Quality of Counseling About Lifestyle Modifications and Complications of Hypertensive Patients, Sudan

Abstract

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.