机会筛查在芒格洛尔一家三级护理医院就诊患者中的应用

Prajna Sharma, I. N. Butt, Akhin Jayachandran, S. More, Preeval Shreya Crasta, K. Kiran
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引用次数: 0

摘要

导言:高血压和糖尿病是影响发达国家和发展中国家的两种最常见的慢性非传染性疾病和多因素疾病。方法:2018年7月至9月,在芒格洛尔一家三级医院对30岁以上的患者进行了为期3个月的横断面研究。通过个人访谈、人体测量、血压测量和随机血糖等方法收集150名患者的数据,并输入Microsoft excel。分析使用社会科学统计软件包(SPSS)软件版本21。结果:正常72例(48%),高血压前期44例(29.3%),高血压34例(22.7%),随机血糖为bb0 ~ 140 mg/dl 65例(43.3%)。高血压与年龄、性别、家庭类型、职业、宗教信仰、饮酒习惯、吸烟习惯、体育活动等相关,差异有统计学意义(p< 0.05)。而年龄大于45岁、不识字、信仰基督教、有糖尿病家族史、肥胖/超重与随机血糖值>140 mg/dl相关,差异有统计学意义(p< 0.05)。研究还发现,23名(67.6%)高血压患者和18名(40.9%)高血压前期患者同时患有糖尿病。结论:对高血压和糖尿病个体进行机会性筛查有助于早期发现这些疾病。这将有助于早期预防和及时治疗。
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Use of Opportunistic Screening for Hypertension and Diabetes among the Patients Attendees in a Tertiary Care Hospital of Mangalore
Introduction: Hypertension and Diabetes are two of the most common chronic non-communicable diseases and multifactorial disorders affecting both developed and developing countries. Method: A cross sectional study was conducted for a period of 3 months among patient attendees above the age of 30 years in a tertiary care hospital of Mangalore, between July - September 2018. Data was collected from 150 patient attendees by personal interviews followed by anthropometry, blood pressure measurement and random blood sugar and entered into Microsoft excel. Analysis was done using Statistical package for social sciences (SPSS) software version 21. Results: It was seen that 72(48%) were Normotensive, 44 (29.3%) were Pre-hypertensive and 34 (22.7%) were Hypertensive while 65(43.3%) had a random blood sugar of > 140 mg/dl. There was an association between hypertension and age, gender, type of family, occupation, religion, alcohol intake, smoking habits and physical activity which was statistically significant (p< 0.05). While age more than 45 years, illiteracy, belonging to Christian faith, having a family history of diabetes mellitus and being obese/ overweight were associated with a random blood sugar of >140 mg/dl which was statistically significant (p< 0.05). It was also seen that 23(67.6%) of hypertensive attendees and 18(40.9%) of pre-hypertensive attendees also had diabetes as a comorbidity. Conclusion: Opportunistic screening of individuals for hypertension and diabetes will help in early detection of these diseases. This will help in early prevention and timely treatment.
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