PHÂN TÍCH MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN KẾT QUẢ KIỂM SOÁT HUYẾT ÁP TRÊN NGƯỜI BỆNH ĐÁI THÁO ĐƯỜNG TYPE 2 ĐIỀU TRỊ NGOẠI TRÚ TẠI BỆNH VIỆN ĐẠI HỌC Y THÁI BÌNH NĂM 2024-2025

Abstract

Objective: To analysis some related factors affecting blood pressure control in outpatients with type 2 diabetes at Thai Binh Medical University Hospital from 2024 to 2025. Subjects and Methods: A cross-sectional descriptive study was conducted on 392 type 2 diabetes patients with hypertension receiving outpatient care from November 2024 to March 2025. Results: Among 392 patients, the age group from 71 to ≤ 80 years accounted for the highest proportion (41.3%), and no patients were under 40 years old. Female patients were predominant, comprising 55.9%. Patients with normal waist circumference had a significantly higher rate of blood pressure control compared to those with increased waist circumference (55.2% vs. 29.3%; p < 0.001; OR = 2.973; 95% CI: 1.958–4.514). Those with well-controlled triglyceride levels also had a significantly higher rate of blood pressure control compared to those with uncontrolled levels (61.7% vs. 38.3%; p < 0.05; OR = 1.593; 95% CI: 1.025–2.313). Behavioral factors such as home blood pressure monitoring (47.7% vs. 32%; p < 0.05; OR = 0.516; 95% CI: 0.331–0.804) and medication adherence (45.4% vs. 31.2%; p < 0.05; OR = 1.836; 95% CI: 1.080–3.122) were also significantly associated with achieving target blood pressure. Conclusion: Waist circumference, triglyceride levels, home blood pressure monitoring, and medication adherence were significantly associated with blood pressure control results. There is no association between Body Mass Index (BMI), fasting blood glucose, HbA1c, or total blood cholesterol and blood pressure control.