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本文引用的文献

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Uncontrolled blood pressure and contributing factors among patients with hypertension at outpatient care of Bedele General Hospital, Southwest Ethiopia: A cross-sectional study.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
SAGE Open Med. 2022 Sep 26;10:20503121221126333. doi: 10.1177/20503121221126333. eCollection 2022.
2
Uncontrolled hypertension and associated factors among adult hypertensive patients on follow-up at public hospitals, Eastern Ethiopia: A multicenter study.埃塞俄比亚东部公立医院成年高血压患者随访中的血压控制不佳及相关因素:一项多中心研究
SAGE Open Med. 2022 Jun 24;10:20503121221104442. doi: 10.1177/20503121221104442. eCollection 2022.
3
Factors responsible for Uncontrolled Hypertension in the Adults over 50 years of age: A pilot study from Northern India.50 岁以上成年人高血压失控的因素:来自印度北部的一项初步研究。
Indian Heart J. 2021 Sep-Oct;73(5):644-646. doi: 10.1016/j.ihj.2021.07.003. Epub 2021 Jul 17.
4
Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants.全球高血压患病率趋势及 1990 至 2019 年治疗和控制进展情况:1040 万参与者、1201 项人群代表性研究的汇总分析
Lancet. 2021 Sep 11;398(10304):957-980. doi: 10.1016/S0140-6736(21)01330-1. Epub 2021 Aug 24.
5
Prevalence and factors associated with uncontrolled hypertension among adult hypertensive patients on follow-up at Northern Ethiopia, 2019: cross-sectional study.2019 年,在埃塞俄比亚北部接受随访的成年高血压患者中,高血压未得到控制的患病率及其相关因素:横断面研究。
Pan Afr Med J. 2020 Jul 15;36:187. doi: 10.11604/pamj.2020.36.187.23312. eCollection 2020.
6
Self-care practices and associated factors among adult hypertensive patients in Ayder Comprehensive Specialized Hospital, Tigray, Ethiopia, 2018.2018年埃塞俄比亚提格雷州阿伊德综合专科医院成年高血压患者的自我护理行为及相关因素
BMC Res Notes. 2019 Aug 6;12(1):489. doi: 10.1186/s13104-019-4502-y.
7
Uncontrolled hypertension and associated factors among adult hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia, 2018.2018 年,在埃塞俄比亚提格雷的阿德尔综合专科医院,成人高血压患者中未控制的高血压及相关因素。
BMC Cardiovasc Disord. 2019 May 22;19(1):121. doi: 10.1186/s12872-019-1091-6.
8
Assessment of hypertension control and factors associated with the control among hypertensive patients attending at Zewditu Memorial Hospital: a cross sectional study.泽韦迪图纪念医院高血压患者的高血压控制情况及与控制相关因素的评估:一项横断面研究
BMC Res Notes. 2019 Mar 18;12(1):152. doi: 10.1186/s13104-019-4173-8.
9
Management of Hypertension in Chronic Kidney Disease.高血压合并慢性肾脏病的管理。
Drugs. 2019 Mar;79(4):365-379. doi: 10.1007/s40265-019-1064-1.
10
Masked uncontrolled hypertension: Prevalence and predictors.隐匿性未控制高血压:患病率及预测因素。
Egypt Heart J. 2018 Dec;70(4):369-373. doi: 10.1016/j.ehj.2018.10.001. Epub 2018 Oct 22.

埃塞俄比亚亚的斯亚贝巴公立医院高血压患者中的血压控制不佳情况。

Uncontrolled hypertension among hypertensive patients in public hospitals at Addis Ababa, Ethiopia.

作者信息

Teka Abel Melese, Tekeba Tsega-Ab Abebaw, Workineh Dibora Yeshibelay, Berihun Abiye Assefa, Beshah Eden Girma, Tadesse Cheru Degf, Sayid Bemnet Yacobe, Derese Tadios Niguss

机构信息

Department of Clinical Pharmacy, Zewditu Memorial Hospital, Addis Ababa, Ethiopia.

Field Program Coordinator at Last Mile Health, Addis Ababa, Ethiopia.

出版信息

PLoS One. 2025 Jun 6;20(6):e0324544. doi: 10.1371/journal.pone.0324544. eCollection 2025.

DOI:10.1371/journal.pone.0324544
PMID:40478909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12143561/
Abstract

BACKGROUND

In both high- and low-income nations, uncontrolled hypertension poses a serious threat to public health for those who suffer from it. After it starts, hypertension needs to be controlled throughout the remainder of the person's life. Both drug and non-drug treatments are effective in preventing and managing hypertension. In Addis Ababa, little research was done on hypertensive individuals who had uncontrolled hypertension.

METHODS

An institution based cross-sectional study was conducted at three public hospitals in Addis Ababa. A simple random sampling technique was used to choose the research participants. To assess factors associated with uncontrolled hypertension a binary logistic regression analysis was performed.

RESULT

A total of 621 study participants with a response rate of 98.2% were included in this study. The study revealed that the magnitude of uncontrolled hypertension was 48%. The factors significantly associated with uncontrolled hypertension were duration of illness (AOR = 1.72, 95% CI= (1.01-2.96)), sex (AOR = 1.80, 95% CI= (1.20-2.70)), physical activity adherence (AOR = 2.48, 95% CI= (1.39-4.41)), occupational status (AOR = 0.38, 95% CI= (0.22-0.68)) and educational status (AOR = 2.45, 95% CI= (1.37-4.39)).

CONCLUSION

Uncontrolled hypertension was seen in almost half of the study participants. Variables that were substantially associated with uncontrolled hypertension were sex, educational attainment, employment position, length of illness, and physical activity adherence. Healthcare providers should encourage patients to exercise frequently and make sure they take their hypertension medicines as directed.

摘要

背景

在高收入和低收入国家,未得到控制的高血压对患者的公共健康都构成严重威胁。高血压一旦发病,患者余生都需要对其进行控制。药物治疗和非药物治疗在预防和管理高血压方面均有效。在亚的斯亚贝巴,针对患有未得到控制的高血压患者的研究较少。

方法

在亚的斯亚贝巴的三家公立医院开展了一项基于机构的横断面研究。采用简单随机抽样技术选取研究参与者。为评估与未得到控制的高血压相关的因素,进行了二元逻辑回归分析。

结果

本研究共纳入621名研究参与者,应答率为98.2%。研究表明,未得到控制的高血压发生率为48%。与未得到控制的高血压显著相关的因素包括病程(比值比[AOR]=1.72,9 ...