刚果民主共和国金普塞与高血压知识和控制相关的因素

IF 1.7 Q4 PRIMARY HEALTH CARE
Vainqueur N Diakengua, Ernest K Sumahili, Patrick N Ntontolo, Aliocha N Nkodila, James Ibuaku, Pieter Van den Hombergh, Meena Hariharan, Louis S Jenkins, Philippe L Ngwala
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引用次数: 0

摘要

背景:在世界范围内,高血压患者血压得到控制的比例较低。对高血压的了解已被认为是高血压不受控制的主要决定因素。目的:本研究旨在确定刚果民主共和国金普塞卫生区高血压患者高血压知识和控制的相关因素。环境:选择了金佩斯卫生区的6个卫生设施。方法:本研究为分析性横断面研究,时间为2021年5月至2021年12月。收集了社会人口学特征、临床数据和高血压知识等信息。采用logistic回归分析确定与高血压知识和控制相关的因素。结果:共有301名参与者被纳入研究,性别比例为1:3 (F M),平均年龄为60.5±12.1岁。高血压知识贫乏(79.1%)和治疗失败(84.3%)是常见的。文化程度低(p = 0.024;调整后优势比[aOR] = 2.64[1.72-3.73])、农村居民(p = 0.02;aOR = 3.34[1.24-8.52])和卫生专业人员(医生或护士)缺乏信息(p≤0.001;aOR = 3.34[1.24-8.52])与知识贫乏显著相关。此外,心血管风险高(p = 0.009;aOR = 2.75[1.29-5.84])、亚临床动脉粥样硬化(p = 0.000, aOR = 9.26[3.54-24.23])和缺乏高血压知识(p = 0.042, aOR = 1.96[1.49-2.23])与高血压未控制相关。结论:研究对象存在高血压未控制倾向和知识贫乏。恶劣的社会人口条件和缺乏准确的高血压信息增加了对这种疾病缺乏了解的几率。此外,对高血压和合并症的认识不足与不受控制的高血压有关。贡献:高血压教育和筛查;在综合处理非传染性疾病的方法中管理合并症是在我们的环境中管理高血压以改善健康结果的关键组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo.

Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo.

Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo.

Background:  Worldwide, the proportion of hypertensive patients with controlled blood pressure is poor. Knowledge on hypertension has been recognised as a major determinant of uncontrolled hypertension.

Aim:  This study aimed to determine factors associated with knowledge and control of hypertension among hypertensive patients in Kimpese Health Zone, in the Democratic Republic of the Congo (DRC).

Setting:  Six health facilities of the Kimpese Health Zone were selected.

Methods:  This study was an analytical cross-sectional study from May 2021 to December 2021. Information on socio-demographic characteristics, clinical data and knowledge on hypertension was collected. Factors associated with knowledge and control of hypertension were determined using logistic regression analysis.

Results:  A total of 301 participants with a sex ratio of 1:3 (F M) and a mean age of 60.5 ± 12.1 years were included in the study. Poor knowledge on hypertension (79.1%) and a treatment failure (84.3%) were common. Low educational level (p = 0.024; adjusted odds ratio [aOR] = 2.64 [1.72-3.73]), rural residence (p = 0.02; aOR = 3.34 [1.24-8.52]) and a lack of information by a health professional (physician or nurse) (p ≤ 0.001; aOR = 3.34 [1.24-8.52]) were significantly associated with poor knowledge. In addition, high cardiovascular risk (p = 0.009; aOR = 2.75 [1.29-5.84]), subclinical atherosclerosis (p = 0.000, AOR = 9.26 [3.54-24.23]) and absence of knowledge on hypertension (p = 0.042, AOR = 1.96 [1.49-2.23]) were significantly associated with uncontrolled hypertension.

Conclusion:  There was propensity of uncontrolled hypertension and poor knowledge among the study participants. Poor socio-demographic conditions and a lack of accurate information on hypertension increased odds of poor knowledge of the disease. In addition, insufficient knowledge on hypertension and comorbidities were associated with uncontrolled hypertension.Contribution: Education on hypertension and screening; managing comorbidities in integrating approach to non-communicable diseases are key components of managing hypertension in our setting to improve health outcomes.

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CiteScore
3.30
自引率
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