Hypertension guideline implementation and blood pressure control in Matlosana, South Africa.
Background: High systolic blood pressure remains a leading modifiable risk factor for cardiovascular diseases worldwide and in South Africa (SA). Information about the extent of guideline implementation and blood pressure (BP) control is lacking in Matlosana Sub-district, North West province, SA. Th...
| Publicado en: | South African Family Practice Vol. 66; no. 1 Part4; pp. 1 - 11 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
African Online Scientific Information System PTY LTD
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192902459&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192902459 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20786190 6CL4 jtl: South African Family Practice issn: 20786190 maglogo: N pubinfo: dt: 2024 vid: 66 iid: 1 Part4 pid: 56831 pub: African Online Scientific Information System PTY LTD place: , <Blank> artinfo: ui: 192902459 192902459 192902459 10.4102/safp.v66i1.5964 192902459 ppf: 1 ppct: 10 formats: tig: atl: Hypertension guideline implementation and blood pressure control in Matlosana, South Africa. aug: au: Ditlhabolo, Keolebile I. Lion-Cachet, Carien Variava, Ebrahim affil: Department of Family Medicine and Primary Health Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa sug: subj: Hypertension Diagnosis Hypertension Drug Therapy Hypertension Prevention and Control Practice Guidelines South Africa Implementation Science Guideline Adherence Evaluation Primary Health Care South Africa Human Male Female Middle Age South Africa Cross Sectional Studies Random Sample Sociodemographic Factors Anthropometry Hypertension Complications Life Style Changes HIV Infections Complications Comorbidity Quality of Health Care Record Review Electrocardiography Hyperlipidemia Complications Diabetes Mellitus Complications Confidence Intervals Data Analysis Software Disease Management Tuberculosis Complications Convenience Sample Age Factors Sex Factors Educational Status Creatinine Blood Glomerular Filtration Rate Antihypertensive Agents Therapeutic Use Potassium Blood Descriptive Statistics Bivariate Statistics Logistic Regression Odds Ratio Adult Middle Aged: 45-64 years Adult: 19-44 years Male Female ab: Background: High systolic blood pressure remains a leading modifiable risk factor for cardiovascular diseases worldwide and in South Africa (SA). Information about the extent of guideline implementation and blood pressure (BP) control is lacking in Matlosana Sub-district, North West province, SA. The study aimed to assess the implementation of the South African Hypertension Practice Guideline (SAHPG) and BP control in adults attending primary care facilities in Matlosana. Methods: Cross-sectional study was conducted, using 523 randomly sampled medical records. Data collected included demographic information, recorded BP readings, anthropometry, screening for target organ damage (TOD), hypertension complications, comorbidities, lifestyle advice and drug therapy. Results: According to the reviewed records the mean age of the participants was 56.77 years with a standard deviation of 12.4 years and 376 (71.9%) records belonged to females. Blood pressure control was documented in 229 (43.8%) of the medical records, with better control recorded in a group with comorbid human immunodeficiency virus (HIV) than in groups with other comorbidities. Conclusion: The study found poor documentation of the SAHPG recommendations among patients with hypertension. According to the patient records BP control was suboptimal, the most common documented comorbid illness was HIV, and screening for TOD was generally poorly documented. Contribution: Programmes that audit and improve the quality of hypertension guideline implementation and BP control in primary care require ongoing support and research. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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