–348.

Artyukhov I.P., Grinshtein Y.I., Petrova M.M. et al. Prevalence of arterial hypertension in the Krasnoyarsk Krai (Siberia, Russia). BMC Cardiovascular Disorders. 2017. 17:138.

Bolbrinker J., Zaidi Touis L., Gohlke H., Weisser B., Kreutz R. European guidelines on lifestyle changes for management of hypertension: Awareness and implementation of recommendations among German and European physicians. Herz. 2017 May 22. doi: 10.1007/s00059-017-4575-0.

Dayoub E, Jena AB. Chronic Disease Prevalence and Healthy Lifestyle Behaviors Among U.S. Health Care Professionals. Mayo Clinic proceedings. 2015. 90(12), рр. 1659–1662.

Lerssrimongkol C., Wisetborisut A., Angkurawaranon C. et al. Active commuting and cardiovascular risk among health care workers. Occup Med (Lond). 2016 Aug. 66(6):483-7.

World Health Organization. Cardiovascular diseases (CVDs) – Fact sheet. 2017. [Cited 4 Sep 2017]. http://www.who.int/mediacentre/factsheets/fs317/en/

Yaskevich R.A., Moskalenko O.L. Analysis of the incidence and structure of the cardiovascular system diseases in the far north migrants over the period of readaptation to the new climatic conditions. V mire nauchnykh otkrytiy [Siberian Journal of Life Sciences and Agriculture]. 2017. V.9. № 4–2, рр. 59–73.

Moskalenko O.L. Vliyanie gorodskogo tekhnogennogo zagryazneniya na morfofunktsional’noe sostoyanie yunoshey [Influence of urban anthropogenic pollution on the morphofunctional state of youth]. Krasnoyarsk. 2014. 18 p.




DOI: https://doi.org/10.12731/wsd-2018-4-223-244

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(c) 2018 Evgeny Valeryevich Derevyannich, Natalia Arlenovna Balashova, Roman Anatolyevich Yaskevich, Olga Leonidovna Moskalenko

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