Provider Adherence to National Guidelines for Managing Hypertension in African Americans
Joint Authors
Sessoms, Jeanette
Reid, Kathryn
Williams, Ishan
Hinton, Ivora
Source
International Journal of Hypertension
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-13
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To evaluate provider adherence to national guidelines for the treatment of hypertension in African Americans.
Design.
A descriptive, preexperimental, quantitative method.
Methods.
Electronic medical records were reviewed and data were obtained from 62 charts.
Clinical data collected included blood pressure readings, medications prescribed, laboratory studies, lifestyle modification, referral to hypertension specialist, and follow-up care.
Findings.
Overall provider adherence was 75%.
Weight loss, sodium restriction, and physical activity recommendations were documented on 82.3% of patients.
DASH diet and alcohol consumption were documented in 6.5% of participants.
Follow-up was documented in 96.6% of the patients with controlled blood pressure and 9.1% in patients with uncontrolled blood pressure.
Adherence in prescribing ACEIs in patients with a comorbidity of DM was documented in 70% of participants.
Microalbumin levels were ordered in 15.2% of participants.
Laboratory adherence prior to prescribing medications was documented in 0% of the patients and biannual routine labs were documented in 65% of participants.
Conclusion.
Provider adherence overall was moderate.
Despite moderate provider adherence, BP outcomes and provider adherence were not related.
Contributing factors that may explain this lack of correlation include patient barriers such as nonadherence to medication and lifestyle modification recommendations and lack of adequate follow-up.
Further research is warranted.
American Psychological Association (APA)
Sessoms, Jeanette& Reid, Kathryn& Williams, Ishan& Hinton, Ivora. 2015. Provider Adherence to National Guidelines for Managing Hypertension in African Americans. International Journal of Hypertension،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1066119
Modern Language Association (MLA)
Sessoms, Jeanette…[et al.]. Provider Adherence to National Guidelines for Managing Hypertension in African Americans. International Journal of Hypertension No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1066119
American Medical Association (AMA)
Sessoms, Jeanette& Reid, Kathryn& Williams, Ishan& Hinton, Ivora. Provider Adherence to National Guidelines for Managing Hypertension in African Americans. International Journal of Hypertension. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1066119
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1066119