Quality of Counseling About Lifestyle Modifications and Complications of Hypertensive Patients, Sudan
DOI:
https://doi.org/10.54536/ajmsi.v2i2.2115Keywords:
Counseling Quality, Doctor Sensitization, Hypertension, PHC HospitalsAbstract
Hypertension is a common chronic disease and an important public health problem. Effective hypertension control depends on patients being aware of the necessary lifestyle modifications. This study aimed to assess the quality of counseling received by hypertensive patients, the influence of blood pressure control and complications of hypertension. This cross-sectional study was conducted on hypertensive patients attending a private medical facility, a governmental facility and a PHC (Primary Health Care) center in Sudan. The patients were randomly selected, and their waist circumference, height and weight were recorded. The participants received counseling from family physicians and SHOs (Senior House Officers) about diet, mental relaxation, weight loss, exercise, smoking, and alcohol. The follow-up doctor vs. counseling showed a significant difference in counseling about diet, salt, fat intake, and smoking. The quality of counseling depended on the doctor rather than the follow-up location. The quality of counseling offered to hypertensive patients depends on the doctor rather than the location; almost half of the participants had to follow up with SHOs, including half of the participants with complications, and only a quarter received counseling about complications. For hypertensive patients, the quality of counseling depends on the doctor rather than the location. Recommendations include prioritizing lifestyle modifications and ensuring doctors are sensitive and aware of their counseling tactics with patients.
Downloads
References
Ademe, S., Aga, F., & Gela, D. (2019). Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia. BMC Health Services Research, 19(1), 51. https://doi.org/10.1186/s12913-019-3880-0
Akoko, B. M., Fon, P. N., Ngu, R. C., & Ngu, K. B. (2017). Knowledge of Hypertension and Compliance with Therapy Among Hypertensive Patients in the Bamenda Health District of Cameroon: A Cross-sectional Study. Cardiol Ther, 6(1), 53-67. https://doi.org/10.1007/s40119-016-0079-x
Al-Qasem, A., Smith, F., & Clifford, S. (2011). Adherence to medication among chronic patients in Middle Eastern countries: review of studies. East Mediterr Health J, 17(4), 356-363. https://pubmed.ncbi.nlm.nih.gov/22259896/
Alabousi, M., Abdullah, P., Alter, D. A., Booth, G. L., Hogg, W., Ko, D. T., Manuel, D. G., Farkouh, M. E., Tu, J. V., & Udell, J. A. (2017). Cardiovascular Risk Factor Management Performance in Canada and the United States: A Systematic Review. Can J Cardiol, 33(3), 393-404. https://doi.org/10.1016/j.cjca.2016.07.005
Arija, V., Villalobos, F., Pedret, R., Vinuesa, A., Jovani, D., Pascual, G., & Basora, J. (2018). Physical activity, cardiovascular health, quality of life and blood pressure control in hypertensive subjects: randomized clinical trial. Health Qual Life Outcomes, 16(1), 184. https://doi.org/10.1186/s12955-018-1008-6
Belaid, L., Bayo, P., Kamau, L., Nakimuli, E., Omoro, E., Lobor, R., Samson, B., & Dimiti, A. (2020). Health policy mapping and system gaps impeding the implementation of reproductive, maternal, neonatal, child, and adolescent health programs in South Sudan: a scoping review. Confl Health, 14, 20. https://doi.org/10.1186/s13031-020-00258-0
Bogale, S., Mishore, K. M., Tola, A., Mekuria, A. N., & Ayele, Y. (2020). Knowledge, attitude and practice of lifestyle modification recommended for hypertension management and the associated factors among adult hypertensive patients in Harar, Eastern Ethiopia. SAGE Open Med, 8, 2050312120953291. https://doi.org/10.1177/2050312120953291
Ferdinand, K., Batieste, T., & Fleurestil, M. (2020). Contemporary and future concepts on hypertension in African Americans: COVID-19 and beyond. Journal of the National Medical Association, 112(3), 315-323. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301145/
Hernandorena, I., Duron, E., Vidal, J. S., & Hanon, O. (2017). Treatment options and considerations for hypertensive patients to prevent dementia. Expert Opin Pharmacother, 18(10), 989-1000. https://doi.org/10.1080/14656566.2017.1333599
Hivert, M. F., Arena, R., Forman, D. E., Kris-Etherton, P. M., McBride, P. E., Pate, R. R., Spring, B., Trilk, J., Van Horn, L. V., & Kraus, W. E. (2016). Medical Training to Achieve Competency in Lifestyle Counseling: An Essential Foundation for Prevention and Treatment of Cardiovascular Diseases and Other Chronic Medical Conditions: A Scientific Statement From the American Heart Association. Circulation, 134(15), e308-e327. https://doi.org/10.1161/cir.0000000000000442
Kjeldsen, S. E. (2018). Hypertension and cardiovascular risk: General aspects. Pharmacol Res, 129, 95-99. https://doi.org/10.1016/j.phrs.2017.11.003
Lemogoum, D., Van de Borne, P., Lele, C. E. B., Damasceno, A., Ngatchou, W., Amta, P., Leeman, M., Preumont, N., Degaute, J. P., Kamdem, F., Hermans, M. P., Donnen, P., & Bovet, P. (2018). Prevalence, awareness, treatment, and control of hypertension among rural and urban dwellers of the Far North Region of Cameroon. J Hypertens, 36(1), 159-168. https://doi.org/10.1097/hjh.0000000000001513
Mente, A., O’Donnell, M., Rangarajan, S., McQueen, M., Dagenais, G., Wielgosz, A., Lear, S., Ah, S. T. L., Wei, L., Diaz, R., Avezum, A., Lopez-Jaramillo, P., Lanas, F., Mony, P., Szuba, A., Iqbal, R., Yusuf, R., Mohammadifard, N., Khatib, R., . . . Yusuf, S. (2018). Urinary sodium excretion, blood pressure, cardiovascular disease, and mortality: a community-level prospective epidemiological cohort study. Lancet, 392(10146), 496-506. https://doi.org/10.1016/s0140-6736(18)31376-x
Mináriková, D., Fazekaš, T., Minárik, P., & Jurišová, E. (2019). Assessment of patient counselling on the common cold treatment at Slovak community pharmacies using mystery shopping. Saudi Pharmaceutical Journal, 27(4), 574-583. https://doi.org/https://doi.org/10.1016/j.jsps.2019.02.005
Mosha, N. R., Mahande, M., Juma, A., Mboya, I., Peck, R., Urassa, M., Michael, D., & Todd, J. (2017). Prevalence,awareness and factors associated with hypertension in North West Tanzania. Glob Health Action, 10(1), 1321279. https://doi.org/10.1080/16549716.2017.1321279
Petrie, J. R., Guzik, T. J., & Touyz, R. M. (2018). Diabetes, Hypertension, and Cardiovascular Disease: Clinical Insights and Vascular Mechanisms. Can J Cardiol, 34(5), 575-584. https://doi.org/10.1016/j.cjca.2017.12.005
Poggio, R., Melendi, S. E., Beratarrechea, A., Gibbons, L., Mills, K. T., Chen, C. S., Nejamis, A., Gulayin, P., Santero, M., Chen, J., Rubinstein, A., He, J., & Irazola, V. (2019). Cluster Randomized Trial for Hypertension Control: Effect on Lifestyles and Body Weight. Am J Prev Med, 57(4), 438-446. https://doi.org/10.1016/j.amepre.2019.05.011
Salim, A. M. A., & Hamed, F. H. M. (2018). Exploring health insurance services in Sudan from the perspectives of insurers. SAGE Open Med, 6, 2050312117752298. https://doi.org/10.1177/2050312117752298
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Sahar Moawia Balla Elnour, Ziryab Zainelabdin Mohamed Elmahdi, Fatima Hassan Salman Nasr, Samar Moawia Balla Elnour, Ibtisam Ali
This work is licensed under a Creative Commons Attribution 4.0 International License.
