Physicians' approach to the management of hypertension in a developing community.
General physicians' (GP) approach to the management of hypertension was assessed by a standard questionnaire. Each of the 42 physicians studied see about 42 patients in a clinic day. Over half do not usually measure the blood pressure (BP) of all new patients. A third do not investigate before starting therapy. Over half commence drug therapy with less than three BP readings, while over two thirds do so from appropriate BP levels. Over 70% employ sedatives in treatment (50% as the only initial therapy); 45% employ parenteral drugs from a diastolic BP of 110 mmHg. Over 40% do not educate their patients on the implications of hypertension and the need for regular treatment and follow-up, but most give follow-up appointments. Patients are requested to stop therapy once BP is normalised by 25.9% of GPs. These practices were not significantly influenced by years of experience or by being a GP in a teaching hospital system (P > 0.1 and P > 0.5, respectively). The study suggests that physician recognition and management of hypertension is still inadequate and this might in part be related to a general heavy patient load. In addition, continued medical education is essential for physicians for the purpose of improving our management skills.
Olubodun
J O
JO
Dept of Medicine, Obafemi Awolowo College of Health Sciences, Ogun State University Teaching Hospital, Shagamu, Nigeria.
D000959:Antihypertensive Agents / Q000627:therapeutic use; D001071:Appointments and Schedules; D001291:Attitude of Health Personnel; D001794:Blood Pressure; D003906:Developing Countries; D004502:Education, Medical, Continuing; D005194:Family Practice / Q000193:education; D005260:Female; D005500:Follow-Up Studies; D006784:Hospitals, Teaching; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy*; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D008297:Male; D009549:Nigeria; D010353:Patient Education as Topic; D010361:Patients; D010817:Physician-Patient Relations; D010820:Physicians; D010865:Pilot Projects; D010818:Practice Patterns, Physicians'; D011364:Professional Practice; D013997:Time Factors
D000959:Antihypertensive Agents; D006993:Hypnotics and Sedatives