Pensions and Low Sodium Salt: A Qualitative Evaluation of a New Strategy for Managing Hypertension in Rural South Africa.
Pensions and Low Sodium Salt: A Qualitative Evaluation of a New Strategy for Managing Hypertension in Rural South Africa.
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DOI：
10.2174/1874609811666180718114250
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发表时间：
2018-01-01
影响因子：
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通讯作者：
Tollman, Stephen
中科院分区：
文献类型：
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作者：
Lloyd-Sherlock, Peter;Gomez-Olive, Francesc X;Tollman, Stephen
背景技术背景：本文介绍了一项试点研究，以评估一种新的干预措施，以改善南非农村老年人高血压的管理的可行性。在所有国家中，南非老年人的高血压控制率最高。值得注意的是，南非有一个广泛的老年补助金（养老金），这是每月交付给公民生活在农村village.METHODS：我们评估了参与老年人在养老金交付点的可行性在普马兰加省的阿金库尔分区。这包括提供有关高血压的信息，测量血压，转诊到初级保健服务，并提供每月供应的低钠盐。我们招募了20名60岁及以上的人参加试点干预，在两个村庄进行了三个多月。接近尾声的干预，我们进行了重点小组与研究参与者，并举行了一次会议，与当地的利益相关者，包括区卫生办公室和国家社会保障agency.RESULTS：试点研究表明（一）持续参与与原来的20名参与者。其中19人在随后的每月养恤金日继续参加干预。(ii)低钠盐产品的高接受度反映在焦点小组的重复使用和评论中。(iii)大力支持干预措施，并愿意与当地利益攸关方合作。(iv)参与者认为与高血压相关的症状已经减轻。这是支持的血压读数超过三个月的follow-up.CONCLUSION：虽然范围有限，这项试点研究提供了证据的干预和理由的可行性进行测试，在更大，更强大的基础上。
BACKGROUND: This paper describes a pilot study to assess the feasibility of a novel intervention to improve the management of hypertension among older people in rural South Africa. Older South Africans have the highest rates of uncontrolled hypertension recorded for any country. Notably, South Africa has a widely-available old age grant (pension), which is delivered on a monthly basis to citizens living in rural villages.METHODS: We assessed the feasibility of engaging with older people at the point of pension delivery in the Agincourt sub-district of Mpumalanga Province. This included providing information about hypertension, measuring blood pressure, referral to primary care services, and providing a monthly supply of low sodium salt. We recruited 20 people aged 60 and over to participate in the pilot intervention, which was conducted over three months in two villages. Towards the end of the intervention, we conducted focus groups with study participants and held a meeting with local stakeholders, including the district health office and the state social security agency.RESULTS: The pilot study demonstrated (i) Sustained engagement with the original 20 participants. Of these, 19 continued to participate in the intervention during subsequent monthly pension days. (ii) A high level of acceptance of the low sodium salt product reflected in repeat usage and comments made in the focus groups. (iii) Strong support for the intervention and a willingness to collaborate with local stakeholders. (iv) A perception among participants that symptoms they associated with hypertension had abated. This is supported by blood pressure readings made over the three months of follow-up.CONCLUSION: Though limited in scope, this pilot study provided evidence of the feasibility of the intervention and justification for it to be tested on a larger and more robust basis.