Laboratory Mathematics, Computer Science and Engineering Sciences, Hassan First University Settat, Settat, Morocco.
Laboratory Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University Settat, Settat, Morocco.
Pan Afr Med J. 2024 Apr 19;47:200. doi: 10.11604/pamj.2024.47.200.42603. eCollection 2024.
high blood pressure, commonly known as hypertension, is one of the most widespread chronic diseases in the world. It is a serious problem whose management is essential to maintain stable blood pressure levels in the short term, and to prevent neuro-cardio-vascular complications in the long term. This study aims firstly to explore the characteristics of uncontrolled blood pressure among patient´s residents of rural areas in Settat City, and secondly to determine its prevalence and identify associated risk factors.
this is a cross-sectional, descriptive, and analytical study which took place between March and August 2023, and targeted a population of hypertensive patients following up at primary healthcare facilities in rural areas in Settat City. A questionnaire was developed and evaluated to ensure its reliability before being administered to study participants, anthropometric measurements and blood pressure readings were also taken.
four hundred hypertensive patients were surveyed, 53% (212) of whom had uncontrolled blood pressure, with a mean age of 56.94 (±13.10 years), and a marked female preponderance, illustrated by 72.3% (289) were female. The risk factors associated with uncontrolled blood pressure were: male gender (aOR: 2.53, 95% CI 1.13-5.65), monthly income (aOR: 5.64, 95% CI 3.04-10.46), diabetes (aOR: 3.16, 95% CI 1.77-5.63), monotherapy (aOR: 8.42, 95% CI 2.85-24.90), poor compliance with medication (aOR: 7.48, 95% CI 4.21-13.29), and stress (aOR: 2.22, 95% CI 1.14-4.33).
the level of blood pressure control was unsatisfactory in this population, underscoring the imperative of educating hypertensive patients about management measures and reinforcing the quality of primary health services.
高血压，俗称高血压，是世界上最普遍的慢性病之一。这是一个严重的问题，其管理对于短期维持稳定的血压水平和长期预防神经心血管并发症至关重要。本研究旨在首先探讨塞塔特市农村地区高血压患者血压控制不佳的特征，其次确定其患病率并确定相关的危险因素。
这是一项横断面、描述性和分析性研究，于 2023 年 3 月至 8 月在塞塔特市农村地区的基层医疗设施对高血压患者进行。在对研究参与者进行问卷调查之前，开发并评估了问卷以确保其可靠性，并进行了人体测量和血压测量。
共调查了 400 名高血压患者，其中 53%（212 人）血压控制不佳，平均年龄为 56.94（±13.10 岁），女性明显占优势，72.3%（289 人）为女性。与血压控制不佳相关的危险因素包括：男性（OR：2.53，95%CI 1.13-5.65）、月收入（OR：5.64，95%CI 3.04-10.46）、糖尿病（OR：3.16，95%CI 1.77-5.63）、单一疗法（OR：8.42，95%CI 2.85-24.90）、药物依从性差（OR：7.48，95%CI 4.21-13.29）和压力（OR：2.22，95%CI 1.14-4.33）。
在该人群中，血压控制水平不理想，这突出表明必须教育高血压患者有关管理措施，并加强初级卫生服务的质量。
