Desta Fikreab, Mengesha Selamawit, Belayneh Fanuel, Woldeyohannes Demelash, Tekalegn Yohannes, Zenbaba Demisu, Sahiledengle Biniyam, Hailu Dejene
Public Health Department, Madda Walabu University, Goba Referral Hospital, Bale Goba, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Int J Hypertens. 2024 Apr 16;2024:6668436. doi: 10.1155/2024/6668436. eCollection 2024.
Hypertension is the main contributor to the morbidity and mortality of patients with cardiovascular disease. Even though hypertension is very common in comorbid type 2 diabetic patients, it is frequently overlooked. This study aimed to assess blood pressure control and its associated factors among hypertension comorbid type 2 diabetic patients in Bale Zone public hospitals in Southeast Ethiopia.
A hospital-based cross-sectional study design was conducted among hypertension comorbid type 2 diabetic patients. The data were collected using an interviewer-administered structured questionnaire and a review of the medical charts of patients. A simple random sampling technique was used to select the study participants. The bivariate and multivariate logistic regression analyses were performed to assess the association between blood pressure control and its associated factors. Independent variables that showed a < 0.25 in the bivariate analysis was included in the multivariate analysis. Finally, variables with a < 0.05 were declared statistically significant factors.
The total number of participants in the study was 378. The overall magnitude of uncontrolled hypertension among hypertension comorbid diabetic patients was found to be 82.5% (95% CI: 78.7%, 86.4%). Nonadherence to antihypertensive medication (AOR = 2.45, 95% CI: 1.11, 5.39, = 0.027), duration of hypertension >10 years (AOR = 5.2, 95% CI: 1.27, 21.38, = 0.022), participants who attended secondary education (AOR = 3.2, 95% CI: 1.18, 8.87, = 0.023), and being obese (AOR = 4.1, 95% CI: 1.24, 13.49, = 0.021) were significantly associated with uncontrolled hypertension.
Uncontrolled hypertension was found to be high among hypertension comorbid type 2 diabetic patients. Patients' adherence to antihypertensive medication, physical activity, and alcohol abstinence should be maximized. Loss of weight is also crucial, as is the early detection and management of comorbidities.
高血压是心血管疾病患者发病和死亡的主要原因。尽管高血压在2型糖尿病合并症患者中非常常见，但它经常被忽视。本研究旨在评估埃塞俄比亚东南部巴勒地区公立医院中2型糖尿病合并高血压患者的血压控制情况及其相关因素。
对2型糖尿病合并高血压患者进行了一项基于医院的横断面研究设计。通过访谈员管理的结构化问卷和患者病历回顾收集数据。采用简单随机抽样技术选择研究参与者。进行双变量和多变量逻辑回归分析，以评估血压控制与其相关因素之间的关联。双变量分析中显示P<0.25的自变量纳入多变量分析。最后，P<0.05的变量被宣布为具有统计学意义的因素。
该研究的参与者总数为378人。2型糖尿病合并高血压患者中未控制高血压的总体比例为82.5%（95%CI：78.7%，86.4%）。未坚持服用抗高血压药物（调整后比值比[AOR]=2.45，95%CI：1.11，5.39，P=0.027）、高血压病程>10年（AOR=5.2，95%CI：1.27，21.38，P=0.022）、接受过中等教育的参与者（AOR=3.2，95%CI：1.18，8.87，P=0.023）以及肥胖（AOR=4.1，95%CI：1.24，13.49，P=0.021）与未控制高血压显著相关。
在2型糖尿病合并高血压患者中，未控制高血压发生率较高。应最大限度地提高患者对抗高血压药物的依从性、身体活动水平并戒酒。减肥也至关重要，合并症的早期检测和管理同样如此。
