Uncontrolled blood pressure and contributing factors among patients with hypertension at outpatient care of Bedele General Hospital, Southwest Ethiopia: A cross-sectional study

Abstract

Objective: This study aimed to assess uncontrolled blood pressure and contributing factors among patients with hypertension. Methods: Hospital-based cross-sectional study was conducted from January to April 2021 at Bedele General Hospital. Data were collected using the semi-structured questionnaire. All patients with hypertension were included using consecutive sampling technique unless ineligible. EpiData 4.4.2 was used for data entry, and SPSS 24.0 was employed for analysis. Binary logistic regression analysis was performed to identify factors associated with uncontrolled blood pressure. Results: A total of 219 patients with hypertension were included in the study. About 60.3% of participants were male. The mean age of the study participants was 48.54 ± 12.93 years. The prevalence of uncontrolled blood pressure among the study participants was 56.2%. The factors significantly associated with uncontrolled blood pressure were age >60 years (adjusted prevalence ratio = 4.42; 95% confidence interval = (1.71, 11.46); p = 0.002) and the presence of comorbidity (adjusted prevalence ratio = 2.16; 95% confidence interval = (1.22, 3.82); p = 0.008). Conclusion: More than half of the study participants had uncontrolled blood pressure. Older age and comorbidity were the predictors of uncontrolled blood pressure. Attaining controlled blood pressure is important to avoid consequences of high blood pressure. So, healthcare provider should focus on achieving target blood pressure goal.

Uncontrolled blood pressure and associated factors in adult hypertensive patients undergoing follow-up at public health facility ambulatory clinics in Bishoftu town, Ethiopia: a multi-center study

“…This study showed that the magnitude of uncontrolled BP was found to be 58.8% (95% CI: 54˗64%). This is in line with studies conducted in Tikur Anbesa General Specialized Hospital, Addis Ababa (59.9%) [ 34 ], Debre Tabor District Hospital, Northwest Ethiopia (57.1%) [ 20 ], Bale Zone Public Hospitals (56.7%) [ 35 ], Bedele General Hospital, Southwest Ethiopia (56.2%) [ 17 ], Public Health Facilities in Dessie City, Northeast Ethiopia (55.8%) [ 36 ], hospitals in Yaoundé, Cameroon (63.2%) [ 37 ], and a national survey in Vietnam (54.1%) [ 38 ]. However, it was higher than studies done at Nekemte Referral Hospital, Western Ethiopia (36.4%) [ 19 ], studies done at the University of Gondar Referral Hospital, Northwest Ethiopia (37% and 49.6%) [ 15 , 39 ], a primary care facility in South Africa (43%) [ 40 ] and studies conducted in Thailand [ 41 ], Chile [ 29 ], and Spain [ 42 ], which revealed uncontrolled BP of 24.6%, 36.9%, and 44.6%, respectively.…”

The Most Common Predictors of Uncontrolled Blood Pressure Among Hypertensive Elders: A Systematic Review

“…Foti et al, (2021) proved that the effort to control blood pressure was more difficult in every five years of increasing age and mentioned diabetes and chronic kidney disease as the comorbid [25]. Sheleme et al, (2022) also stated that after 60 years old, the risk of uncontrolled blood pressure might increase by 4,4 times higher than the younger age. The elders who live with comorbidities potentially 2,2 times have uncontrolled blood pressure [26].…”

“…Sheleme et al, (2022) also stated that after 60 years old, the risk of uncontrolled blood pressure might increase by 4,4 times higher than the younger age. The elders who live with comorbidities potentially 2,2 times have uncontrolled blood pressure [26]. These three researches proved that comorbidities as a significant factor of uncontrolled hypertension, whereas the research by Abegaz, Abdela, Bhagavathula, & Teni, (2018) noted differently that not comorbidities but sodium intake.…”

Efektifitas Video Edukasi dan Kartu Pengingat Minum Obat Terhadap Kepatuhan Pengobatan dan Kontrol Tekanan Darah pada Pasien Hipertensi

“…Pengetahuan yang kurang akan tekanan darah terkontrol untuk mencegah komplikasi, perburukan akibat komorbid dan penurunan kualitas hidup mendominasi dalam karakteristik kelompok intervensi. Sebuah laporan studi menunjukkan tekanan darah tidak terkontrol mayoritas pada pasien usia >60 tahun dengan resiko 4,4 kali dan pengaruh komorbid dapat meningkatkan resiko 2,2 kali [38]. Penelitian lainnya memberikan gambaran 50,2% tekanan darah sistolik tidak terkontrol akibat usia >60 tahun, ketidak patuhan pasien (53,4%) dan tenaga kesehatan dalam menerapkan pedoman terapi internasional (44,2%) [39].…”