Mitwalli Ahmed H, Harthi Ahmed Al, Mitwalli Hussam, Juwayed Ayman Al, Turaif Noura Al, Mitwalli Mohammed A
Department of Medicine, King Khalid Hospital, King Saud University, Riyadh, Saudi Arabia.
J Saudi Heart Assoc. 2013 Jan;25(1):19-24. doi: 10.1016/j.jsha.2012.10.002. Epub 2012 Nov 24.
BP control is suboptimal Worldwide. Little is known about attitudes of health professionals toward their BP status.
To estimate awareness, attitudes, and distribution of blood pressure among health professionals.
Prospective cross-sectional survey.
Study was conducted among health professionals in two tertiary hospitals in Riyadh, KSA during December 2010. Socio-demographics, risk factors for high BP, awareness, and adherence to treatment were recorded.
Six hundred and seventy-two subjects, 66.6% females, mean age 36.2 + 13.9 years. Prevalence of Hypertension (HTN) was 28%. 114 (60.6%) patients had self reported HTN in HTN group while 74 (11%) of total study population, were not aware that they have HTN which was detected on screening. Stress and lack of formal exercise were prevalent risk factors for HTN, present in 44.1% and 36.1%, of patients, respectively, while obesity was present in 19.4%. Many participants were not aware of recently recommended target value of blood pressure. 22.3% patients were irregular for their follow-up. 12.2% patients were not adherent to the treatment. Isolated systolic hypertension was more common in men. A point of serious concern was that relatively young health professionals, who were not known to be hypertensive did not monitor their BP, found to have HTN.
Suboptimal awareness and lack of adherence to the treatment for BP among health professionals is of serious concern, for increased chances of cardiovascular events. Physical exercise, correction of obesity and compliance with treatment may reduce the risk of HTN-related adverse outcome in this special subset of the population.
全球范围内血压控制情况欠佳。关于健康专业人员对自身血压状况的态度，人们了解甚少。
评估健康专业人员对血压的知晓情况、态度及血压分布情况。
前瞻性横断面调查。
2010年12月在沙特阿拉伯利雅得的两家三级医院对健康专业人员开展研究。记录社会人口统计学信息、高血压危险因素、知晓情况及治疗依从性。
672名受试者，66.6%为女性，平均年龄36.2±13.9岁。高血压患病率为28%。高血压组中114名（60.6%）患者自述患有高血压，而在整个研究人群中，74名（11%）通过筛查发现患有高血压但却不知自己患病。压力和缺乏正规锻炼是高血压的常见危险因素，分别在44.1%和36.1%的患者中存在，而肥胖患者占19.4%。许多参与者不知道最近推荐的血压目标值。22.3%的患者随访不规律。12.2%的患者不坚持治疗。单纯收缩期高血压在男性中更为常见。一个严重关切的问题是，一些相对年轻且此前不知患有高血压的健康专业人员未监测自己的血压，经检查发现患有高血压。
健康专业人员对血压的知晓情况欠佳且治疗依从性差，这令人严重关切，因为心血管事件发生几率会增加。体育锻炼、纠正肥胖及坚持治疗可能会降低这一特殊人群中与高血压相关不良后果的风险。
