Ndateba Innocent, Mukeshimana Madeleine, Nsekambabaye Jean Pierre, Musabwa Edith, Collins Anita
School of Nursing, University of British Columbia.
Centre for Health Services and Policy Research, University of British Columbia.
Rwanda J Med Health Sci. 2023 Mar 28;6(1):84-98. doi: 10.4314/rjmhs.v6i1.10. eCollection 2023 Mar.
Hypertension is the main risk factor for cardiovascular diseases and its prevalence is high in Rwanda. Rwanda has integrated the management of hypertension in health centres (HCs). However, little is known about the quality of hypertension care in HCs in Rwanda.
To examine the quality of care for patients with hypertension and associated outcome of hypertension control in Health Centres.
A cross-sectional study design was used, and data were collected from a convenience sample of 202 patients. A self-reported questionnaire and blood pressure measurement were taken. Data were analysed using descriptive, bivariate, and hierarchical logistic regression analyses.
A total of 166 (82.2%) patients participated in the study. Of these, 130 (78.3%) were females. Mean age was 57.8 (SD =14.0). The quality of hypertension care process was high with mean score of 5.86 over 7 (SD = 1.4). However, only 30.1% (n = 50/166) had well-controlled hypertension. Comorbidity (OR = 2.3; 95% CI:1.0-5.1, p =.039) and the quality of care (OR = 1.6; 95% CI: 1.1- 2.4, p = .024) were associated with higher odds of having hypertension control.
Tailored patient-centred primary care interventions that consider comorbidity could contribute to hypertension control in primary HCs in Rwanda.
高血压是心血管疾病的主要危险因素，在卢旺达其患病率很高。卢旺达已将高血压管理纳入卫生中心。然而，对于卢旺达卫生中心高血压护理的质量知之甚少。
检查卫生中心高血压患者的护理质量以及高血压控制的相关结果。
采用横断面研究设计，从202名患者的便利样本中收集数据。采用自我报告问卷和血压测量。使用描述性、双变量和分层逻辑回归分析对数据进行分析。
共有166名（82.2%）患者参与研究。其中，130名（78.3%）为女性。平均年龄为57.8岁（标准差=14.0）。高血压护理过程质量较高，平均得分为5.86（满分7分，标准差=1.4）。然而，只有30.1%（n=50/166）的患者高血压得到良好控制。合并症（比值比=2.3；95%置信区间：1.0-5.1，p=0.039）和护理质量（比值比=1.6；95%置信区间：1.1-2.4，p=0.024）与高血压得到控制的较高几率相关。
考虑合并症的以患者为中心的定制化初级护理干预措施可能有助于卢旺达初级卫生中心的高血压控制。
