Khyber Medical University Journal (Mar 2023)
FACTORS AFFECTING BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS VISITING A TERTIARY CARE HOSPITAL IN KHYBER PAKHTUNKHWA
Abstract
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.
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