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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.

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 ...

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