{"id":19244,"date":"2018-03-09T09:08:10","date_gmt":"2018-03-09T09:08:10","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ensayo-cla%c2%adnico-de-intervencion-en-hipertension-arterial-para-modificar-el-incumplimiento-terapeutico\/"},"modified":"2018-03-09T09:08:10","modified_gmt":"2018-03-09T09:08:10","slug":"ensayo-cla%c2%adnico-de-intervencion-en-hipertension-arterial-para-modificar-el-incumplimiento-terapeutico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ensayo-cla%c2%adnico-de-intervencion-en-hipertension-arterial-para-modificar-el-incumplimiento-terapeutico\/","title":{"rendered":"Ensayo cl\u00ednico de intervenci\u00f3n en hipertensi\u00f3n arterial para modificar el incumplimiento terap\u00e9utico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Salvador Zaragoza P\u00e9rez <\/strong><\/h2>\n<p>El estudio se realiza en el centro de salud \u00abtrinitat\u00bb (Valencia). Se dise\u00f1a un ensayo cl\u00ednico de educaci\u00f3n sanitaria y se calcula un tama\u00f1o muestral representativo para encontrar diferencias de un 25% entre los dos grupos (n=106). La asignaci\u00f3n es aleatoria sobre pacientes hipertensos que acuden a consulta y aceptan participar. La intervenci\u00f3n se realiza en el domicilio del paciente y consta de una entrevista cl\u00ednica basada en aumentar los conocimientos acerca de la hta en el grupo control y de una intervenci\u00f3n sanitaria mixta (intervenci\u00f3n sanitaria oral m\u00e1s refuerzo por escrito) en el grupo intervenci\u00f3n. Tras la intervenci\u00f3n hay un seguimiento de seis meses. Se utiliza los criterios de la escuela canadiense de epidemiolog\u00eda cl\u00ednica para analizar el cumplimiento terap\u00e9utico y los indicadores de relevancia cl\u00ednica (rra, rrr y nnt) para valorar el efecto de la intervenci\u00f3n. los objetivos primarios son determinar si el programa de intervenci\u00f3n mixta es mejor que la intervenci\u00f3n sanitaria oral para aumentar el grado de cumplimiento terap\u00e9utico y si consigue un mejor control de la presi\u00f3n arterial. El an\u00e1lisis estad\u00edstico no obtuvo diferencias significativas entre el grupo control y el intervenci\u00f3n para el buen cumplimiento terap\u00e9utico (p = 0,695) ni para el buen control de la presi\u00f3n arterial (p = 0,393). El buen cumplimiento de la muestra global fue del 57,5% (rc = 80-110%). Una estrategia de intervenci\u00f3n consistente en la entrega de un refuerzo educativo a\u00f1adido a una estrategia verbal realizada en el domicilio del paciente no mejora los resultados de \u00e9sta respecto al grado de cumplimiento farmacol\u00f3gico ni respecto al grado de control tensional del hipertenso.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ensayo cl\u00ednico de intervenci\u00f3n en hipertensi\u00f3n arterial para modificar el incumplimiento terap\u00e9utico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ensayo cl\u00ednico de intervenci\u00f3n en hipertensi\u00f3n arterial para modificar el incumplimiento terap\u00e9utico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Salvador Zaragoza P\u00e9rez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/09\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Vicente Gil Guillen<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Lopez merino <\/li>\n<li>Manuel Luque otero (vocal)<\/li>\n<li>Emilio Marquez contreras (vocal)<\/li>\n<li>Fernando Quirce andres (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Salvador Zaragoza P\u00e9rez El estudio se realiza en el centro de salud \u00abtrinitat\u00bb (Valencia). Se dise\u00f1a un [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,1086,37169,156,1601],"tags":[56306,19418,3111,59209,19282,11497],"class_list":["post-19244","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-epidemiologia","category-miguel-hernandez-de-elche","category-patologia","category-patologia-cardiovascular","tag-emilio-marquez-contreras","tag-fernando-quirce-andres","tag-manuel-luque-otero","tag-salvador-zaragoza-perez","tag-vicente-gil-guillen","tag-vicente-lopez-merino"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19244","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=19244"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19244\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=19244"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=19244"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=19244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}