Factors associated with uncontrolled blood pressure in adult hypertensive patients on follow-up at Enat General Hospital, Amhara, Ethiopia, 2021

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2024-01-01 DOI:10.1016/j.ijans.2023.100641

Melese Wagaye , Prem Kumar , Wondwossen Yimam , Fatuma Seid , Samuel Anteneh , Mitaw Girma , Yemiamrew Getachew , Yosef Zenebe , Zelalem Debebe , Mulugeta W/Selassie

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引用次数: 0

Abstract

Background

Uncontrolled hypertension in hypertensive patients is a significant public health issue in both developed and developing nations, and it can result in early death and disability on a global scale.

Objective

To assess factors associated with uncontrolled BP among adult patients with hypertension attending Enat General Hospital, Ethiopia.

Method

An institutional-based cross-sectional study design was employed from May 1 to June 30, 2021. A systematic random sampling technique was used to select 403 study participants. Epi-data version 4.6 and SPSS version 25 was used to enter and analyze the data respectively. Variables with P-value < 0.25 in bi-variable logistic regression analysis were imported to multivariate logistic regression analysis. Finally, variables with p-value < 0.05 were declared for statistical significance.

Results

About 47.8% of participants had uncontrolled BP with a response rate of 95%. Abnormal waist circumference (AOR: 3.703, 95% CI 1.690–8.133), moderate stress (AOR: 4.838, 95% CI 2.072–11.294), high stress (AOR: 3.894, 95% CI 1.653–9.170), alcohol use (AOR: 3.097, 95% CI 1.665–5.763), high anxiety (AOR: 4.127, 95% CI 1.120–15.00), borderline anxiety (AOR: 6.560, 95 % CI 2.941–14.633), not eating fruit (AOR: 3.022, 95 % CI 1.430–6.386), medication non-adherence (AOR: 9.266, 95 % CI = 2.054–41.804), salt (AOR: 2.336, 95 % CI 1.269–4.302), and comorbidity (AOR: 3.204, 95 % CI 1.046–9.808) were factors associated with uncontrolled BP.

Conclusions

Uncontrolled BP was strongly correlated with stress, alcohol use, anxiety, less fruit-eating habits, salt intake, medication nonadherence, co-morbidities. Regular follow-up, early care seeking for co-morbidity and the provision of health education regarding lifestyle changes are all recommended.

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2021 年埃塞俄比亚阿姆哈拉州埃纳特综合医院随访的成年高血压患者血压失控的相关因素

背景在发达国家和发展中国家，高血压患者的高血压未得到控制都是一个重大的公共卫生问题，它可能导致全球范围内的早死和残疾。 Objective To assess factors with uncontrolled BP among adult patients with hypertension attending Enat General Hospital, Ethiopia.方法在 2021 年 5 月 1 日至 6 月 30 日期间，采用基于机构的横断面研究设计。采用系统随机抽样技术选取了 403 名参与者。分别使用 Epi-data 4.6 版和 SPSS 25 版输入和分析数据。将双变量逻辑回归分析中 P 值为 0.25 的变量导入多变量逻辑回归分析。结果约 47.8%的参与者血压未得到控制，应答率为 95%。异常腰围（AOR：3.703，95% CI 1.690-8.133）、中度压力（AOR：4.838，95% CI 2.072-11.294）、高度压力（AOR：3.894，95% CI 1.653-9.170）、饮酒（AOR：3.097，95% CI 1.665-5.763）、高度焦虑（AOR：4.127，95% CI 1.120-15.00）、边缘型焦虑（AOR：6.560，95% CI 2.941-14.633）、不吃水果（AOR：3.022，95% CI 1.430-6.386）、不服药（AOR：3.022，95% CI 1.430-6.386）。结论血压失控与压力、饮酒、焦虑、少吃水果的习惯、盐摄入量、不按时服药、合并疾病密切相关。建议定期随访、及早寻求并发症的治疗并提供有关改变生活方式的健康教育。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.