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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.

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。

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