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本文引用的文献

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Healthcare (Basel). 2024 Aug 22;12(16):1674. doi: 10.3390/healthcare12161674.
2
Inaccurate recognition of own comorbidities is associated with poor prognosis in elderly patients with heart failure.自身合并症识别不准确与老年心力衰竭患者预后不良相关。
ESC Heart Fail. 2022 Apr;9(2):1351-1359. doi: 10.1002/ehf2.13824. Epub 2022 Jan 27.
3
Association of education levels with the risk of hypertension and hypertension control: a nationwide cohort study in Chinese adults.教育水平与高血压风险及高血压控制的关联:一项针对中国成年人的全国性队列研究
J Epidemiol Community Health. 2022 Jan 7;76(5):451-7. doi: 10.1136/jech-2021-217006.
4
Associations of Health Literacy with Blood Pressure and Dietary Salt Intake among Adults: A Systematic Review.健康素养与成年人血压和盐摄入量的关联:系统评价。
Nutrients. 2021 Dec 17;13(12):4534. doi: 10.3390/nu13124534.
5
Knowledge and Attitude of Self-Monitoring of Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Selected Public Hospitals in Arsi Zone, Oromia Regional State, Ethiopia: A Cross-Sectional Study.埃塞俄比亚奥罗米亚州阿尔西地区部分公立医院成年高血压随访患者的血压自我监测知识与态度:一项横断面研究
Integr Blood Press Control. 2020 Mar 5;13:1-13. doi: 10.2147/IBPC.S242123. eCollection 2020.
6
Prevalence, awareness, treatment, and control of hypertension in southwestern China.中国西南地区高血压的患病率、知晓率、治疗率和控制率。
Sci Rep. 2019 Dec 13;9(1):19098. doi: 10.1038/s41598-019-55438-7.
7
Prevalence, awareness, treatment, and control of hypertension and their determinants: Results from the first cohort of non-communicable diseases in a Kurdish settlement.高血压的患病率、知晓率、治疗率和控制率及其决定因素:库尔德人定居点第一队列非传染性疾病的结果。
Sci Rep. 2019 Aug 27;9(1):12409. doi: 10.1038/s41598-019-48232-y.
8
Health literacy and health outcomes in hypertension: An integrative review.高血压患者的健康素养与健康结局:一项综合综述
Int J Nurs Sci. 2018 Jun 9;5(3):301-309. doi: 10.1016/j.ijnss.2018.06.001. eCollection 2018 Jul 10.
9
Rituximab or Cyclosporine in the Treatment of Membranous Nephropathy.利妥昔单抗或环孢素治疗膜性肾病。
N Engl J Med. 2019 Jul 4;381(1):36-46. doi: 10.1056/NEJMoa1814427.
10
Cardiovascular disease (CVD) and associated risk factors among older adults in six low-and middle-income countries: results from SAGE Wave 1.六个中低收入国家老年人的心血管疾病 (CVD) 及相关危险因素:SAGE 波 1 研究结果。
BMC Public Health. 2018 Jun 20;18(1):778. doi: 10.1186/s12889-018-5653-9.

埃塞俄比亚成年高血压患者对高血压相关并发症及其决定因素的认知情况。

Awareness of hypertension-related complications and its determinants among adult hypertensive patients in Ethiopia.

作者信息

Chekol Habtam Reda, Demissie Negesu Gizaw, Mekonnen Chilot Kassa

机构信息

Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Front Cardiovasc Med. 2025 Aug 29;12:1563249. doi: 10.3389/fcvm.2025.1563249. eCollection 2025.

DOI:10.3389/fcvm.2025.1563249
PMID:40951827
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12426063/
Abstract

BACKGROUND

Hypertension is a critical medical condition that substantially raises the risk of developing heart, brain, kidney, and other organ-related diseases. Despite its significance, limited information is available regarding patients' awareness of hypertension complications and associated factors in the study area. Consequently, this study sought to evaluate the awareness levels of hypertensive patients concerning the risk factors and complications of hypertension.

OBJECTIVE

This study aimed to assess the awareness of hypertension-related complications and the factors influencing it among adult hypertensive patients.

METHODS

A cross-sectional institutional study was conducted among hypertensive patients. Bivariable and multivariable logistic regression analyses were employed, using odds ratios with 95% confidence intervals and -values ≤ 0.05 to determine statistically significant associations.

RESULTS

The study included 422 participants, achieving a 100% response rate. Among the participants, only 42.4% (95% CI: 37.7-47.2) were knowledgeable about hypertension risk factors, complications, and prevention measures. The key predictors of awareness were being an urban resident [AOR = 7.20, 95% CI (3.77-13.76)], attaining a college or higher education level [AOR = 2.28, 95% CI (1.14-6.58)], working as a government employee [AOR = 2.97, 95% CI (1.66-7.05)], using social media [AOR = 6.01, 95% CI (3.37-10.71)], receiving advice from health professionals [AOR = 4.17, 95% CI (2.06-5.88)], attending all follow-up appointments [AOR = 1.88, 95% CI (1.04-2.47)], and having been diagnosed for ten or more years [AOR = 2.33, 95% CI (1.15-4.72)].

CONCLUSION

The study highlighted a significant gap in awareness about hypertension risk factors and complications, with only two-fifths of participants demonstrating adequate knowledge. These findings underscore the need for targeted public health interventions, particularly focusing on rural communities, to bridge the awareness gap.

摘要

背景

高血压是一种严重的疾病,会大幅增加患心脏、大脑、肾脏及其他器官相关疾病的风险。尽管其意义重大,但关于研究区域内患者对高血压并发症及相关因素的知晓情况,可获取的信息有限。因此,本研究旨在评估高血压患者对高血压危险因素及并发症的知晓水平。

目的

本研究旨在评估成年高血压患者对高血压相关并发症的知晓情况及其影响因素。

方法

对高血压患者开展了一项横断面机构研究。采用二元和多变量逻辑回归分析,使用比值比及95%置信区间以及P值≤0.05来确定具有统计学意义的关联。

结果

该研究纳入了422名参与者,应答率达100%。在参与者中,只有42.4%(95%置信区间:37.7 - 47.2)知晓高血压危险因素、并发症及预防措施。知晓情况的关键预测因素包括为城市居民[AOR = 7.20,95%置信区间(3.77 - 13.76)]、达到大专或更高教育水平[AOR = 2.28,95%置信区间(1.14 - 6.58)]、为政府雇员[AOR = 2.97,95%置信区间(1.66 - 7.05)]、使用社交媒体[AOR = 6.01,95%置信区间(3.37 - 10.71)]、接受健康专业人员的建议[AOR = 4.17,95%置信区间(2.06 - 5.88)]、参加所有随访预约[AOR = 1.88,95%置信区间(1.04 - 2.47)]以及被诊断出患有高血压十年或更长时间[AOR = 2.33,95%置信区间(1.15 - 4.72)]。

结论

该研究凸显了在高血压危险因素及并发症知晓方面存在显著差距,只有五分之二的参与者具备足够的知识。这些发现强调需要开展有针对性的公共卫生干预措施,尤其关注农村社区,以弥合知晓差距。