Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal
Background: Despite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention t...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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AOSIS
2017-10-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
| Subjects: | |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/1456 |
| _version_ | 1817996681709355008 |
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| author | Olumuyiwa A. Olowe Andrew J. Ross |
| author_facet | Olumuyiwa A. Olowe Andrew J. Ross |
| author_sort | Olumuyiwa A. Olowe |
| collection | DOAJ |
| description | Background: Despite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified.
Aim: The aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic.
Setting: The setting for this study was a peri-urban PHC clinic in KwaZulu-Natal.
Method: This was an observational, descriptive and cross-sectional study with 348 patients selected over a 1-month period. A validated questionnaire was used to collect data on patients’ hypertension knowledge and self-reported adherence, and BP recordings from their medical record were recorded to ascertain control.
Results: Of the 348 participants, only 49% had good BP control and 44% (152/348) had concurrent diabetes mellitus. The majority of patients had moderate levels of knowledge on hypertension and exhibited moderate adherence. There was a significant relationship between knowledge and reported adherence, between reported adherence and control, but not between reported knowledge and control.
Conclusion: Despite over 90% of the study population having moderate knowledge, and 62% with moderate reported adherence, BP was well controlled in only less than 50% of the study population. These findings suggest a need to emphasise adherence and explore new ways of approaching adherence. |
| first_indexed | 2024-04-14T02:25:44Z |
| format | Article |
| id | doaj.art-ab61973970274090af6e4fb715a43e82 |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-04-14T02:25:44Z |
| publishDate | 2017-10-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-ab61973970274090af6e4fb715a43e822022-12-22T02:17:54ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362017-10-0191e1e710.4102/phcfm.v9i1.1456494Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-NatalOlumuyiwa A. Olowe0Andrew J. Ross1Mbogolowane District Hospital, KwapettSchool of Nursing and Public Health, College of Health Sciences, University of KwaZulu-NatalBackground: Despite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified. Aim: The aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic. Setting: The setting for this study was a peri-urban PHC clinic in KwaZulu-Natal. Method: This was an observational, descriptive and cross-sectional study with 348 patients selected over a 1-month period. A validated questionnaire was used to collect data on patients’ hypertension knowledge and self-reported adherence, and BP recordings from their medical record were recorded to ascertain control. Results: Of the 348 participants, only 49% had good BP control and 44% (152/348) had concurrent diabetes mellitus. The majority of patients had moderate levels of knowledge on hypertension and exhibited moderate adherence. There was a significant relationship between knowledge and reported adherence, between reported adherence and control, but not between reported knowledge and control. Conclusion: Despite over 90% of the study population having moderate knowledge, and 62% with moderate reported adherence, BP was well controlled in only less than 50% of the study population. These findings suggest a need to emphasise adherence and explore new ways of approaching adherence.https://phcfm.org/index.php/phcfm/article/view/1456HypertensionKnowledgeAdherencControlPeri-urbanKwaZulu-Natal |
| spellingShingle | Olumuyiwa A. Olowe Andrew J. Ross Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal African Journal of Primary Health Care & Family Medicine Hypertension Knowledge Adherenc Control Peri-urban KwaZulu-Natal |
| title | Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal |
| title_full | Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal |
| title_fullStr | Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal |
| title_full_unstemmed | Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal |
| title_short | Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal |
| title_sort | knowledge adherence and control among patients with hypertension attending a peri urban primary health care clinic kwazulu natal |
| topic | Hypertension Knowledge Adherenc Control Peri-urban KwaZulu-Natal |
| url | https://phcfm.org/index.php/phcfm/article/view/1456 |
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