Simkhada R
DM Cardiology, National Academy of Medical Sciences (NAMS), Mahabouddha, Kathmandu, Nepal.
Nepal Med Coll J. 2012 Mar;14(1):56-9.
Widespread treatment options are available for hypertension, but the target range of blood pressure achieved with treatment has been viewed unsatisfactory worldwide. The study was designed to see what proportion of hypertensive under medication had controlled blood pressure and to analyse basic characteristics of uncontrolled subjects and factors associated with blood pressure control status. Hypertensive subjects under medication for at least 6 months were enrolled. They were interviewed and examined. Baseline characteristics and variables to be tested were recorded. Data analysis was done using SPSS. Among 147 hypertensive patients enrolled in the study 49 (33.33%) had controlled blood pressure and 98 (66.66%) had uncontrolled blood pressure despite medication. Blood pressure control status had no significant correlation with sex (p=0.90). The uncontrolled subjects had mean age more than the mean age of the total enrolled group (53.12 +/- 10.3 years versus 49.09 +/- 10.65 years). Physical activity (p=0.04) and adherence to therapy (p<0.01) had significant positive correlation with blood pressure control. There was significant positive correlation between blood pressure control status and awareness of target blood pressure (p=0.028), awareness of complications of uncontrolled blood pressure (p=0.019) and frequency of blood pressure check up (p<0.01). Blood pressure control in our set up was comparable to previously reported articles. By encouraging patients to adhere to therapy, to adopt physically active life style, creating awareness about the target blood pressure and complications of uncontrolled blood pressure and frequent blood pressure check up can improve the outcome.
高血压有多种广泛应用的治疗方案，但在全球范围内，通过治疗所达到的血压目标范围并不理想。本研究旨在了解正在接受药物治疗的高血压患者中血压得到控制的比例，并分析血压未得到控制的患者的基本特征以及与血压控制状况相关的因素。纳入了至少接受6个月药物治疗的高血压患者。对他们进行了访谈和检查。记录了基线特征和待测试的变量。使用SPSS进行数据分析。在纳入研究的147例高血压患者中，49例（33.33%）血压得到控制，98例（66.66%）尽管接受了药物治疗但血压未得到控制。血压控制状况与性别无显著相关性（p = 0.90）。血压未得到控制的患者的平均年龄高于全部纳入组的平均年龄（53.12±10.3岁对49.09±10.65岁）。身体活动（p = 0.04）和治疗依从性（p<0.01）与血压控制呈显著正相关。血压控制状况与目标血压知晓率（p = 0.028）、未控制血压并发症知晓率（p = 0.019）和血压检查频率（p<0.01）之间存在显著正相关。我们研究中的血压控制情况与先前报道的文章相当。通过鼓励患者坚持治疗、采取积极的生活方式、提高对目标血压和未控制血压并发症的认识以及增加血压检查频率，可以改善治疗效果。
