TITLE:
Therapeutic Education of Hypertensive Patient Followed on an Outpatient Basis at the Ignace Deen University Hospital in Conakry, Guinea
AUTHORS:
Mamadou Barry, Aissatou Tiguidanké Baldé, Ousmane Mamadama Camara, Mariama Djalakan Diallo, Hassatou Diallo, Ibrahima Sory Sylla, Mamadou Mouctar Diallo, Abdoulaye Fodé Touré, Abdoul Karim Kaba, Elhadj Yaya Baldé
KEYWORDS:
Therapeutic Education, High Blood Pressure, Ambulatory, Guinea
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.14 No.12,
December
5,
2024
ABSTRACT: Context and Objectives: Despite advances in the treatment of high blood pressure, many patients do not benefit from adequate therapeutic education. In Guinea, we have found no data addressing this issue, hence the interest of this study, which aims to determine the level of therapeutic education and identify the factors attributable to poor therapeutic education. Methodology: This was a 6-month cross-sectional study, including hypertensive patients followed on an outpatient basis. The level of therapeutic education was assessed using a twenty-question questionnaire. Each correct question received one point, while an incorrect answer or no answer received zero points. The rate of correct answers was then calculated for each patient, enabling them to be classified into three groups: Group I (rate below 35%, considered to be a low level of education), Group II (rate between 35% and 65%, considered to be an average level of education) and Group III (rate above 65, considered to be a good level of education). To determine the factors associated with patients’ low level of therapeutic education, we first used a multivariate logistic regression model, with significant variables (p-value Results: Among the 471 patients, almost three-quarters (73.9%) had a low level of therapeutic education, 21.7% had an average level and 4.7% had a high level. In terms of factors associated with low levels of therapeutic education, patients aged 60 and over, patients with no formal education, and patients whose source of information was other than healthcare professionals, were more likely to have low levels of therapeutic education. Although the correlation was not statistically significant, women and patients living in urban areas were respectively 1.103 and 1.254 more likely to have a low level of therapeutic education than men and rural residents. Conclusion: The level of therapeutic education of hypertensive patients at the Ignace Deen University Hospital Center is low, several factors are implicated.