Key result
The quality of lifestyle modification counseling offered to hypertensive patients depended significantly on the type of follow-up doctor rather than the healthcare facility location.
Why the study?
Effective hypertension control depends on patient awareness of lifestyle modifications, but the quality of counseling received by hypertensive patients and its relation to blood pressure control and complications required assessment.
Cross-Sectional (n=250)
Yes
The quality of lifestyle and complication counseling provided to hypertensive patients in Sudan is highly dependent on the doctor's level of training rather than the healthcare facility setting, highlighting a need for targeted physician education.
Counseling quality in hypertension may link to control; cross-sectional data leaves open causal effects on complications.
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.
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Sahar et al. (2023) conducted a cross-sectional in Hypertension (n=250). Follow-up doctor type (Family physician, Physician, Registrar, Senior House Officer) vs. Between different doctor types was evaluated on Counseling offered about diet by follow-up doctor (p=0.002). The quality of lifestyle modification counseling offered to hypertensive patients depended significantly on the type of follow-up doctor rather than the healthcare facility location.
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