Hypertension guideline implementation and blood pressure control in Matlosana, South Africa.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL

South African Family Practice Pub Date : 2024-10-30 DOI:10.4102/safp.v66i1.5964

Keolebile I Ditlhabolo, Carien Lion-Cachet, Ebrahim Variava

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引用次数: 0

Abstract

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.

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南非马特洛萨纳的高血压指南实施与血压控制。

背景：高收缩压仍然是全球和南非（SA）心血管疾病的主要可改变风险因素。南非西北省 Matlosana 分区缺乏有关指南实施和血压（BP）控制程度的信息。本研究旨在评估《南非高血压实践指南》（SAHPG）的实施情况和马特洛萨纳初级医疗机构成人的血压控制情况：采用随机抽样的 523 份医疗记录进行横断面研究。收集的数据包括人口统计学信息、血压读数记录、人体测量、靶器官损害（TOD）筛查、高血压并发症、合并症、生活方式建议和药物治疗：根据查阅的记录，参与者的平均年龄为 56.77 岁，标准差为 12.4 岁，376 份记录（71.9%）属于女性。有 229 份（43.8%）病历记录了血压控制情况，其中合并人类免疫缺陷病毒（HIV）的组别比合并其他疾病的组别血压控制情况更好：研究发现，高血压患者对 SAHPG 建议的记录较少。根据患者记录，血压控制不理想，最常见的合并症是艾滋病，而 TOD 筛查的记录普遍较少：贡献：审核和改善高血压指南实施质量以及初级医疗中血压控制的计划需要持续的支持和研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.