Impact of home-based follow-up care on hypertension control among patients attending Thika Level Five Hospital, Kiambu County, Kenya: A randomized control study.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2025-04-25 DOI:10.1093/inthealth/ihaf044

Veronica Njaramba, Peter Mwaura, Samuel Mungai, Bernard N Kanoi, David Kamau, Jesse Gitaka

{"title":"Impact of home-based follow-up care on hypertension control among patients attending Thika Level Five Hospital, Kiambu County, Kenya: A randomized control study.","authors":"Veronica Njaramba, Peter Mwaura, Samuel Mungai, Bernard N Kanoi, David Kamau, Jesse Gitaka","doi":"10.1093/inthealth/ihaf044","DOIUrl":null,"url":null,"abstract":"Background: Hypertension contributes to a large burden of cardiovascular diseases, with a higher prevalence in low- and middle-income countries. Hypertension management is mainly hospital-based, but it faces low retention rates in facilities, non-adherence and subsequent suboptimal blood pressure (BP) control. This study aimed to implement home-based follow-up care and assess its impact on controlling BP.Methods: An open-label randomized controlled study was conducted on 200 participants with uncontrolled BP selected using a systematic random sampling technique and randomly assigned into home-based follow-up care (intervention group) and hospital-based follow-up care (control group). Data were collected using a structured questionnaire containing the 8-item Morisky Medication Adherence Scale and Hypertension Self-Care Activity Level Effect (H-SCALE). Data were analysed using SPSS version 29.0.Results: Hypertension control was 52.0% and 92.2% in the control and intervention groups, respectively. In the interventional group, drug adherence increased from 38.2% to 94.1% compared with a reduction in the control group from 45.9% to 33.7%. Dietary Approaches to Stop Hypertension diet adherence rose from 2.9% to 76.5% compared with a control group from 1% to 2%.Conclusions: Home-based care follow-up has a significant impact on the control of hypertension.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/inthealth/ihaf044","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Hypertension contributes to a large burden of cardiovascular diseases, with a higher prevalence in low- and middle-income countries. Hypertension management is mainly hospital-based, but it faces low retention rates in facilities, non-adherence and subsequent suboptimal blood pressure (BP) control. This study aimed to implement home-based follow-up care and assess its impact on controlling BP.

Methods: An open-label randomized controlled study was conducted on 200 participants with uncontrolled BP selected using a systematic random sampling technique and randomly assigned into home-based follow-up care (intervention group) and hospital-based follow-up care (control group). Data were collected using a structured questionnaire containing the 8-item Morisky Medication Adherence Scale and Hypertension Self-Care Activity Level Effect (H-SCALE). Data were analysed using SPSS version 29.0.

Results: Hypertension control was 52.0% and 92.2% in the control and intervention groups, respectively. In the interventional group, drug adherence increased from 38.2% to 94.1% compared with a reduction in the control group from 45.9% to 33.7%. Dietary Approaches to Stop Hypertension diet adherence rose from 2.9% to 76.5% compared with a control group from 1% to 2%.

Conclusions: Home-based care follow-up has a significant impact on the control of hypertension.

查看原文本刊更多论文

在肯尼亚Kiambu县Thika五级医院就诊的患者中，家庭随访护理对高血压控制的影响：一项随机对照研究。

背景：高血压是心血管疾病的一大负担，在低收入和中等收入国家发病率较高。高血压管理主要以医院为基础，但它面临着设施保留率低、依从性不佳和随后的血压控制不理想的问题。本研究旨在实施以家庭为基础的随访护理，并评估其对控制血压的影响。方法：采用系统随机抽样方法，对200例血压未控制的患者进行开放标签随机对照研究，随机分为以家庭为基础的随访护理组（干预组）和以医院为基础的随访护理组（对照组）。数据采用结构化问卷收集，问卷包含8项Morisky药物依从性量表和高血压自我保健活动水平效应（H-SCALE）。数据分析采用SPSS 29.0版本。结果：对照组和干预组高血压控制率分别为52.0%和92.2%。在介入组，药物依从性从38.2%上升到94.1%，而对照组从45.9%下降到33.7%。饮食依从性从2.9%上升到76.5%，而对照组从1%上升到2%。结论：家庭护理随访对高血压的控制有显著影响。

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

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.