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埃塞俄比亚阿尔巴明奇镇公立医院高血压患者焦虑的程度、严重程度及风险因素

Magnitude and Severity of Anxiety and Risk Factors among Hypertensive Patients Attending Public Hospitals in Arba Minch Town, Ethiopia.

作者信息

Akililu Andinet, Ezo Elias, Gezimu Wubishet, Nigusu Elias, Mezgebu Taye, Zekiwos Asnakech, Birhanu Bethelhem, Ossabo Getachew, Admasu Sentayehu

机构信息

Department of Nursing, Arba Minch College of Health Sciences, Arba Minch, Ethiopia.

Department of Emergency Medicine and Critical Care Nursing, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia.

出版信息

SAGE Open Nurs. 2024 Aug 28;10:23779608241276764. doi: 10.1177/23779608241276764. eCollection 2024 Jan-Dec.

Abstract

BACKGROUND

Comorbid anxiety in hypertensive patients yields poor remedy adherence which may additionally restrict treatment choices.

OBJECTIVE

To assess the magnitude and severity of anxiety and risk factors among hypertensive patients attending public hospitals in Arba Minch town, Ethiopia, 2022.

METHODS

A hospital-based cross-sectional study design was performed from June 1 to July 30/2022. The overall sample size was 336 and a systematic random sampling technique was used to pick out sufferers. Used Epi data version 3.1 for data entry and SPSS version 25 for analysis. Logistic regression analysis was done and variables with -values less than .25 were taken into multivariable. Statistical significance was declared at a -value of less than .05 with a 95% confidence interval in the adjusted odds ratio.

RESULT

The magnitude of anxiety among hypertensive patients was 32.1% with 95% CI (26.2%-37.1%). Sex [AOR: 2.25, 95%CI: 1.22-4.13], status of blood pressure [AOR: 0.30, 95%CI: 0.15-0.63], family history of hypertension [AOR: 2.48, 95%CI: 1.20-5.12], family history of mental illness [AOR: 0.19, 95%CI: 0.09-0.39], history of admission [AOR: 5.14, 95%CI: 2.73-9.68], social support status [AOR: 2.96, 95%CI: 1.09-7.97], and current alcohol use [AOR: 0.39, 95%CI: 0.18-0.86] had been notably related.

CONCLUSION

About three in 10 hypertensive patients attending public hospitals in Arba Minch town public hospitals were anxious. Approximately two in 10 hypertensive sufferers had moderate to severe anxiety. Sex, status of blood pressure, family history of hypertension, family history of mental illness, history of admission, social support status, and current alcohol use have been substantially associated with anxiety among hypertensive patients. Therefore, enhancing gender identity, controlling blood pressure, screening and treating a family history of high blood pressure and family history of mental illness, coping with previous admission, improving social help, and cessation of alcohol use might lessen the burden of anxiety among hypertensive sufferers.

摘要

背景

高血压患者合并焦虑会导致治疗依从性差,这可能还会限制治疗选择。

目的

评估2022年埃塞俄比亚阿尔巴明奇镇公立医院高血压患者的焦虑程度、严重程度及危险因素。

方法

于2022年6月1日至7月30日进行了一项基于医院的横断面研究设计。总体样本量为336例,采用系统随机抽样技术选取患者。使用Epi数据3.1版本进行数据录入,SPSS 25版本进行分析。进行了逻辑回归分析,将P值小于0.25的变量纳入多变量分析。在调整后的比值比中,P值小于0.05且95%置信区间时声明具有统计学意义。

结果

高血压患者的焦虑程度为32.1%,95%置信区间为(26.2%-37.1%)。性别[AOR: 2.25, 95%CI: 1.22-4.13]、血压状况[AOR: 0.30, 95%CI: 0.15-0.63]、高血压家族史[AOR: 2.48, 95%CI: 1.20-5.12]、精神疾病家族史[AOR: 0.19, 95%CI: 0.09-0.39]、入院史[AOR: 5.14, 95%CI: 2.73-9.68]、社会支持状况[AOR: 2.96, 95%CI: 1.09-7.97]和当前饮酒情况[AOR: 0.39, 95%CI: 0.18-0.86]均显著相关。

结论

在阿尔巴明奇镇公立医院就诊的高血压患者中,约十分之三存在焦虑。约十分之二的高血压患者有中度至重度焦虑。性别、血压状况、高血压家族史、精神疾病家族史、入院史、社会支持状况和当前饮酒情况与高血压患者的焦虑显著相关。因此,增强性别认同、控制血压、筛查和治疗高血压家族史和精神疾病家族史、应对既往入院情况、改善社会支持以及戒酒可能会减轻高血压患者的焦虑负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2db/11363035/1fe347ec62c5/10.1177_23779608241276764-fig1.jpg

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