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影响扎塔里难民营叙利亚难民高血压和糖尿病控制的因素。

Factors influencing hypertension and diabetes mellitus control among Syrian refugees in Zaatari refugee camp.

机构信息

Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.

出版信息

Eur Rev Med Pharmacol Sci. 2022 Apr;26(7):2408-2414. doi: 10.26355/eurrev_202204_28474.

Abstract

OBJECTIVE

Syrian refugees in Zaatari Refugee Camp are in dire need of investigations of the control status of different chronic diseases. The current study aims to evaluate hypertension (HTN) and diabetes (DM) control among Syrian refugees in the Zaatari Refugee Camp.

PATIENTS AND METHODS

This is a retrospective cross-sectional study. Patients' files were collected from the Zaatari camp database. Participants who had an HbA1c of less than 7 were considered to have controlled DM and a cut-off point of 130/80 was used for HTN. A p-value of <0.05 was considered statistically significant.

RESULTS

A total of 418 patients (276 females) were included in the study. None of the patients-controlled blood pressure and only 25 controlled DM. Univariate analysis showed an association of smoking status with HbA1c and mean arterial pressure (MAP) (p-value=0.007 and <0.001 respectively), while taking insulin and Triglyceride (TyG) index had an association with HbA1c alone (p-value<0.001). Significant in the MANCOVA analysis were smoking status, taking insulin, and TyG index (p-value<0.001).

CONCLUSIONS

This study demonstrates that refugees in Zaatari Refugee Camp have uncontrollable DM and HTN. More focus should be highlighted on controlling these diseases in order to prevent future complications.

摘要

目的

扎塔里难民营的叙利亚难民迫切需要调查不同慢性疾病的控制状况。本研究旨在评估扎塔里难民营的叙利亚难民中高血压(HTN)和糖尿病(DM)的控制情况。

患者和方法

这是一项回顾性的横断面研究。从扎塔里营地的数据库中收集了患者的档案。将 HbA1c 小于 7 的患者视为 DM 得到控制,将 HTN 的切点设定为 130/80。p 值小于 0.05 被认为具有统计学意义。

结果

共有 418 名患者(276 名女性)纳入研究。没有患者控制血压,只有 25 名患者控制 DM。单因素分析显示,吸烟状况与 HbA1c 和平均动脉压(MAP)相关(p 值分别为 0.007 和 <0.001),而使用胰岛素和甘油三酯(TyG)指数仅与 HbA1c 相关(p 值 <0.001)。MANCOVA 分析显示吸烟状况、使用胰岛素和 TyG 指数有显著差异(p 值均 <0.001)。

结论

本研究表明,扎塔里难民营的难民患有不可控的 DM 和 HTN。应更加关注控制这些疾病,以预防未来的并发症。

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