Abdelsatir Suhair, Al-Sofi Aisha, Elamin Sarra, Abu-Aisha Hasan
Faculty of Nursing Sciences of National Ribat University and Sudan-PD Program, Khartoum, Sudan.
Arab J Nephrol Transplant. 2013 Jan;6(1):51-4.
Hypertension (HTN), diabetes mellitus (DM) and chronic kidney disease (CKD) are important health problems worldwide, and it is possible to reduce their burden through effective HTN screening and treatment programs. It may be feasible to incorporate such programs in the community outreach activities of nursing and medical schools in Sudan.
Village inhabitants in the Northern state of Sudan were invited to attend a free clinic for screening of hypertension as well as for follow up and treatment of persons with previously diagnosed hypertension. Fourth year nursing students from the National Ribat University were asked to record demographic data and blood pressure measurements for the attendants of the clinic.
A total of 389 adults were screened, their mean age was 41±15 years and 83.8% of them were females. Family history of HTN, DM and CKD was reported by 52.7%, 40.4% and 12.9% respectively. Personal history of HTN, DM and CKD was reported by 28.5%, 17% and 6.4% respectively. The overall prevalence of HTN was 39.6%. Among persons previously diagnosed as hypertensive, 80.2% were on antihypertensive medication but only 48.6% had blood pressure > 140/90 mmHg. Among the 278 persons with no personal history of HTN, 19.1% had blood pressure ≥ 140/90 mmHg. Variables significantly and independently associated with the presence of HTN were family history of HTN (OR: 6.4, P: 0.005), less than 10 years of formal education (OR: 3.5, P: 0.000) and age ≥ 40 years (OR: 2.4, P: 0.005).
With proper coordination, nursing and medical students can effectively contribute to the implementation of hypertension screening programs.
高血压（HTN）、糖尿病（DM）和慢性肾脏病（CKD）是全球重要的健康问题，通过有效的高血压筛查和治疗项目有可能减轻其负担。在苏丹，将此类项目纳入护理和医学院的社区外展活动或许是可行的。
邀请苏丹北部州的村民参加免费诊所，以筛查高血压，并对先前诊断为高血压的患者进行随访和治疗。要求国立里巴特大学的四年级护理专业学生为诊所的就诊者记录人口统计学数据和血压测量值。
共筛查了389名成年人，他们的平均年龄为41±15岁，其中83.8%为女性。分别有52.7%、40.4%和12.9%的人报告有高血压、糖尿病和慢性肾脏病家族史。分别有28.5%、17%和6.4%的人报告有高血压、糖尿病和慢性肾脏病个人史。高血压的总体患病率为39.6%。在先前诊断为高血压的患者中，80.2%正在服用抗高血压药物，但只有48.6%的人的血压>140/90 mmHg。在278名无高血压个人史的人中，19.1%的人的血压≥140/90 mmHg。与高血压存在显著且独立相关的变量有高血压家族史（比值比：6.4，P值：0.005）、正规教育年限少于10年（比值比：3.5，P值：0.000）和年龄≥40岁（比值比：2.4，P值：0.005）。
通过适当协调，护理和医学生可以有效地促进高血压筛查项目的实施。
