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Study on blood pressure control status and predictors of uncontrolled blood pressure among hypertensive patients

R Simkhada1

  • 1DM Cardiology, National Academy of Medical Sciences (NAMS), Mahabouddha, Kathmandu, Nepal. rsimkhada2001@yahoo.com

Nepal Medical College Journal : NMCJ
|February 28, 2013
PubMed

Insights

Despite available treatments, many hypertensive patients have uncontrolled blood pressure. Improving adherence, physical activity, awareness, and monitoring can enhance blood pressure control outcomes.

Area of Science:

  • Cardiology
  • Public Health
  • Clinical Medicine

Background:

  • Hypertension management faces challenges with unsatisfactory blood pressure control globally.
  • Effective treatment strategies are crucial for preventing cardiovascular complications.

Purpose of the Study:

  • To determine the proportion of hypertensive patients achieving controlled blood pressure under medication.
  • To analyze characteristics of uncontrolled hypertensive patients and associated factors.

Main Methods:

  • A study enrolled 147 hypertensive patients on medication for at least 6 months.
  • Data collection involved interviews, examinations, and recording baseline characteristics.
  • Statistical analysis was performed using SPSS.

Main Results:

  • Only 33.33% of patients achieved controlled blood pressure; 66.66% remained uncontrolled.
  • Uncontrolled hypertension was more prevalent in older patients.
  • Physical activity, therapy adherence, awareness of target blood pressure, awareness of complications, and frequent blood pressure monitoring positively correlated with control.

Conclusions:

  • Blood pressure control rates in this cohort are comparable to global reports.
  • Interventions focusing on patient adherence, lifestyle modification, education, and regular monitoring can improve hypertension management outcomes.

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