在南非马特洛萨纳实施高血压指南和控制血压
Keolebile I Ditlhabolo1, Carien Lion-Cachet, Ebrahim Variava
1Department of Family Medicine and Primary Health Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg Department of Family Medicine, Primary Health Care Matlosana Sub-district, Dr Kenneth Kaunda District, North West Department of Health, Klerksdorp. keolibile@yahoo.com.
概括
在南非马特洛萨纳,高血压 (高血压) 的管理是不理想的,在初级保健机构记录的指导方针遵守和血压控制不佳. 需要持续的质量改进计划来提高高血压护理.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 主要护理医学 医疗保健
背景情况:
- 高静脉压是全球和南非心血管疾病的主要可修改风险因素.
- 有限的数据存在于高血压指南的实施和血压控制在马特洛萨纳分区,西北省,南非.
- 心血管疾病预防策略需要在初级保健机构有效管理高血压.
研究的目的:
- 评估南非高血压实践指南 (SAHPG) 的实施情况.
- 为了评估高血压的成年患者中血压 (BP) 控制,在Matlosana参加初级保健设施.
- 识别高血压管理中的差距,并确定质量改进的领域.
主要方法:
- 采用了横截面研究设计.
- 分析了523个随机抽样的医疗记录.
- 数据包括人口统计,血压读数,人体测量,查目标器官损伤,并发症,并发症,生活方式建议和药物治疗.
主要成果:
- 参与者的平均年龄为56.77岁,71.9%是女性.
- 血压控制仅在43.8%的记录中得到记录.
- 人类免疫缺陷病毒 (HIV) 是最常见的并发症,在HIV阳性患者中观察到更好的血压控制.
结论:
- 在患者记录中,SAHPG建议的记录很差.
- 在受研究的人群中,血压控制不理想.
- 查目标器官损伤和高血压并发症需要改进;持续的质量改进计划是必不可少的.
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