尼日利亚耶纳戈阿剖析的子痫前期妇女的社会人口特征

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摘要

子痫前期(PE)是一种多因素疾病,最终表现为孕妇高血压。本研究旨在确定在尼日利亚巴耶尔萨州耶纳戈阿市三级医院就诊的子痫前期孕妇的社会人口学特征。研究共征得 182 名孕妇的同意,其中包括 91 名患有 PE(妊娠期大于 20 周,血压≥ 140/90 mmHg)的孕妇和 91 名妊娠期大于 20 周的正常血压孕妇。这些受访者填写了结构化问卷,以获得有关社会人口学变量的数据(包括产妇年龄、胎次、体重指数[BMI]、收缩压和舒张压[SBP 和 DBP]、教育程度、PE 家族史、职业、PE 严重程度、初产妇和 PE 胎龄)。数据分为 PE 病例和对照组。对于分类数据,采用卡方检验(Chi-square)确定 PE 与社会人口学变量之间的关联;对于参数数据,采用独立 T 检验确定组间差异。数据以 p < .05 为有意义。结果显示,BMI(X^2 = 21.01,p = .00)、SBP(T = 27.06,p = 0.00)、DBP(T = 29.75,p = 0.00)、教育程度(X^2 = 14.15,p = .00)、子痫前期家族史(X^2 = 33.09,p = .00)和初产妇(X^2 = 21.01,p = .00)与子痫前期有显著相关性(p < .05)。建议在我们的医疗机构中推广健康体重管理、血压监测、适当的产前护理和家族史咨询。
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Socio-demographic Characteristics of a Cross-section of Pre-eclamptic Women in Yenagoa, Nigeria
Pre-eclampsia (PE) is a multifactorial disorder that ultimately manifests as hypertension in the pregnant woman. This study was aimed at determining socio-demographic characteristics of PE among pregnant women attending tertiary Hospitals in Yenagoa, Bayelsa State, Nigeria. A total of 182 pregnant women, consisting of 91 women with PE (gestation > 20 weeks, blood pressure ≥ 140/90 mmHg) and 91 normotensive pregnant women at gestation > 20 weeks were enrolled in the study by consent. These respondents filled out structured questionnaires that obtained data on sociodemographic variables (which are maternal age, parity, body mass index [BMI], systolic and diastolic blood pressure [SBP and DBP], educational level, family history of PE, occupation, the severity of PE, primipaternity, and gestational age of PE. Data was grouped into PE cases and control. Chi-square was used to determine associations between PE and sociodemographic variables for categorical data, whereas the independent T-test was used to determine differences between groups for parametric data. Data was considered significant at p < .05. Results showed that BMI (X^2 = 21.01, p = .00), SBP (T = 27.06, p = 0.00), DBP (T = 29.75, p = 0.00), educational level (X^2 = 14.15,p = .00), family history of pre-eclampsia (X^2 = 33.09,p = .00), and primipaternity (X^2 = 21.01,p= .00) showed significant associations with pre-eclampsia (p < .05). It is recommended that healthy weight management, blood pressure monitoring, adequate antenatal care, and family history counselling be promoted in health facilities in our setting.
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