The health behaviour of black hypertensive patients at a chronic diseases clinic in a depressed socio-economic area of Johannesburg, South Africa

A sample of hypertensive patients and the health care practitioners at an urban community health clinic were studied to identify their health status and behaviours. Barriers to compliance with health advice were also investigated. A descriptive qualitative approach was used consisting of semi-struct...

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Main Authors: A. V. Stewart, C. J. Eales, K. Shepard
Format: Article
Language:English
Published: AOSIS 1999-02-01
Series:South African Journal of Physiotherapy
Subjects:
Online Access:https://sajp.co.za/index.php/sajp/article/view/553
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author A. V. Stewart
C. J. Eales
K. Shepard
author_facet A. V. Stewart
C. J. Eales
K. Shepard
author_sort A. V. Stewart
collection DOAJ
description A sample of hypertensive patients and the health care practitioners at an urban community health clinic were studied to identify their health status and behaviours. Barriers to compliance with health advice were also investigated. A descriptive qualitative approach was used consisting of semi-structured interviews, observations and the analysis of patients’ records. Themes were generated from the coded data. The data revealed that the patients’ compliance was poor (66% attendance at the clinic), the mean blood pressure level was 157/99 and they were often symptomatic. Patients’ understanding of hypertension was fragmented and they did not see it as a silent, chronic disease. They were beset by financial and family worries and stresses. The staff found that it was increasingly difficult to educate the patients as the numbers of patients at the clinic were increasing.
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spelling doaj.art-175e13e966bf414ab5d4cd106b3eeb402022-12-22T02:10:57ZengAOSISSouth African Journal of Physiotherapy0379-61752410-82191999-02-01551111710.4102/sajp.v55i1.553421The health behaviour of black hypertensive patients at a chronic diseases clinic in a depressed socio-economic area of Johannesburg, South AfricaA. V. Stewart0C. J. EalesK. ShepardDepartment of Physiotherapy, University of WitwatersrandA sample of hypertensive patients and the health care practitioners at an urban community health clinic were studied to identify their health status and behaviours. Barriers to compliance with health advice were also investigated. A descriptive qualitative approach was used consisting of semi-structured interviews, observations and the analysis of patients’ records. Themes were generated from the coded data. The data revealed that the patients’ compliance was poor (66% attendance at the clinic), the mean blood pressure level was 157/99 and they were often symptomatic. Patients’ understanding of hypertension was fragmented and they did not see it as a silent, chronic disease. They were beset by financial and family worries and stresses. The staff found that it was increasingly difficult to educate the patients as the numbers of patients at the clinic were increasing.https://sajp.co.za/index.php/sajp/article/view/553health behaviourcomplianceunderstandingbarriers
spellingShingle A. V. Stewart
C. J. Eales
K. Shepard
The health behaviour of black hypertensive patients at a chronic diseases clinic in a depressed socio-economic area of Johannesburg, South Africa
South African Journal of Physiotherapy
health behaviour
compliance
understanding
barriers
title The health behaviour of black hypertensive patients at a chronic diseases clinic in a depressed socio-economic area of Johannesburg, South Africa
title_full The health behaviour of black hypertensive patients at a chronic diseases clinic in a depressed socio-economic area of Johannesburg, South Africa
title_fullStr The health behaviour of black hypertensive patients at a chronic diseases clinic in a depressed socio-economic area of Johannesburg, South Africa
title_full_unstemmed The health behaviour of black hypertensive patients at a chronic diseases clinic in a depressed socio-economic area of Johannesburg, South Africa
title_short The health behaviour of black hypertensive patients at a chronic diseases clinic in a depressed socio-economic area of Johannesburg, South Africa
title_sort health behaviour of black hypertensive patients at a chronic diseases clinic in a depressed socio economic area of johannesburg south africa
topic health behaviour
compliance
understanding
barriers
url https://sajp.co.za/index.php/sajp/article/view/553
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