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沙特高血压患者的血压控制、生活方式及疾病认知情况

Blood pressure control, lifestyle and disease awareness of Saudi hypertensive patients.

作者信息

Al Duraihim Huda, Alghamdi Ghormullah, AlNemer Mohammed, Abdulaal Abdullah Eid, Al Sayyari Abdullah

机构信息

Department of Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Medical Intern, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

出版信息

Saudi J Kidney Dis Transpl. 2019 Jan-Feb;30(1):33-38.

Abstract

Mortality and morbidity from hypertension have reached epidemic proportion worldwide. It has been estimated that 874 million adults globally have systolic blood pressure (SBP) of 140 mm Hg or higher. A recent study from Saudi Arabia found 15.2% of adult Saudis were hypertensive of whom 57.8% unaware of this diagnosis. We aim to evaluate the lifestyle advices given to Saudi hypertensive patients, their current lifestyle to determine the effects of these factors on their BP control. Nonrandom convenience sampling of Saudi patients followed up in the clinic by cross-sectional questionnaire. Their BP, blood sugar, and other anthropometric data were measured and provided self-filled questionnaire. Of all participants, 148 known hypertensives on treatment were included in the study with a mean age of 45.7 ± 29.0 years. The mean SBP and diastolic BP were 134.7 ± 21.4 and 85.0 ± 18.9 mm Hg, respectively. The overall awareness score was 77.5% with the highest awareness score for "BP can be controlled by proper management" (93.2%) and the lowest score given for "BP is not affected by alcohol consumption" (63.4%). We found significantly lower mean SBP in those with higher awareness in five of the nine awareness areas inquired. We believe that educating hypertensive patients about their diseases and lifestyle advices has a significant impact on disease control and well-being.

摘要

高血压导致的死亡率和发病率在全球已达到流行程度。据估计,全球有8.74亿成年人的收缩压(SBP)达到或高于140毫米汞柱。沙特阿拉伯最近的一项研究发现,15.2%的沙特成年人为高血压患者,其中57.8%的人未意识到自己患有此病。我们旨在评估给予沙特高血压患者的生活方式建议、他们目前的生活方式,以确定这些因素对其血压控制的影响。通过横断面问卷调查对在诊所接受随访的沙特患者进行非随机便利抽样。测量他们的血压、血糖和其他人体测量数据,并提供自行填写的问卷。在所有参与者中,148名已知正在接受治疗的高血压患者被纳入研究,平均年龄为45.7±29.0岁。平均收缩压和舒张压分别为134.7±21.4和85.0±18.9毫米汞柱。总体知晓率为77.5%,其中“通过适当管理可控制血压”的知晓率最高(93.2%),而“血压不受饮酒影响”的知晓率最低(63.4%)。我们发现,在所询问的九个知晓领域中的五个领域,知晓率较高的患者平均收缩压显著较低。我们认为,对高血压患者进行疾病及生活方式建议方面的教育对疾病控制和健康状况有重大影响。

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