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Phligbua, Warunee
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Nursing

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Risk factors associated with uncontrolled blood pressure among patients with non-dialysis chronic kidney disease in Vietnam Nguyen, Van Thi Hai; Sriyuktasuth, Aurawamon; Phligbua, Warunee
Belitung Nursing Journal Vol. 7 No. 5 (2021): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1611

Abstract

Background: Uncontrolled blood pressure rates are high in patients with non-dialysis chronic kidney disease, worsening the disease progression and leading to end-stage renal disease. However, studies on uncontrolled blood pressure in patients with non-dialysis chronic kidney disease and its associated factors in Vietnam are scarce. Objectives: This study aimed at identifying uncontrolled blood pressure rates and risk factors associated with uncontrolled blood pressure among Vietnamese patients with non-dialysis chronic kidney disease. Methods: A cross-sectional, correlational study design was employed among 182 participants coming to follow up at two tertiary hospitals in Vietnam. The participants were selected by a convenience sampling technique. Data were collected using Participant Demographic Information Form, Clinical Characteristics Form, Alcohol Use Disorders Identification Test, Pittsburgh Sleep Quality Index, Charlson Comorbidity Index, and an automated office oscillometric upper arm device. Descriptive statistics, Chi-square, Fisher’s Exact Test, and binary logistic regression were used to analyze the data. Results: 63.2% of the participants could not control their BP less than 130/80 mmHg. Poor sleep quality (OR 2.076, 95%CI 1.059-4.073, p=.034) and severe comorbidities (OR 2.926, 95%CI 1.248-6.858, p=.013) were risk factors associated with uncontrolled blood pressure among Vietnamese patients with non-dialysis chronic kidney disease. Interestingly, the study found a high rate of awareness toward the importance of blood pressure control but a low rate of known blood pressure targets. Conclusion: Uncontrolled blood pressure rates among Vietnamese patients with non-dialysis chronic kidney disease were high. Sleep quality and comorbidity severity were significantly associated with uncontrolled blood pressure in this population. To achieve blood pressure targets, nurses and other healthcare providers should pay more attention to the patients with poor sleep quality and severe comorbidities.
Socio-Demographic and Clinical Profiles Associated with Sodium Consumption Behaviors in Patients with Non-Dialysis Chronic Kidney Disease: A Study in Myanmar Hlaing, Kay Thi; Sriyuktasuth, Aurawamon; Phligbua, Warunee
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.57708

Abstract

Background: Sodium consumption behaviors (SCB) play a significant role in the development of kidney failure and associated comorbidities in patients with chronic kidney disease (CKD). Despite the widespread harmful effects of excessive salt consumption, factors influencing SCB in patients with non-dialysis CKD are still little known in Myanmar. No previous study was carried out among Myanmar populations with non-dialysis CKD.Purpose: This study aimed to identify the association between socio-demographic and clinical profiles and SCB in patients with non-dialysis CKD in Myanmar.Methods: Cross-sectional data of 123 patients with non-dialysis CKD, gathered from a tertiary hospital-based study in Myanmar, were analyzed. Non-dialysis CKD patients who had been diagnosed with CKD for more than 3 months were recruited via convenience sampling. Data were collected using demographic and clinical characteristics data form, and Sodium Consumption Behaviors Questionnaire (SCBQ). Descriptive and inferential statistics were employed for data analysis.Results: The mean score of SCB was 31.5 (SD=5.1), indicating quite good behaviors. Participants who had high education (b= -.233, p= .006) and old age (b= -.169, p= .048) were more likely to have good SCB, whereas participants who took antihypertensive medication (b= .304, p= .001) and had comorbidities (b= .232, p= .006) were more likely to have poor SCB.Conclusion: The participants in this study displayed quite favorable SCB. Educational level, age, taking antihypertensive medication, and comorbidity significantly contributed to SCB. Hence, nurses and other healthcare providers should screen patients with these characteristics and provide health education to promote good SCB and prevent the progression of CKD in non-dialysis CKD patients in Myanmar.
Co-Authors Hlaing, Kay Thi Nguyen, Van Thi Hai Sriyuktasuth, Aurawamon