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利雅得一家三级医院中高血压患者在门诊就诊时对其血压读数的认知度提高

Increasing Awareness of Hypertensive Patients About Their Blood Pressure Readings During Clinic Visits in a Tertiary Hospital in Riyadh.

作者信息

Almatouq Basim A, Alaryni Abdullah A, Alghamdi Abdullah, Alhammad Qasem A, Almadhi Abdulmalk A, Bin Abbas Fahad, Alnamshan Abdullah Z, Khalaf Ahmed M, Alyami Atheer M, Aljafar Ali, Alyousef Abdullah A, Alahmadi Ghaida M

机构信息

Nephrology, King Fahad Medical City, Riyadh, SAU.

Internal Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.

出版信息

Cureus. 2023 Jan 2;15(1):e33257. doi: 10.7759/cureus.33257. eCollection 2023 Jan.

DOI:10.7759/cureus.33257
PMID:36741652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9891237/
Abstract

Introduction Hypertension (HTN) is one of the most important cardiovascular risk factors. It is associated with significant complications, such as coronary artery disease, stroke, and chronic kidney disease. Awareness among hypertensive patients regarding their blood pressure (BP) is low in the Kingdom of Saudi Arabia. Aim This study aimed to evaluate the awareness of patients regarding their BP readings and to identify which aspects of HTN they needed to be informed about. Patients and methods A descriptive cross-sectional study was conducted among hypertensive patients attending outpatient clinics at King Fahad Medical City, Riyadh, Saudi Arabia. An electronic questionnaire was used by a trained physician to collect data from patients during telephone interviews. The information included socio-demographic data (i.e., age, gender, and education), family history, compliance with medications, and BP measurements. Patients were asked to answer questions to assess their awareness of their BP readings. Results Of the 475 hypertensive patients included in this study, 32.7% were aged between 56 and 65 years and 60.4% were female. The proportion of patients who had knowledge of their target BP (systolic: 120-129 mmHg; diastolic: 80-84 mmHg) was 74.4%. The significant independent predictors of increased knowledge about BP were a high level of education, regular measurement of BP, and having received education about a healthy lifestyle. The significant independent predictor of decreased knowledge about BP was having an acceptable or poor understanding of chronic BP. Conclusion Hypertensive patients visiting the outpatient clinic at King Fahad Hospital had a good understanding of their target BP readings. Educated patients who regularly measured their BP and who received education about a healthy lifestyle tended to exhibit a higher motivation to achieve their BP targets. More research is needed to gain more insights into the knowledge of hypertensive patients and into how they manage their BP to determine the factors that influence their knowledge.

摘要

引言

高血压(HTN)是最重要的心血管危险因素之一。它与严重并发症相关,如冠状动脉疾病、中风和慢性肾病。在沙特阿拉伯王国,高血压患者对其血压(BP)的知晓率较低。

目的

本研究旨在评估患者对其血压读数的知晓情况,并确定他们需要了解高血压的哪些方面。

患者与方法

在沙特阿拉伯利雅得法赫德国王医疗城门诊就诊的高血压患者中进行了一项描述性横断面研究。由一名经过培训的医生使用电子问卷在电话访谈期间从患者那里收集数据。信息包括社会人口统计学数据(即年龄、性别和教育程度)、家族病史、药物依从性和血压测量值。要求患者回答问题以评估他们对其血压读数的知晓情况。

结果

本研究纳入的475名高血压患者中,32.7%年龄在56至65岁之间,60.4%为女性。知晓其目标血压(收缩压:120 - 129 mmHg;舒张压:80 - 84 mmHg)的患者比例为74.4%。血压知识增加的显著独立预测因素是高教育水平(学历)、定期测量血压以及接受过健康生活方式教育。血压知识减少的显著独立预测因素是对慢性血压的理解可接受或较差。

结论

在法赫德医院门诊就诊的高血压患者对其目标血压读数有较好的理解。受过教育、定期测量血压且接受过健康生活方式教育的患者往往表现出更高的实现血压目标的动力。需要更多研究以更深入了解高血压患者的知识以及他们如何管理血压,从而确定影响其知识的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd2/9891237/f84605008790/cureus-0015-00000033257-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd2/9891237/f84605008790/cureus-0015-00000033257-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cd2/9891237/f84605008790/cureus-0015-00000033257-i01.jpg

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