Effect of adult day care centre attendance on hypertension management

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL

South African Family Practice Pub Date : 2024-08-08 DOI:10.4102/safp.v66i1.5961

Sentebaleng E. Seitshiro, Omololu S. Aluko, Wilhelm J. Steinberg

{"title":"Effect of adult day care centre attendance on hypertension management","authors":"Sentebaleng E. Seitshiro, Omololu S. Aluko, Wilhelm J. Steinberg","doi":"10.4102/safp.v66i1.5961","DOIUrl":null,"url":null,"abstract":"Background: Hypertension (HT) silently threatens one in three adults, especially older adults, who struggle with blood pressure (BP) control because of limited health access, poor adherence to medication and failure to make lifestyle changes. This increases their risk for heart disease, kidney failure and dementia. Fortunately, adult day care centres (ADCCs) offer hope. These community facilities provide daytime care, including health support services, social activities and exercise. This study investigated the perceived effect of adult daycare centre attendance on BP control and treatment adherence.Methods: A mainly descriptive study at MUCPP Community Health Centre (CHC) in Bloemfontein, South Africa, between July 2020 and September 2020, used questionnaires researchers completed during interviews. The researchers approached 372 hypertensive patients of a minimum of 60 years old and at least 2 years since being diagnosed.Results: Of the 90 who attended ADCCs, 71.1% had controlled hypertension compared to 51.4% of those who did not. While treatment adherence showed no difference, a positive association between ADCC attendance and BP control is evident.Conclusion: The findings suggest a promising link between ADCC attendance and improved BP control in older adults with hypertension. Adult Day Care Centres warrant further exploration as it seems to be an encouraging support intervention for this vulnerable population.Contribution: This study highlights the positive impact ADCCs have on hypertension management in older adults, urging increased physician awareness and patient referrals.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"South African Family Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/safp.v66i1.5961","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Hypertension (HT) silently threatens one in three adults, especially older adults, who struggle with blood pressure (BP) control because of limited health access, poor adherence to medication and failure to make lifestyle changes. This increases their risk for heart disease, kidney failure and dementia. Fortunately, adult day care centres (ADCCs) offer hope. These community facilities provide daytime care, including health support services, social activities and exercise. This study investigated the perceived effect of adult daycare centre attendance on BP control and treatment adherence.Methods: A mainly descriptive study at MUCPP Community Health Centre (CHC) in Bloemfontein, South Africa, between July 2020 and September 2020, used questionnaires researchers completed during interviews. The researchers approached 372 hypertensive patients of a minimum of 60 years old and at least 2 years since being diagnosed.Results: Of the 90 who attended ADCCs, 71.1% had controlled hypertension compared to 51.4% of those who did not. While treatment adherence showed no difference, a positive association between ADCC attendance and BP control is evident.Conclusion: The findings suggest a promising link between ADCC attendance and improved BP control in older adults with hypertension. Adult Day Care Centres warrant further exploration as it seems to be an encouraging support intervention for this vulnerable population.Contribution: This study highlights the positive impact ADCCs have on hypertension management in older adults, urging increased physician awareness and patient referrals.

查看原文本刊更多论文

参加成人日间护理中心对高血压管理的影响

背景：高血压（Hypertension，HT）无声无息地威胁着三分之一的成年人，尤其是老年人，由于医疗条件有限、服药依从性差以及未能改变生活方式，他们在控制血压（BP）方面举步维艰。这增加了他们患心脏病、肾衰竭和痴呆症的风险。幸运的是，成人日间护理中心（ADCCs）给他们带来了希望。这些社区设施提供日间护理，包括健康支持服务、社交活动和锻炼。本研究调查了参加成人日间护理中心对血压控制和坚持治疗的影响：2020 年 7 月至 2020 年 9 月期间，在南非布隆方丹的 MUCPP 社区健康中心（CHC）进行了一项以描述性为主的研究，研究人员在访谈过程中填写了调查问卷。研究人员访问了 372 名至少 60 岁、确诊后至少 2 年的高血压患者：在参加 ADCC 的 90 名患者中，71.1% 的患者高血压得到控制，而未参加 ADCC 的患者中，51.4% 的患者高血压未得到控制。虽然治疗依从性没有差异，但参加 ADCC 与血压控制之间明显存在正相关：研究结果表明，参加成人日间护理中心与改善患有高血压的老年人的血压控制之间存在着良好的联系。成人日间护理中心值得进一步探讨，因为它似乎是针对这一弱势群体的一种令人鼓舞的支持性干预措施：贡献：本研究强调了成人日间护理中心对老年人高血压控制的积极影响，敦促医生提高对成人日间护理中心的认识并增加患者转诊。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

South African Family Practice MEDICINE, GENERAL & INTERNAL-

CiteScore

1.50

自引率

20.00%

发文量

审稿时长

25 weeks

期刊介绍： South African Family Practice (SAFP) is a peer-reviewed scientific journal, which strives to provide primary care physicians and researchers with a broad range of scholarly work in the disciplines of Family Medicine, Primary Health Care, Rural Medicine, District Health and other related fields. SAFP publishes original research, clinical reviews, and pertinent commentary that advance the knowledge base of these disciplines. The content of SAFP is designed to reflect and support further development of the broad basis of these disciplines through original research and critical review of evidence in important clinical areas; as well as to provide practitioners with continuing professional development material.