Assessment of follow-up care received by patients with hypertension at primary health care facilities in Tshwane district of Gauteng Province, South Africa
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Authors
Manyelo, Mmamoeketsi Julia
Issue Date
2019-08
Type
Dissertation
Language
en
Keywords
Assessment , Follow-up care , Hypertension , Primary Health Care
Alternative Title
Abstract
Introduction. The purpose of this study was to evaluate the follow-up care received by
patients with hypertension at Primary Health Care (PHC) facilities in Tshwane District of
Gauteng Province, South Africa. Method. A quantitative, descriptive and retrospective
design methods were adopted, and a simple random sampling technique was used where
ten PHC facilities were selected. Ten files from each selected PHC facility were then
conveniently sampled from which data were collected using a checklist. Data were
analysed using the Statistical Package for Social Sciences (SPSS) version 25. Results
were divided into adherence and non-adherent attributes.
Adherent: Blood pressure measurement were recorded at (100%), pulse rate (96%),
Estimated Glomerular Filtration Rate (eGFR) (70%), Cholesterol (66%) and evaluation
of whether the patient had oedema or not was done at (64%).
Non-adherence: Where patients were not assessed adequately: Patients not
assessed for dyspnoea (99%), Raised Jugular venous pressure (99%), Apex beat
(100%) and basal crepitations (83%). Number of pillows used (100%) to check
development of Nocturnal Paroxysmal Dyspnoea, which is a reliable sign of left
ventricular failure. Cyanosis (72%), clubbing (72%), history of chest pains (100%),
body mass index (BMI) (82%), waist circumference (100%), blood glucose (77%),
urine test and eye test in the past 12 months were (68%) and (100%) not recorded
respectively. Adherence as well as side effects to prescribed medication were (100%)
unrecorded. On lifestyle modification, smoking (90%), alcohol use (91%), exercise (99%), salt and fat reduction (100%) unrecorded. Conclusion. The study found a
significant percentage (93.4%) of non-adherence to Hypertension Guidelines by
consulting nurses at selected PHC facilities.
Description
Text in English