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埃塞俄比亚西南部贝德莱综合医院门诊高血压患者的血压失控情况及影响因素:一项横断面研究

Uncontrolled blood pressure and contributing factors among patients with hypertension at outpatient care of Bedele General Hospital, Southwest Ethiopia: A cross-sectional study.

作者信息

Sheleme Tadesse, Jilo Oda, Bekele Firomsa, Olika Wayessa, Safera Birbirsa, Babu Yadeta

机构信息

Department of Pharmacy, College of Health Science, Mettu University, Mettu, Ethiopia.

出版信息

SAGE Open Med. 2022 Sep 26;10:20503121221126333. doi: 10.1177/20503121221126333. eCollection 2022.

Abstract

OBJECTIVE

This study aimed to assess uncontrolled blood pressure and contributing factors among patients with hypertension.

METHODS

Hospital-based cross-sectional study was conducted from January to April 2021 at Bedele General Hospital. Data were collected using the semi-structured questionnaire. All patients with hypertension were included using consecutive sampling technique unless ineligible. EpiData 4.4.2 was used for data entry, and SPSS 24.0 was employed for analysis. Binary logistic regression analysis was performed to identify factors associated with uncontrolled blood pressure.

RESULTS

A total of 219 patients with hypertension were included in the study. About 60.3% of participants were male. The mean age of the study participants was 48.54 ± 12.93 years. The prevalence of uncontrolled blood pressure among the study participants was 56.2%. The factors significantly associated with uncontrolled blood pressure were age >60 years (adjusted prevalence ratio = 4.42; 95% confidence interval = (1.71, 11.46); p = 0.002) and the presence of comorbidity (adjusted prevalence ratio = 2.16; 95% confidence interval = (1.22, 3.82); p = 0.008).

CONCLUSION

More than half of the study participants had uncontrolled blood pressure. Older age and comorbidity were the predictors of uncontrolled blood pressure. Attaining controlled blood pressure is important to avoid consequences of high blood pressure. So, healthcare provider should focus on achieving target blood pressure goal.

摘要

目的

本研究旨在评估高血压患者中血压未得到控制的情况及其影响因素。

方法

2021年1月至4月在贝德莱综合医院开展了一项基于医院的横断面研究。使用半结构化问卷收集数据。采用连续抽样技术纳入所有高血压患者,除非不符合条件。使用EpiData 4.4.2进行数据录入,并用SPSS 24.0进行分析。进行二元逻辑回归分析以确定与血压未得到控制相关的因素。

结果

本研究共纳入219例高血压患者。约60.3%的参与者为男性。研究参与者的平均年龄为48.54±12.93岁。研究参与者中血压未得到控制的患病率为56.2%。与血压未得到控制显著相关的因素为年龄>60岁(调整患病率比=4.42;95%置信区间=(1.71, 11.46);p=0.002)和存在合并症(调整患病率比=2.16;95%置信区间=(1.22, 3.82);p=0.008)。

结论

超过一半的研究参与者血压未得到控制。年龄较大和合并症是血压未得到控制的预测因素。实现血压控制对于避免高血压的后果很重要。因此,医疗服务提供者应专注于实现目标血压值。

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