在高血压患者中失控的血压及其危险因素,马拉喀什,摩洛哥
Safae Belayachi1, Fatima Zahra Boukhari1, Firdaous Essayagh2
1Faculté des Sciences et Techniques, Laboratoire Agroalimentaire et Santé, Hassan First University of Settat, Settat, Morocco.
Scientific reports
|February 5, 2024
概括
在马拉喀什,73.5%的患者中,高血压无法控制. 关键的危险因素包括吸烟,缺乏自我监测,家族病史,肥胖和不服药.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 高血压是一个重大的全球公共卫生挑战,导致大量的发病率和过早死亡率.
- 有效的血压管理对于预防长期健康并发症至关重要.
研究的目的:
- 描述在马拉喀什初级卫生中心接受护理的高血压患者.
- 在这个人群中识别与不受控制的血压相关的危险因素.
主要方法:
- 一项涉及922名高血压患者的横截面研究于2021年5月至2022年12月在马拉喀什的初级卫生中心进行.
- 通过面对面的问卷收集了关于社会人口统计,行为,临床状态,治疗和患者与医生的相互作用的数据.
- 使用多变量逻辑回归分析来确定失控血压的危险因素.
主要成果:
- 在73.5%的研究参与者中,观察到高频率的失控血压.
- 对于失控血压的重要风险因素包括烟草消费 (AOR 4.34),缺乏自我监测 (AOR 1.69),家族病史 (AOR 1.58),超重/肥胖 (AOR 1.73) 和不服药 (AOR 1.58).
- 患者的平均年龄为63.4岁,女性占该队列的77.3%.
结论:
- 马拉喀什相当一部分高血压患者的血压不受控制.
- 专注于治疗教育的有针对性的干预措施对于赋予患者有效管理高血压的能力至关重要.
- 解决吸烟,肥胖和药物坚持等已识别的风险因素对于改善血压控制至关重要.
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