Table 2.
Providing the service expected by physicians in private offices (including general or specialized, and family physicians) regarding hypertension (HTN) self-care training
| Service recipient | Methods of training | The place of service | Content of the curriculum | Assessment |
|---|---|---|---|---|
| •Patient | - Face to face training | - Physicians’ office | - The importance and necessity of treating HTN | - Number of patients covered by self-care program |
| - Pamphlets and brochures designed in simple language | - Service provider: physicians or their trained secretaries | - Complications of HTN | ||
| - The importance of non-medical therapy and suitable lifestyle | - Number of distributed training printed aids | |||
| - Patients’ index card | - The significance of salt consumption incidence and exacerbation of HTN | - Study of patients’ KAP | ||
| - Training CDs | ||||
| - SMS | - Medical therapy and correct administration of drugs including type of drug, dose of drug, and the way of storing drugs | - Counting the pills remaining at the end of each period | ||
| - Follow-up by phone calls | ||||
| - Familiarity with important side effects of the drugs | - Patients’ satisfaction | |||
| - Normal blood pressure does not mean stopping administration of drugs | - Number of files related to HTN self-care in the office | |||
| - Control of other cardiovascular factors | - Physician’s satisfaction | |||
| - Follow-up with the required tests in time according to the relevant physician | - Number of referrals by physicians | |||
| - Training correct measurement of blood pressure at home | - Number of regular visits of patients | |||
| - The necessity to know symptoms of HTN that require visiting a physician | - Number of patients under care that suffer complications | |||
| - The importance of going to the service providing unit regularly | - Number of patients under care with controlled HTN | |||
| - Requesting the physicians or nurses to measure blood pressure in every visit to an office or a hospital | - Number of patients referred to higher levels of service providers | |||
| •Patients’ family members | - Face to face training | - Physicians’ office | - The importance and necessity of treating HTN | - Performing the non-medical therapeutic recommendations at home |
| - Pamphlets and brochures | - Service provider: physicians or their trained secretaries | - Complications of HTN | - Satisfaction of the patients’ families of the training | |
| - Training CDs | - The existence of family history in incidence of HTN | - Number of patients covered by self-care program | ||
| - The importance of non-medical therapy and suitable lifestyle | - Number of distributed training aids | |||
| - Encouraging the patients to follow the physicians’ instructions | - Study of KAP of patients’ families | |||
| - The importance of measuring blood pressure of patients’ families | ||||
| - The importance and how to measure blood pressure of the patients | ||||
| - Knowing the patients’ drugs | ||||
| - The importance of appropriate support by family | ||||
| - Being in touch with the patients to follow up their process of treatment | ||||
| - Being in touch with the therapists to follow up the process of treatment | ||||
| •People at high risk (including those with obesity, diabetes, a sedentary lifestyle or any other factor causing HTN) | - Face to face training | - Physicians’ office | - The importance of preventing HTN | - Examining the visits done at the appointed time |
| - Pamphlets and brochures designed in simple language | - Service provider: physicians or their trained secretaries | - Risk factors of HTN | - Smoking cessation and controlling obesity | |
| - Patients’ index card | - A suitable lifestyle including appropriate nutrition, suitable physical activity, control of stress, smoking cessation | - Number of people covered by self-care program | ||
| - Training CDs | ||||
| - SMS | - Requesting the physicians to measure blood pressure in every appointment with a physician for other reasons | - Number of distributed training aids | ||
| - Follow-up by phone calls | - Study of people s’ KAP | |||
| - Training the use of appropriate social support | - Performing the non-medical therapeutic recommendations at home | |||
| - Doing necessary tests periodically | ||||
| - Measurement of blood pressure at home | - Satisfaction of the people under training | |||
| - Rate of controlling other diseases | ||||
| - Number of people affected with HTN |
*
Execution of this program does not need superordinates; HTN: Hypertension; KAP: Knowledge, Attitudes, Practice