prikaz prve stranice dokumenta Adherence of patients with diabetes and hypertension
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master's thesis
Adherence of patients with diabetes and hypertension
2018. urn:nbn:hr:171:673635
Leidinger, Daniel
University of Split
School of Medicine

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Leidinger, D. (2018). Adherence of patients with diabetes and hypertension (Master's thesis). Split: University of Split, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:673635

Leidinger, Daniel. "Adherence of patients with diabetes and hypertension." Master's thesis, University of Split, School of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:171:673635

Leidinger, Daniel. "Adherence of patients with diabetes and hypertension." Master's thesis, University of Split, School of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:171:673635

Leidinger, D. (2018). 'Adherence of patients with diabetes and hypertension', Master's thesis, University of Split, School of Medicine, accessed 01 April 2025, https://urn.nsk.hr/urn:nbn:hr:171:673635

Leidinger D. Adherence of patients with diabetes and hypertension [Master's thesis]. Split: University of Split, School of Medicine; 2018 [cited 2025 April 01] Available at: https://urn.nsk.hr/urn:nbn:hr:171:673635

D. Leidinger, "Adherence of patients with diabetes and hypertension", Master's thesis, University of Split, School of Medicine, Split, 2018. Available at: https://urn.nsk.hr/urn:nbn:hr:171:673635

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Metadata
TitleAdherence of patients with diabetes and hypertension
Title (croatian)Suradljivost bolesnika s dijabetesom i hipertenzijom
AuthorDaniel Leidinger
MentorOzren Polašek (mentor)
GranterUniversity of Split
School of Medicine
Split
Defense date and country2018, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Public Health and Health Care
Public Health
Abstract
Objectives: The aim of this study was to identify individuals with undiagnosed diabetes/hypertension and those with known but poorly controlled diabetes/hypertension in a large population-based sample from Dalmatia. We further tried to determine characteristics and traits that were associated with a higher degree of adherence. Materials and Methods: We accessed the data of all subjects recruited in the islands of Vis and Korčula, as well as those from the city of Split. The subjects were... More classified into four groups: (a) diagnosed, properly treated, (b) diagnosed, improperly treated, (c) incident - newly diagnosed and (d) healthy - undiagnosed. The statistical analysis was based on descriptive and analytic methods. Analysis of variance was used in the numeric data analysis for three cohorts. Chi-square test was used in the analysis of categorical variables. Logistic regression model was used in the final analytic step. All analyses were performed using SPSS v 21 with significance set at P<0.050. Results: We found 14.4% of all subjects to be incident cases for hypertension. Within the diagnosed hypertension group, 60.8% of subjects were improperly treated. 80% of diagnosed diabetes cases were inadequately treated. 10.6% of subjects were found to be incident cases for diabetes. The regression model for prediction of the incident cases of hypertension revealed strong cohort-based differences, with the highest odds in Vis. We further found a strong age-related risk increase, with a significant effect from the years of education – higher education was associated with reduced risk of becoming an incident case. The improperly treated hypertension model indicated even stronger cohort effect, again with Vis as the worst cohort. Regarding diabetes there were no significant differences between Vis and Korčula, while living in Split was associated with a reduced risk to be an incident case (OR: 0.50). Our results suggest that those with lower education and higher socio-economic status were more likely to develop diabetes. Improperly treated diabetes was more likely to be developed by the middle-age group. Conclusion: The probability of having improperly treated hypertension was lower among examinees from Korčula and Split compared to Vis. Our results suggest a positive correlation between incident cases of diabetes and hypertension and living on Vis, older age and less years of education. Less
Abstract (croatian)
Ciljevi: Cilj ovog istraživanja bio je prepoznati osobe s dijagnozom šećerne bolesti ili povišenog krvnog tlaka te utvrditi jesu li one primjereno ili neprimjereno liječene. Dodatan cilj bio je istražiti obilježja ispitanika koji se pridržavaju svoje terapije i dobro kontroliraju bolest s onima koji imaju znakove bolesti unatoč korištenju terapije. Materijali i metode: Korišteni su podatci ispitanika iz projekta 10.001 Dalmatinac, i to s otoka Visu i Korčule, kao i iz grada... More Splita. Ispitanici su bili svrstani u četiri skupine: (a) prisutna dijagnoza, bez znakova akutne bolesti, (b) prisutna dijagnoza, prisutni znakovi bolesti, (c) novodijagnosticirani slučaj te (d) zdravi ispitanici. Krvni tlak je mjeren dva puta u sjedećem položaju nakon 10 minuta odmora, a kao granične vrijednosti korištene su 140 mmHg za sistolički i 90 mmHg za dijastolički krvni tlak. Ispitanici sa serumskom razinom glukoze iznad 6,5 mmol ili razinom HbA1c iznad ove granične vrijednosti su bili svrstani u skupinu bolesnika sa šećernom bolesti. Statistička analiza temeljila se na opisnim i analitičkim metodama. Korišteni su hi-kvadrat, analiza varijance i logistička regresija. Sve analize provedene su korištenjem SPSS v 21 s razinom značajnosti postavljenom na P <0,050. Rezultati: 14,4% svih ispitanika su bili novodijagnosticirani slučajevi povišenog krvnog tlaka. Među njima, neprimjereno je bilo liječeno čak 60,8%. Za šećernu bolest taj postotak bio je i veći - čak 80% bolesnika nije imalo primjerene rezultate mjerenja razine šećera u krvi. Utvrđeno je da 10,6% ispitanika predstavlja incidentne slučajeve. Regresijski model za predviđanje incidentnih slučajeva hipertenzije pokazao je izrazite razlike među analiziranim populacijama, s najvećim rizikom na otoku Visu. Dob je bila važan prediktor modela, kao i razina obrazovanja. Model za šećernu bolest nije ukazivao na postojanje razlika među analiziranim pod-skupinama. Zaključci: Rezultati ovog istraživanja pokazuju izražene razlike među analiziranim pod- skupinama i stvaraju osnovicu za izradu javnozdravstvene intervencije. Less
Keywords
Keywords (croatian)
Languageenglish
URN:NBNurn:nbn:hr:171:673635
Study programmeTitle: Medical Studies in English
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2018-10-11 12:55:19
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