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首页> 外文期刊>South African medical journal = >Multimorbidity, control and treatment of non-communicable diseases among primary healthcare attenders in the Western Cape, South Africa
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Multimorbidity, control and treatment of non-communicable diseases among primary healthcare attenders in the Western Cape, South Africa

机译：南非西开普省主要医疗保健人员的多发病率，非传染性疾病的控制和治疗

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BACKGROUND: South Africa (SA) is facing a heavy burden of non-communicable diseases (NCDs). Few studies address multimorbidity, control and treatment of NCDs in patients attending primary healthcare (PHC) clinics. OBJECTIVES: To describe multimorbidity, related risk factors, disease severity and treatment status of patients with four important NCDs attending public sector PHC clinics in two districts in SA. METHODS: A cross-sectional sample of patients completed baseline data collection for a randomised controlled trial of a health systems intervention. The study population comprised adults attending PHC clinics in the Eden and Overberg districts of the Western Cape in 2011. Four subgroups of patients were identified: hypertension, diabetes, chronic respiratory disease and depression. A total of 4 393 participants enrolled from 38 clinics completed a baseline structured questionnaire and had measurements taken. Prescription data were recorded. RESULTS: Of participants with hypertension, diabetes, respiratory disease and depression, 80%, 92%, 88% and 80%, respectively, had at least one of the other three conditions. There were low levels of control and treatment: 59% of participants with hypertension had a blood pressure 140/90 mmHg, the mean haemoglobin A1c (HbA1c) value in participants with diabetes was 9%, 12% of participants in the depression group were prescribed an antidepressant at a therapeutic dose, and 48% of respiratory participants were prescribed a β2-agonist and 34% an inhaled corticosteroid. CONCLUSION: Considerable multimorbidity and unmet treatment needs exist among patients with NCDs attending public sector PHC clinics. Improved strategies are required for diagnosing and managing NCDs in this sector.
机译：背景：南非（SA）面临着沉重的非传染性疾病（NCD）负担。很少有研究针对初级保健（PHC）诊所患者的NCD多发病，控制和治疗。目的：描述在SA的两个地区的公共部门PHC诊所就诊的四个重要NCD患者的多发病率，相关的危险因素，疾病严重性和治疗状况。方法：患者的横断面样本完成了基线数据收集，用于卫生系统干预措施的随机对照试验。该研究人群包括2011年在西开普省伊甸园和奥弗贝格地区就读初级保健诊所的成年人。确定了四个亚组的患者：高血压，糖尿病，慢性呼吸道疾病和抑郁症。来自38个诊所的总共4393名参与者完成了基线结构化问卷并进行了测量。记录处方数据。结果：在患有高血压，糖尿病，呼吸系统疾病和抑郁症的参与者中，分别有80％，92％，88％和80％的人患有其他三种疾病中的至少一种。对照和治疗水平低：59％的高血压参与者血压> 140/90 mmHg，糖尿病参与者的平均血红蛋白A1c（HbA1c）值为9％，抑郁组的参与者为12％开出了治疗剂量的抗抑郁药，并给48％的呼吸道参与者开出了β2-激动剂，34％吸入了皮质类固醇。结论：在公共部门初级保健诊所就诊的非传染性疾病患者中存在相当多的发病率和未满足的治疗需求。诊断和管理该部门的非传染性疾病需要改进的策略。

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