Patients’ blood pressure control and doctors’ adherence to hypertension clinical practice guideline in managing patients at health clinics in Kuala Muda district, Kedah
- Author:
Teoh Soo Huat
;
Razlina Abdul Rahman
;
Norwati Daud, MMed
;
Siti Suhaila Mohd Yusoff
- Publication Type:Journal Article
- Keywords:
Blood pressure control;
hypertension;
guidelines;
adherence
- From:
The Medical Journal of Malaysia
2017;72(1):18-25
- CountryMalaysia
- Language:English
-
Abstract:
background: blood pressure (bP) control among Malaysian
is poor and doctor’s adherence to clinical practice guideline
(cPG) has been a well-known factor that may improve it.
this study was designed to evaluate patients’ bP control,
doctors’ adherence to the latest hypertension cPG and their
association. Factors associated with bP control and cPG
adherence was also examined.
Methods: A cross-sectional study was conducted in Kuala
Muda district’s health clinics. 331 medical records were
selected using stratified random sampling and standard
proforma was used for data collection. the latest edition of
the Malaysian cPG on hypertension was employed to define
related variables. results: A total of 160 patients (48.3%) had
controlled bP and it was significantly associated with
patients’ age (adjusted Odds ratio, aOr= 1.03, 95% cI:
1.004, 1.05, p= 0.016) and systolic bP at presentation (aOr=
0.95, 95% cI: 0.93, 0.96, p< 0.001). About 60.7% of the
medical records showed doctor’s good level of cPG
adherence. this adherence has significant association with
presence of chronic kidney disease (aOr= 0.51, 95% cI:
0.31, 0.85, p= 0.007) and cardiovascular disease (aOr= 2.68,
95% cI: 1.04, 6.95, p= 0.030) in the patients and physicians’
treatment intensification (aOr= 2.00, 95% cI: 1.26, 3.19, p=
0.009). However, no association was found between bP
control and cPG adherence.
conclusion: Hypertension control in this study was poor
and the prevalence of physicians with good level of cPG
adherence was slightly above average. these findings are
important for relevant stakeholders to strategise an action
plan to improve hypertension management outcome.
- Full text:P020170303542110541244.pdf
