FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS VISITING A TERTIARY CARE HOSPITAL IN KHYBER PAKHTUNKHWA
OBJECTIVE: To determine the factors affecting blood pressure (BP) control in adult hypertensive patients. METHODS: A total of 246 adult hypertensive patients of both genders, age 20 years and above were included in this descriptive study conducted at the Department of Medicine, Lady Reading Hospi...
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| Format: | Article |
| Language: | English |
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Khyber Medical University
2023-03-01
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| Series: | Khyber Medical University Journal |
| Subjects: | |
| Online Access: | https://www.kmuj.kmu.edu.pk/article/view/22532 |
| _version_ | 1797807235334668288 |
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| author | Yasmin Akhtar Muhammad Abdur Rahman Afridi Zafar Ali |
| author_facet | Yasmin Akhtar Muhammad Abdur Rahman Afridi Zafar Ali |
| author_sort | Yasmin Akhtar |
| collection | DOAJ |
| description | OBJECTIVE: To determine the factors affecting blood pressure (BP) control in adult hypertensive patients.
METHODS: A total of 246 adult hypertensive patients of both genders, age 20 years and above were included in this descriptive study conducted at the Department of Medicine, Lady Reading Hospital, Peshawar from May 2019 to September 2019. Statistical analysis of the data was done with SPPS version 21; Chi-square (χ2) test was applied using crosstab/correlation for the association of factors affecting the control of BP in patients with hypertension. P-value≤0.05 was considered statistically significant.
RESULTS: Out of 246 patients, 64 (26%) were males, and 182 (74%) were females. The mean age of patients was 56.09±10.33 years. Overall, BP was controlled in 74 (30.1%) and uncontrolled in 172 (69.9%) patients. Among the total, 107 (43.5%) patients were adherent and 139 (56.5%) were non-adherent to medications. Among the 107 adherent patients, 72 (67.3%) had controlled BP and 35 (32.7%) were uncontrolled. Among the 139 non-adherents, 134 (96.4%) had uncontrolled BP and 05 (3.6%) had controlled BP (p=0.000). Economically, 10.5% (n=4/38) of the ‘poor’ and 33.7% (n=70/208) of the ‘satisfactory’ patients had controlled BP whereas 89.5% (n=34/38) and 66.3% (n=138/208) had uncontrolled BP respectively (p=0.004). Age, gender, education level, duration, comorbidity, and a class of antihypertensive drugs did not affect the control of BP significantly (p>0.05).
CONCLUSION: Overall, one-third of the study participants had controlled BP and two-thirds of the adherents had controlled BP. Good adherence to medications and economic status significantly correlated with the control of hypertension. |
| first_indexed | 2024-03-13T06:19:31Z |
| format | Article |
| id | doaj.art-44340daf0b6b4737a44b810682eac462 |
| institution | Directory Open Access Journal |
| issn | 2305-2643 2305-2651 |
| language | English |
| last_indexed | 2024-03-13T06:19:31Z |
| publishDate | 2023-03-01 |
| publisher | Khyber Medical University |
| record_format | Article |
| series | Khyber Medical University Journal |
| spelling | doaj.art-44340daf0b6b4737a44b810682eac4622023-06-10T03:26:01ZengKhyber Medical UniversityKhyber Medical University Journal2305-26432305-26512023-03-011514810.35845/kmuj.2023.225321863FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS VISITING A TERTIARY CARE HOSPITAL IN KHYBER PAKHTUNKHWAYasmin Akhtar0Muhammad Abdur Rahman Afridi1Zafar Ali2College of Nursing, Medical Teaching Institution Lady Reading Hospital, Peshawar, PakistanDepartment of Medicine, Medical Teaching Institution Lady Reading Hospital, Peshawar, PakistanDepartment of Medicine, Medical Teaching Institution Lady Reading Hospital, Peshawar, PakistanOBJECTIVE: To determine the factors affecting blood pressure (BP) control in adult hypertensive patients. METHODS: A total of 246 adult hypertensive patients of both genders, age 20 years and above were included in this descriptive study conducted at the Department of Medicine, Lady Reading Hospital, Peshawar from May 2019 to September 2019. Statistical analysis of the data was done with SPPS version 21; Chi-square (χ2) test was applied using crosstab/correlation for the association of factors affecting the control of BP in patients with hypertension. P-value≤0.05 was considered statistically significant. RESULTS: Out of 246 patients, 64 (26%) were males, and 182 (74%) were females. The mean age of patients was 56.09±10.33 years. Overall, BP was controlled in 74 (30.1%) and uncontrolled in 172 (69.9%) patients. Among the total, 107 (43.5%) patients were adherent and 139 (56.5%) were non-adherent to medications. Among the 107 adherent patients, 72 (67.3%) had controlled BP and 35 (32.7%) were uncontrolled. Among the 139 non-adherents, 134 (96.4%) had uncontrolled BP and 05 (3.6%) had controlled BP (p=0.000). Economically, 10.5% (n=4/38) of the ‘poor’ and 33.7% (n=70/208) of the ‘satisfactory’ patients had controlled BP whereas 89.5% (n=34/38) and 66.3% (n=138/208) had uncontrolled BP respectively (p=0.004). Age, gender, education level, duration, comorbidity, and a class of antihypertensive drugs did not affect the control of BP significantly (p>0.05). CONCLUSION: Overall, one-third of the study participants had controlled BP and two-thirds of the adherents had controlled BP. Good adherence to medications and economic status significantly correlated with the control of hypertension.https://www.kmuj.kmu.edu.pk/article/view/22532hypertension blood pressureantihypertensive agentsblood pressure determinationblood pressure controlmedication adherencepatient complianccalcium channel blockersangiotensin-converting enzyme inhibitorsadrenergic beta-antagonistsangiotensin receptor antagonists |
| spellingShingle | Yasmin Akhtar Muhammad Abdur Rahman Afridi Zafar Ali FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS VISITING A TERTIARY CARE HOSPITAL IN KHYBER PAKHTUNKHWA Khyber Medical University Journal hypertension blood pressure antihypertensive agents blood pressure determination blood pressure control medication adherence patient complianc calcium channel blockers angiotensin-converting enzyme inhibitors adrenergic beta-antagonists angiotensin receptor antagonists |
| title | FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS VISITING A TERTIARY CARE HOSPITAL IN KHYBER PAKHTUNKHWA |
| title_full | FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS VISITING A TERTIARY CARE HOSPITAL IN KHYBER PAKHTUNKHWA |
| title_fullStr | FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS VISITING A TERTIARY CARE HOSPITAL IN KHYBER PAKHTUNKHWA |
| title_full_unstemmed | FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS VISITING A TERTIARY CARE HOSPITAL IN KHYBER PAKHTUNKHWA |
| title_short | FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS VISITING A TERTIARY CARE HOSPITAL IN KHYBER PAKHTUNKHWA |
| title_sort | factors affecting blood pressure control in hypertensive patients visiting a tertiary care hospital in khyber pakhtunkhwa |
| topic | hypertension blood pressure antihypertensive agents blood pressure determination blood pressure control medication adherence patient complianc calcium channel blockers angiotensin-converting enzyme inhibitors adrenergic beta-antagonists angiotensin receptor antagonists |
| url | https://www.kmuj.kmu.edu.pk/article/view/22532 |
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