在林波波的一个农村医院遵守高血压管理:一个横截面研究
Murendeni F Sikhau1, Mbuyisa J Makhubu, Gert J O Marincowitz
1Department of Family Medicine, Faculty of Health Sciences, University of Limpopo, Mankweng. murendeni.sikhau@ul.ac.za.
概括
只有42%的南非高血压患者坚持治疗. 诸如就业,教育和收入等因素显著影响了遵守,突出了改善高血压管理的有针对性的干预措施的必要性.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 医疗治疗 坚持 医疗治疗
背景情况:
- 不遵守高血压治疗是一个重要的问题,导致失控的血压和并发症.
- 在南非,大约50%的成年人患有高血压,其坚持率在41.9%至45.5%之间.
- 了解不遵守的原因对于有效的高血压管理至关重要.
研究的目的:
- 评估高血压患者的治疗坚持和血压控制.
- 为了确定与不坚持抗高血压药物相关的因素.
主要方法:
- 在Mokopane的Voortrekker医院对243名高血压患者进行了一项横截面研究.
- 数据采集使用关于社会人口统计和病史的问卷.
- 使用高血压患者治疗依从度量 (TASHP) 测量治疗依从度.
主要成果:
- 只有42%的参与者坚持他们的抗高血压治疗.
- 56%的患者可以控制血压.
- 工作,高等教育,较短的高血压持续时间 (<1年) 和较高的收入 (>R3000/月) 与更好的遵守有关.
结论:
- 在莫科潘地区的高血压患者中,治疗的坚持和血压控制仍然不足.
- 教育程度较低,失业,收入较低 (<3000卢比/月) 或长期高血压 (>15年) 的患者更容易受到不良坚持的影响.
- 制定有效的策略来提高遵守,特别是对弱势群体,是必不可少的.
相关概念视频
Hypertension V: Nursing Management
366
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
366
Errors occurring during blood pressure monitoring
1.3K
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
1.3K
Hypertension III: Clinical Manifestations and Diagnostic Studies
472
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
472
Pre-Procedural Guidelines for Assessing Blood Pressure
820
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
820
Blood Pressure
4.2K
Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
4.2K
Hypertension IV: Drug Therapy and Lifestyle Modifications
624
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
624

