Factors Associated with Uncontrolled Blood Pressure among Hypertension Patient in Khuan Don District, Satun Province
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Abstract
Background: Satun Province has a total of 30,008 patients with hypertension, with an uncontrolled blood pressure rate as high as 56.31%. In Khuan Don District, Satun Province, there are 1,059 patients with hypertension, with an uncontrolled blood pressure rate of 56.94%. Therefore, the researcher is interested in studying the factors associated with uncontrolled blood pressure among hypertensive patients in Khuan Don District, Satun Province.
Methods: This research was a cross-sectional study conducted among 220 hypertensive patients aged 18 years and older in Khuan Sato Subdistrict, Khuan Don District, Satun Province. Systematic sampling was used to select participants. Data were collected using an interview questionnaire, which included sections on personal information, health behaviors, and laboratory test results. Content validity, measured by the Item-Objective Congruence (IOC) index, was 0.95. The statistical methods used included frequency distribution, percentages, means, standard deviations, medians, interquartile ranges, and logistic regression analysis.
Results: Factors associated with uncontrolled blood pressure among hypertensive patients included waist circumference (p = 0.005), duration since hypertension diagnosis (p = 0.028), source of food (ingredients) (p = 0.049), systolic blood pressure (p < 0.001), diastolic blood pressure (p = 0.046), total cholesterol (p = 0.002), LDL cholesterol (p = 0.024 and 0.002), and estimated glomerular filtration rate (eGFR) (p = 0.048).
Conclusions: From this study, cholesterol and LDL levels were identified as important factors. Therefore, it is recommended to develop health promotion programs for hypertensive patients, focusing on dietary habits and regular screening for disease complications, ultimately leading to an improved quality of life for the patients
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