Veronica Njaramba, Peter Mwaura, Samuel Mungai, Bernard N Kanoi, David Kamau, Jesse Gitaka
{"title":"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。","authors":"Veronica Njaramba, Peter Mwaura, Samuel Mungai, Bernard N Kanoi, David Kamau, Jesse Gitaka","doi":"10.1093/inthealth/ihaf044","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%.</p><p><strong>Conclusions: </strong>Home-based care follow-up has a significant impact on the control of hypertension.</p>","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":"{\"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\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%.</p><p><strong>Conclusions: </strong>Home-based care follow-up has a significant impact on the control of hypertension.</p>\",\"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}","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}
Impact of home-based follow-up care on hypertension control among patients attending Thika Level Five Hospital, Kiambu County, Kenya: A randomized control study.
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.
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.
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