埃塞俄比亚一家三级医院成人高血压患者的血压控制情况。

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Ethiopian Journal of Health Sciences Pub Date : 2023-07-01 DOI:10.4314/ejhs.v33i4.2
Binyam Barega, Lissane Seifu, Addisu Melkie, Sintayehu Abebe, Melaku Taye
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引用次数: 0

摘要

背景:无法控制的高血压是心血管疾病发病率和死亡率的主要可改变风险因素。尽管有多种有效的降压药物,但全球高血压控制率仍然很低。本研究旨在确定血压控制水平,并确定与高血压控制不佳相关的因素:2019年1月至3月,蒂库尔安贝萨专科医院在随机抽取的369名高血压患者中开展了一项基于医院的横断面研究。数据采用预先测试的结构化问卷收集。采用多变量二元逻辑回归确定血压控制的决定因素:研究参与者的平均(标清)年龄为 55.5(13.2)岁;188 人(50.9%)为男性,28 人(7.6%)为主动吸烟者。超过一半的患者(56.0%)超重或肥胖。最常见的合并症是糖尿病(48.0%)、血脂异常(50.9%)和慢性肾病(56.1%)。平均(标清)收缩压为 140.6(22)毫米汞柱,舒张压为 85.8(14)毫米汞柱。约三分之二的患者(60.2%)血压未得到控制。与血压控制不佳相关的因素有:年龄增加:1.05(1.00-1.11);家庭收入增加:1.25(1.04-1.11):1.25 (1.04-1.49),不运动:7.64 (1.14-51.13),慢性肾病:5.36 (1.14-51.13):5.36(1.14-5.16),使用家庭血压监测:结论:结论:高血压患者的血压控制率并不理想。年龄、家庭收入、体力活动水平、慢性肾病和使用家庭血压监测是血压控制的独立预测因素。对这一高风险人群实施有效策略,优化高血压治疗非常重要。
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Blood Pressure Control among Adults with Hypertension at a Tertiary Hospital in Ethiopia.

Background: Uncontrolled hypertension is a leading modifiable risk factor for cardiovascular disease morbidity and mortality. Despite the availability of several effective blood pressure lowering drugs, hypertension control rates remain poor globally. This study aimed to define the level of blood pressure control and to determine the factors associated with poor hypertension control.

Methods: A hospital-based cross-sectional study was conducted from January to March 2019 at Tikur Anbessa Specialized Hospital among randomly selected 369 patients with hypertension. Data were collected using a pre-tested structured questionnaire. Multivariate binary logistic regression was used to identify determinants of blood pressure control.

Results: The mean (SD) age of the study participants was 55.5 (13.2) years; 188 (50.9%) were males and 28 (7.6%) were active smokers. More than half of the patients (56.0%) were overweight or obese. The most commonly identified comorbidities were diabetes mellitus (48.0%), dyslipidemia (50.9%), and chronic kidney disease (56.1%). The mean (SD) systolic blood pressure was 140.6 (22) mmHg, and diastolic blood pressure was 85.8 (14) mmHg. About two-thirds of the patients (60.2%) had uncontrolled blood pressure. The factors associated with poor blood pressure control with an AOR (95% CI) were increasing age: 1.05 (1.00-1.11), increasing household income: 1.25 (1.04-1.49), being physically inactive: 7.64 (1.14-51.13), chronic kidney disease: 5.36 (1.14-5.16), and use of home blood pressure monitoring: 0.31 (0.102-0.94).

Conclusion: The rate of blood pressure control in patients with hypertension was suboptimal. Age, household income, level of physical activity, chronic kidney disease, and use of home blood pressure monitoring were independent predictors of blood pressure control. It is important to optimize the treatment of hypertension in this high-risk group by implementing effective strategies.

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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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