Anota Aliyi, Nedi Teshome
Dilla University, Dilla, Ethiopia.
Addis Ababa University, Addis Ababa, Ethiopia.
Hosp Pharm. 2022 Aug;57(4):555-563. doi: 10.1177/00185787211061372. Epub 2021 Dec 27.
Hypertension is public health challenge worldwide. It is defined as persistently elevated arterial blood pressure (BP), systolic BP (SBP) ≥140 mmHg and/or diastolic BP (DBP) ≥90 mmHg or use of antihypertensive medication in adults older than 18 years. The aim of this study was to assess blood pressure control and associated factors among hypertensive patients attending the outpatient department of Shashemene Referral Hospital.
Hospital based cross sectional study was conducted to determine level of blood pressure control and associated factors among hypertensive patients on medical follow-up. A medical chart review and interview was conducted from July 1 to October 31 2018.
A total of 325 participants were included in this study with response rate of 320 (98.5%). More than half of study participants were males 171 (53.4%). The mean age of the respondents was 55.10 (SD ± 12.7) years and majority of the respondents 191 (59.7%) were within age of less than 60 years old. The mean Systolic blood pressure (SBP) was 131.80 mmHg (SD ± 20.92) while the mean diastolic blood pressure (DBP) was 82.30 mmHg (SD ± 10.52). About 51.30% of study participants had a controlled SBP and 54.7% had a controlled DBP. The overall control of BP was achieved in 40.3% of the study participants. Multivariable logistic regression analysis showed that age, experience of side effects, frequency of BP measuring, number of antihypertensive drugs used, duration on antihypertensive, source of medication and physical exercise showed significant association with blood pressure control.
Blood pressure control level among chronic hypertensive patients at outpatient department was low. Age of patients, educational level, experience of side effects, and number of antihypertensive drugs used were important determinant factors associated with blood pressure control among study participants.
高血压是全球范围内的公共卫生挑战。它被定义为动脉血压（BP）持续升高，收缩压（SBP）≥140 mmHg和/或舒张压（DBP）≥90 mmHg，或18岁以上成年人使用抗高血压药物。本研究的目的是评估在沙舍梅内转诊医院门诊部就诊的高血压患者的血压控制情况及相关因素。
进行了一项基于医院的横断面研究，以确定接受医学随访的高血压患者的血压控制水平及相关因素。于2018年7月1日至10月31日进行了病历审查和访谈。
本研究共纳入325名参与者，回复率为320（98.5%）。超过一半的研究参与者为男性，共171名（53.4%）。受访者的平均年龄为55.10（标准差±12.7）岁，大多数受访者191名（59.7%）年龄小于60岁。平均收缩压（SBP）为131.80 mmHg（标准差±20.92），而平均舒张压（DBP）为82.30 mmHg（标准差±10.52）。约51.30%的研究参与者收缩压得到控制，54.7%的参与者舒张压得到控制。40.3%的研究参与者实现了血压的总体控制。多变量逻辑回归分析表明，年龄、副作用经历、血压测量频率、使用的抗高血压药物数量、抗高血压治疗持续时间、药物来源和体育锻炼与血压控制显著相关。
门诊部慢性高血压患者的血压控制水平较低。患者年龄、教育程度、副作用经历以及使用的抗高血压药物数量是研究参与者中与血压控制相关的重要决定因素。
