Quality of hypertension management in public primary care clinics in Malaysia: An update

Teh, Xin Rou; Lim, Ming Tsuey; Tong, Seng Fah; Husin, Masliyana; Khamis, Noraziani; Sivasampu, Sheamini

doi:10.1371/journal.pone.0237083

Cited by 16 publications

(19 citation statements)

References 25 publications

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“…Half of the studies in a systematic review reported that the professionals' adherence to clinical guidelines decreased after more than one year of implementation 30 . A recent article reported gaps in guidelines and actual clinical management among hypertensive patients in Malaysia 31 …”

Section: Discussionmentioning

confidence: 99%

Changes in body mass index, glycosylated hemoglobin A1C, blood pressure, and LDL‐cholesterol among type 2 diabetes patients in Malaysia: A population‐based longitudinal study

Wan

Moy

Mustapha

et al. 2021

Journal of Diabetes

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Background This study aimed to describe changes in body mass index, glycosylated hemoglobin A1C, blood pressure, and low‐density lipoprotein (LDL)‐cholesterol among type 2 diabetes patients in Malaysia. Methods A five‐year retrospective cohort study was conducted using data from the National Diabetes Registry. Type 2 diabetes patients aged ≥18 years and had ≥2 clinical audits between 2013 and 2017 were included in the analysis. The first audit information formed the baseline characteristics, and the last audit information was used for comparison. Individualized A1C, blood pressure, and LDL‐cholesterol goals were adapted from Malaysian Clinical Practice Guidelines on Type 2 Diabetes Management 2020, American Diabetes Association 2020, and European Association for the Study of Diabetes 2019. Results Of the 18 341 patients, 55.8% were female and 64.9% Malay ethnicity. The baseline mean age was 59.3 ± 10.6 years. During an average of 2.5 person‐years of follow‐up, the mean body mass index dropped by 0.16 kg/m2 to 27.9 kg/m2, A1C increased by 0.16% to 8.0%, systolic blood pressure increased by 1.4 mm Hg to 136.2 mm Hg, diastolic blood pressure decreased by 1.0 mm Hg to 77.3 mm Hg and LDL‐cholesterol reduced by 0.12 mmol/L to 2.79 mmol/L, P < 0.001 for all. Out of eight categories of individualized goals, most patients achieved the A1C goal of ≤8.0%. The new LDL‐cholesterol goal of <1.4 mmol/L was least likely to be achieved. Conclusions The body mass index, A1C, blood pressure, and LDL‐cholesterol performance remained suboptimal. Standards of care for these clinical parameters remain to be achieved by the majority of diabetes patients.

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Section: Discussionmentioning

confidence: 99%

Changes in body mass index, glycosylated hemoglobin A1C, blood pressure, and LDL‐cholesterol among type 2 diabetes patients in Malaysia: A population‐based longitudinal study

Wan

Moy

Mustapha

et al. 2021

Journal of Diabetes

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“…The clinical aspects analyzed demonstrate the high percentage of patients with a prescription for this pathology; thus, both in this study and in the study by Teh et al, almost all individuals had two or more antihypertensive drugs prescribed [ 33 ]. Furthermore, it is notorious that medication time is extended [ 34 ] and usually accompanies the time to diagnosis [ 30 ].…”

Section: Discussionmentioning

confidence: 84%

“…Fatalism (items 7,8,12,15,24,30,33,35,and 45) that enables us to know if the patient sees the diagnosis as a minor threat with absent attitudes of confrontation and serenity about the results-passive acceptance; -Avoidance/denial (items 38) understood as the refusal of diagnosis or admission of diagnosis but denying the severity with a positive view of the prognosis in which the issue of control is irrelevant.…”

mentioning

confidence: 99%

Effect of an Educational Nursing Intervention on the Mental Adjustment of Patients with Chronic Arterial Hypertension: An Interventional Study

Alves

Rodrigues

Sá‐Couto

et al. 2021

IJERPH

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The objective of this analytical and interventional prospective quantitative study was to assess the effect of an educational intervention performed by nurses for mental adjustment to chronic disease in patients with hypertension. A convenience sample was studied, composed of 329 participants with chronic hypertension, followed in a primary healthcare unit in the Central Region of Portugal. Data collection was carried out by applying the Mental Adjustment to Disease Scale (MADS) before and 1 month after the educational nursing intervention between September 2017 and February 2018. Prior to the application of the educational intervention, 43.5% of the participants were classified as “unadjusted” in at least one of the subscales of MADS. After the educational intervention, 21.3% of the participants classified as “unadjusted” became “adjusted” in all MADS subscales. The success rate of the intervention varied from 26.9% (in the fatalism subscale) to 44.6% (for the anxious concern subscale). Participants were more likely to be mentally “unadjusted” to hypertension if they lived with other family members, had an active professional situation before the diagnosis of hypertension, still had an active professional situation now, were under 65 years old, had a shorter time to diagnosis (1–2 years), and measured blood pressure less regularly. The educational intervention performed by nurses is relevant for the mental adjustment of hypertensive patients, contributing to increased knowledge, as well as improvement in preventive and self-care practices, facilitating the experience of the health/disease transition process.

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“…MyHEBAT-CRES recruited participants through nationwide sampling which covered urban/rural areas in 11 states of Malaysia. Instead of targeting participants with a specific disease or condition, MyHEBAT-CRES recruited Malaysian participants with or without known health status, since several studies in Malaysia indicated that Malaysians lacked awareness of their health status and were unaware of which risk factors contributed to CVD [ 5 , 7 , 27 , 35 ].…”

Section: Malaysian Health and Wellbeing Assessment (Myhebat)mentioning

confidence: 99%

The Malaysian HEalth and WellBeing AssessmenT (MyHEBAT) Study Protocol: An Initiation of a National Registry for Extended Cardiovascular Risk Evaluation in the Community

Khan

Ramli

Razak

et al. 2022

IJERPH

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Cardiovascular disease (CVD) has been a burden to many developing countries for decades, including Malaysia. Although various steps have been taken to prevent and manage CVD, it remains the leading cause of morbidity and mortality. The rising prevalence of CVD risk factors such as hypertension, hypercholesterolaemia, diabetes, overweight and obesity is the main driving force behind the CVD epidemic. Therefore, a nationwide health study coined as the Malaysian Health and Wellbeing Assessment (MyHEBAT) was designed. It aimed to investigate the prevalence of CVD and the associated risk factors in the community across Malaysia. The MyHEBAT study recruited participants (18–75 years old) through community health screening programmes from 11 states in Malaysia. The MyHEBAT study was further divided into two sub-studies, namely, the Cardiovascular Risk Epidemiological Study (MyHEBAT-CRES) and the MyHEBAT Familial Hypercholesterolaemia Study (MyHEBAT-FH). These studies assessed the prevalence of CVD risk factors and the prevalence of FH in the community, respectively. The data garnered from the MyHEBAT study will provide information for healthcare providers to devise better prevention and clinical practice guidelines for managing CVD in Malaysia.

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Quality of hypertension management in public primary care clinics in Malaysia: An update

Abstract: Introduction Adequate control of hypertension is a global challenge and is the key to reduce cardiovascular disease risk factors. This study evaluates management of hypertensive patients in primary care clinics in Malaysia.

Cited by 16 publications

References 25 publications

Changes in body mass index, glycosylated hemoglobin A1C, blood pressure, and LDL‐cholesterol among type 2 diabetes patients in Malaysia: A population‐based longitudinal study

Changes in body mass index, glycosylated hemoglobin A1C, blood pressure, and LDL‐cholesterol among type 2 diabetes patients in Malaysia: A population‐based longitudinal study

Effect of an Educational Nursing Intervention on the Mental Adjustment of Patients with Chronic Arterial Hypertension: An Interventional Study

The Malaysian HEalth and WellBeing AssessmenT (MyHEBAT) Study Protocol: An Initiation of a National Registry for Extended Cardiovascular Risk Evaluation in the Community

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