次优目标血压控制及其与埃塞俄比亚亚的斯亚贝巴一家三级医院高血压患者的社会人口学和临床特征的关系

D. Bekele, R. Gary, D. Goshu, A. Yalew, M. Higgins
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引用次数: 0

摘要

背景:在全球许多国家,高血压患者的目标血压控制仍然不理想。因此,确定患者影响目标血压控制的因素至关重要。目的:本研究旨在探讨高血压患者的目标血压控制及其与社会人口学和临床特征的关系。方法:本研究采用横断面设计。通过标准化问卷的面对面数据收集,采用系统随机抽样技术选择了384名在三级医院就诊的高血压患者。描述性统计用于确定目标血压控制状态,双变量卡方检验和二元逻辑回归用于确定与目标血压控制显著相关的因素。结果:该研究的男性(51.2%)和女性(48.8%)参与者比例几乎相等,平均年龄(±SD)为53.61±12.34岁。只有45.1%的患者达到了目标血压控制。无合并症(AOR=1.911,95%CI:1.256,2.908,p=0.002)、良好的药物依从性(AOR=2.535,95%CI:1.078,5.960,p=0.033)和正常体重指数(AOR=1.675,95%CI:1.094,2.564,p=0.018)是与实现目标血压控制显著相关的因素。结论:针对高血压患者的体重控制、早期共病筛查和管理以及严格遵守降压药物的干预措施可以改善患者的血压控制状况,应成为高血压护理临床专家团队的优先事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SUBOPTIMAL TARGET BLOOD PRESSURE CONTROL AND ITS ASSOCIATION WITH THE SOCIODEMOGRAPHIC AND CLINICAL PROFILES OF HYPERTENSIVES ATTENDING A TERTIARY LEVEL HOSPITAL IN ADDIS ABABA, ETHIOPIA
Background: Hypertensives’ target blood pressure control remains suboptimal in many countries worldwide. Hence, determining patients’ factors affecting target blood pressure control is critical. Objective: The objective of the study was to examine hypertensives’ target blood pressure control and its associations with their sociodemographic and clinical characteristics. Methods: The study employed a cross-sectional design. For the face-to-face data collection with standardized questionnaires, 384 hypertensives attending a tertiary-level hospital were selected using a systematic random sampling technique. Descriptive statistics were used to determine the target blood pressure control status and bivariate chi-square test and binary logistic regression were used to identify factors significantly associated with the target blood pressure control. Results: The study consisted of nearly equal proportions of male (51.2%) and female (48.8%) participants with a mean age (±SD) of 53.61 ±12.34 years. Only 45.1% had achieved target blood pressure control. Absence of comorbidity (AOR = 1.911, 95% CI: 1.256, 2.908, p = .002), good medication adherence (AOR = 2.535, 95% CI: 1.078, 5.960, p = .033), and normal body mass index (AOR = 1.675, 95% CI: 1.094, 2.564, p = .018) were factors significantly associated with the achievement of the target BP control. Conclusion: Intervention targeting hypertensives’ body weight control, early comorbidity screening and management, and strict adherence to antihypertension medication may improve patients’ blood pressure control status and should be among the priority of the hypertension care clinic specialists’ team.
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