Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein.
S Afr Fam Pract (2004). 2024 Aug 8;66(1):e1-e4. doi: 10.4102/safp.v66i1.5961.
Hypertension (HT) silently threatens one in three adults, especially older adults, who struggle with blood pressure (BP) control because of limited health access, poor adherence to medication and failure to make lifestyle changes. This increases their risk for heart disease, kidney failure and dementia. Fortunately, adult day care centres (ADCCs) offer hope. These community facilities provide daytime care, including health support services, social activities and exercise. This study investigated the perceived effect of adult daycare centre attendance on BP control and treatment adherence.
A mainly descriptive study at MUCPP Community Health Centre (CHC) in Bloemfontein, South Africa, between July 2020 and September 2020, used questionnaires researchers completed during interviews. The researchers approached 372 hypertensive patients of a minimum of 60 years old and at least 2 years since being diagnosed.
Of the 90 who attended ADCCs, 71.1% had controlled hypertension compared to 51.4% of those who did not. While treatment adherence showed no difference, a positive association between ADCC attendance and BP control is evident.
The findings suggest a promising link between ADCC attendance and improved BP control in older adults with hypertension. Adult Day Care Centres warrant further exploration as it seems to be an encouraging support intervention for this vulnerable population.Contribution: This study highlights the positive impact ADCCs have on hypertension management in older adults, urging increased physician awareness and patient referrals.
高血压(HT)无声地威胁着每三名成年人中的一人,尤其是老年人,由于健康资源有限、对药物治疗的依从性差以及无法改变生活方式,他们在控制血压方面面临困难。这增加了他们患心脏病、肾衰竭和痴呆的风险。幸运的是,成人日间护理中心(ADCC)带来了希望。这些社区设施提供日间护理,包括健康支持服务、社交活动和锻炼。本研究调查了成人日间护理中心的参与对血压控制和治疗依从性的感知效果。
这是一项在南非布隆方丹 MUCPP 社区健康中心(CHC)进行的主要描述性研究,时间为 2020 年 7 月至 2020 年 9 月,使用了研究人员在访谈期间完成的问卷。研究人员接触了 372 名年龄至少 60 岁且确诊至少 2 年的高血压患者。
在参加 ADCC 的 90 人中,71.1%的人血压得到控制,而未参加 ADCC 的人只有 51.4%。虽然治疗依从性没有差异,但 ADCC 参与和血压控制之间存在明显的正相关。
研究结果表明,ADCC 参与与改善老年高血压患者的血压控制之间存在有希望的联系。成人日间护理中心值得进一步探索,因为它似乎是对这一脆弱人群的一种令人鼓舞的支持干预措施。
本研究强调了 ADCC 对老年高血压管理的积极影响,促使医生提高认识并增加患者转诊。