Mariye Teklewoini, Girmay Alem, Tasew Hagos, Teklay Girmay, Ayele Ebud, Gerensea Hadgu, Mokonnen Hussen
Department of Adult Health Nursing, Aksum University, Tigray, Ethiopia.
Department of Pediatric Nursing, Aksum University, Tigray, Ethiopia.
Pan Afr Med J. 2019 Jun 11;33:100. doi: 10.11604/pamj.2019.33.100.17094. eCollection 2019.
Hypertension, among diabetic patients, is a worldwide public-health challenge and a leading modifiable risk factor for other cardiovascular diseases. The main purpose of this study was to identify determinants of hypertension among diabetic patients.
Data were collected from January to March 2018 using an interviewer-administered structured questionnaire. Data collectors and supervisors were trained before the period of data collection. The questionnaire was pretested on 5% of the sample at Suhul hospital. Bivariable logistic regression was employed to examine the crude associations between the outcome variable and determinant variables. This was followed by multivariable analysis to examine the determinants of hypertension among diabetic patients by selecting variables which had p value ≤0.2 in the bivariable analysis.
The age range of the respondents was 18-80 years, with the median age of 51.56±14.92 years. Not attending diabetes mellitus education sessions (AOR=2.61, 95% CI (1.12,6.1), duration since diagnosis with diabetes (AOR=8.52; 95% CI (1.97, 36.84), poor glycemic control (AOR=22.99, 95CI (5.92,89.28), overweight (AOR=4.84, 95%CI (1.42,16.51), and non-adherence to diabetes medication (AOR=4.66, 95% CI (2.22,9.79), diet (AOR=9.70,95% CI (3.34,28.22), exercise (AOR= 5.47, 95% CI (2.35,12.75), and self-monitoring blood glucose (AOR=6.62, 95% CI (3.16, 13.86) were found to be the determinants of hypertension among diabetic patients.
This research concludes that longer duration with diabetes, nonattendance of diabetes education sessions, poor glycemic control, and not-adherence to antidiabetic medications, diet, exercise and self-monitoring blood glucose were found to be the determinants of hypertension among diabetic patients.
在糖尿病患者中，高血压是一项全球性的公共卫生挑战，也是导致其他心血管疾病的主要可改变风险因素。本研究的主要目的是确定糖尿病患者高血压的决定因素。
2018年1月至3月期间，通过访员管理的结构化问卷收集数据。在数据收集期之前，对数据收集人员和监督员进行了培训。该问卷在苏胡勒医院对5%的样本进行了预测试。采用双变量逻辑回归分析来检验结果变量与决定因素变量之间的粗略关联。随后进行多变量分析，通过选择在双变量分析中p值≤0.2的变量来检验糖尿病患者高血压的决定因素。
受访者的年龄范围为18 - 80岁，中位年龄为51.56±14.92岁。未参加糖尿病教育课程（调整后比值比[AOR]=2.61，95%置信区间[CI](1.12, 6.1)）、糖尿病确诊后的病程（AOR=8.52；95% CI(1.97, 36.84)）、血糖控制不佳（AOR=22.99，95% CI(5.92, 89.28)）、超重（AOR=4.84，95% CI(1.42, 16.51)）、未坚持服用糖尿病药物（AOR=4.66，95% CI(2.22, 9.79)）、饮食（AOR=9.70，95% CI(3.34, 28.22)）、运动（AOR=5.47，95% CI(2.35, 12.75)）以及自我监测血糖（AOR=6.62，95% CI(3.16, 13.86)）被发现是糖尿病患者高血压的决定因素。
本研究得出结论，糖尿病病程较长、未参加糖尿病教育课程、血糖控制不佳以及未坚持服用抗糖尿病药物、饮食、运动和自我监测血糖是糖尿病患者高血压的决定因素。
