Table of Contents
ISRN Hypertension
Volume 2013 (2013), Article ID 481595, 7 pages
http://dx.doi.org/10.5402/2013/481595
Clinical Study

Therapeutic Education's Role in the Management of Hypertension in Chronic Hemodialysis Patients

Unit of Nephrology and Dialysis, Al Farabi Hospital, Faculty of Medicine, Mohamed First University, 12 Avenue AL Ouafae, Hay Al Hikma, 60050 Oujda, Morocco

Received 31 October 2012; Accepted 22 November 2012

Academic Editors: M. Frick, A. A. Noorbala, and H. Teragawa

Copyright © 2013 Intissar Haddiya et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The prevalence of hypertension remains high in hemodialysis (HD) patients, leading to a considerable morbimortality. The “dry weight method (DW),” established by Scribner, presents an undeniable interest in the management of hypertension in HD patients. Aim. The aim of our work was to determine the prevalence and risk factors (RFs) of hypertension in our chronic HD patients and try to reduce it by using a therapeutic education (TE) strategy based on Scribner’s recommendations. Patients and Methods. We led an interventional prospective study in three phases. In phase 1, we determined the prevalence of hypertension. In phase 2, hypertensive patients benefited of a TE strategy. In phase 3, we evaluated the effects of our TE. Results. Hypertension was noted in 57 patients. RFs for hypertension included age, important interdialytic weight gain (IDWG), noncompliance to the dietary rules, and a rhythm of 2 sessions of dialysis per week. The use of a TE strategy enabled us to correct hypertension in some of our HD patients. Conclusion. A TE strategy improved the hypertension rate in our HD unit. This success could not be conceived without an educational effort supported by the whole medical team.