Background: Hypertension is a common chronic disease and an important public health problem. The prevention of complications depends on hypertension control. Aim: To assess blood pressure control, complication presenc...Background: Hypertension is a common chronic disease and an important public health problem. The prevention of complications depends on hypertension control. Aim: To assess blood pressure control, complication presence, and their influencing factors. Methods: This cross-sectional study was conducted on patients with hypertension attending a private medical facility, a governmental facility, and a primary health care center in Khartoum, Sudan, between September 2022 and February 2023. Statistical Package for Special Sciences version 25 was used for data analysis;frequency and percentage were used to describe the qualitative variables. A chi-square test was used for co-relation analysis;a P-value ≤ 0.05 was considered statistically significant, and the confidence interval was 95%. Results: The study included 250 participants;55.6% were males. Their age was 58.77 ± 6.80 years, and they had hypertension for 10.7 ± 8.51 years. The duration of the disease was 10.7 ± 8.51 years. Systolic blood pressure was 127.1 ± 11.3 mm hg, and diastolic blood pressure was 81.6 ± 7.1 mm hg. Of the participants, 76.4% had controlled hypertension, while 27.6% had complications due to hypertension. Controlled blood pressure was associated with females, age group 40 - 60 years, normal waist circumference, and high adherence level (P ≤ 0.05). The presence of complications was associated with males, participants older than 60 years, and a low adherence level (P ≤ 0.05). Conclusions: In Sudan, the level of control is good;nonetheless, not all patients achieve it. Availability and access to treatment facilities and medications should be improved. Proper patient counseling should be offered, as well as continuous care.展开更多
目的探讨高血压病患者24h动态血压变化与认知功能的关系。方法采用多种神经心理学量表对60例原发性高血压病患者进行评定;所有受试对象进行24h动态血压的测量。结果在控制年龄、性别及受教育程度的影响后,高血压病患者MMSE(the mini-men...目的探讨高血压病患者24h动态血压变化与认知功能的关系。方法采用多种神经心理学量表对60例原发性高血压病患者进行评定;所有受试对象进行24h动态血压的测量。结果在控制年龄、性别及受教育程度的影响后,高血压病患者MMSE(the mini-mental state examination)得分与除舒张压负荷值外的所有血压指标均呈显著负相关。CAMCOG-C(the cognitive and self-contained part of the Cam-bridge examination for mental disorders of the elderly-Chinese e-dition)得分与24h平均收缩压,夜间收缩压负荷值呈显著负相关,其子项学习记忆、注意功能、运用等均与部分动态血压指标呈显著负相关。MMSE与24h、日间及夜间平均脉压呈显著负相关。CAMCOG-C与24h平均脉压呈显著负相关,其子项学习记忆、运用、注意功能、思维等亦与部分动态脉压及脉压指数呈显著负相关。结论高血压病患者收缩压及其负荷值的增高可通过多途径影响多区域认知功能,脉压及脉压指数的增大可能是高血压患者认知损害的危险因素之一。展开更多
目的探讨家庭自测血压管理对老年高血压病人血压控制的干预效果。方法收集362例老年高血压病人,随机分为2组,每组181例。家庭自测血压组进行家庭自测血压干预6月,每日定时测量3次,每周门诊测量血压1次,血压<140/90 mm Hg视为达标,对...目的探讨家庭自测血压管理对老年高血压病人血压控制的干预效果。方法收集362例老年高血压病人,随机分为2组,每组181例。家庭自测血压组进行家庭自测血压干预6月,每日定时测量3次,每周门诊测量血压1次,血压<140/90 mm Hg视为达标,对照组未进行家庭自测血压。记录干预期间病人高血压并发症的发生情况。干预前后分别进行病人生活质量评分,并在干预后进行依从性评分。结果研究结束时,家庭自测血压组还有病人160例,对照组有168例。干预后,家庭自测血压组的收缩压(P=0.011)、舒张压(P=0.038)较对照组显著降低,血压达标率显著高于对照组(P<0.001),并发症发生率显著低于对照组(P<0.001)。干预后,家庭自测血压组病人的遵医行为、服药行为、日常生活管理、烟酒嗜好以及总评分显著高于对照组(P<0.05);生活质量评分结果提示,其生理机能、心理职能、一般健康状态、精神健康评分亦高于对照组(P<0.05)。结论家庭自测血压是协助降压治疗的有效手段,可提高病人依从性,减少并发症发生,提高病人生活质量。展开更多
文摘Background: Hypertension is a common chronic disease and an important public health problem. The prevention of complications depends on hypertension control. Aim: To assess blood pressure control, complication presence, and their influencing factors. Methods: This cross-sectional study was conducted on patients with hypertension attending a private medical facility, a governmental facility, and a primary health care center in Khartoum, Sudan, between September 2022 and February 2023. Statistical Package for Special Sciences version 25 was used for data analysis;frequency and percentage were used to describe the qualitative variables. A chi-square test was used for co-relation analysis;a P-value ≤ 0.05 was considered statistically significant, and the confidence interval was 95%. Results: The study included 250 participants;55.6% were males. Their age was 58.77 ± 6.80 years, and they had hypertension for 10.7 ± 8.51 years. The duration of the disease was 10.7 ± 8.51 years. Systolic blood pressure was 127.1 ± 11.3 mm hg, and diastolic blood pressure was 81.6 ± 7.1 mm hg. Of the participants, 76.4% had controlled hypertension, while 27.6% had complications due to hypertension. Controlled blood pressure was associated with females, age group 40 - 60 years, normal waist circumference, and high adherence level (P ≤ 0.05). The presence of complications was associated with males, participants older than 60 years, and a low adherence level (P ≤ 0.05). Conclusions: In Sudan, the level of control is good;nonetheless, not all patients achieve it. Availability and access to treatment facilities and medications should be improved. Proper patient counseling should be offered, as well as continuous care.
文摘目的探讨高血压病患者24h动态血压变化与认知功能的关系。方法采用多种神经心理学量表对60例原发性高血压病患者进行评定;所有受试对象进行24h动态血压的测量。结果在控制年龄、性别及受教育程度的影响后,高血压病患者MMSE(the mini-mental state examination)得分与除舒张压负荷值外的所有血压指标均呈显著负相关。CAMCOG-C(the cognitive and self-contained part of the Cam-bridge examination for mental disorders of the elderly-Chinese e-dition)得分与24h平均收缩压,夜间收缩压负荷值呈显著负相关,其子项学习记忆、注意功能、运用等均与部分动态血压指标呈显著负相关。MMSE与24h、日间及夜间平均脉压呈显著负相关。CAMCOG-C与24h平均脉压呈显著负相关,其子项学习记忆、运用、注意功能、思维等亦与部分动态脉压及脉压指数呈显著负相关。结论高血压病患者收缩压及其负荷值的增高可通过多途径影响多区域认知功能,脉压及脉压指数的增大可能是高血压患者认知损害的危险因素之一。
文摘目的探讨家庭自测血压管理对老年高血压病人血压控制的干预效果。方法收集362例老年高血压病人,随机分为2组,每组181例。家庭自测血压组进行家庭自测血压干预6月,每日定时测量3次,每周门诊测量血压1次,血压<140/90 mm Hg视为达标,对照组未进行家庭自测血压。记录干预期间病人高血压并发症的发生情况。干预前后分别进行病人生活质量评分,并在干预后进行依从性评分。结果研究结束时,家庭自测血压组还有病人160例,对照组有168例。干预后,家庭自测血压组的收缩压(P=0.011)、舒张压(P=0.038)较对照组显著降低,血压达标率显著高于对照组(P<0.001),并发症发生率显著低于对照组(P<0.001)。干预后,家庭自测血压组病人的遵医行为、服药行为、日常生活管理、烟酒嗜好以及总评分显著高于对照组(P<0.05);生活质量评分结果提示,其生理机能、心理职能、一般健康状态、精神健康评分亦高于对照组(P<0.05)。结论家庭自测血压是协助降压治疗的有效手段,可提高病人依从性,减少并发症发生,提高病人生活质量。
