Abstract
To extend the life expectancy of all South Africans to at least 70 years by 2030, hypertension follow-up care needs to be strengthened so that patients do not develop complications while in care. The aim of this study was to evaluate the follow-up care received by patients with hypertension at primary health care (PHC) facilities in Tshwane district. The study setting was ten PHC facilities in the aforesaid district. Quantitative, descriptive and retrospective methods were adopted, and simple random sampling was used to select ten PHC facilities from which ten files were conveniently sampled. Data were captured in Microsoft Excel 2010 and exported to IBM Statistical Package for the Social Sciences (SPSS) software version 21 in which data coding, outlier detection, missing value analysis and statistical data analysis were performed. In line with the study aim, frequency tables in SPSS were used to produce frequency statistics, and the chi-square test was used to test for the presence of association between compliance by nurses to clinical guidelines and categories of attributes, and further determine if there was a significant difference between adherence and non-adherence. The study found a significant proportion (93.4%) of non-adherence to hypertension guidelines among consulting nurses at selected PHC facilities.
Highlights
Hypertension is a global health condition of developed and developing countries including South Africa
17-million patients diagnosed with hypertension, a chronic, non-communicable and preventable disease, visit South primary health care (PHC) clinics for consultation
The National Department of Health (NDoH) of South Africa recommends that health professionals who are practicing in PHC clinics provide health education to enhance compliance with the management and control of hypertension [3]
Summary
Hypertension is a global health condition of developed and developing countries including South Africa. The condition of these patients is still not controlled even while on treatment [1]. While hypertension is a chronic, lifelong condition that needs regular and continued follow-up care, it requires. Skilled health care providers who are supported by the treatment guidelines of the National Department of Health (NDoH), South Africa. 17-million patients diagnosed with hypertension, a chronic, non-communicable and preventable disease, visit South PHC clinics for consultation. Hypertensive patients are initially encouraged to follow lifestyle modifications to promote control and management of the disease as part of its non-treatment management. Thereafter, if condition remains uncontrolled, hypertensive patients are informed to use daily treatment for the rest of their lives [2]. The NDoH of South Africa recommends that health professionals who are practicing in PHC clinics provide health education to enhance compliance with the management and control of hypertension [3]
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