Republic of Yemen

Sana'a University
Faculty of Medicine and
Health Sciences
Incidence of Hypertension and associated Department of Com-
munity Medicine Sci-
risk factors among patients in outpatients ences
Department

at Al- Thawra Hospital in Sana'a City , Yemen

2020
 Supervisors:

Dr. Ahmed Mohammed Al-Haddad

Prof. of Community Medicine and Public Health - Sana’a University

Dr. Ahmed Qasim Al- Ansi

Ass. of Internal Medicine and consultant of cardiology - Sana’a
University
 : Researchers

Ahmed Nahed Hasan Yousef Bahaa Nasser Mohammed Barakat

Rehab Motea Ali Al.Janad Maram Foad Ali Al.Saidi

Wala'a Qasim Nasser Al.Soraihi Sondos Jamal Saleh Al.Kherbi

 1

))Background
 2

: Definition
Hypertension (HTN or HT), also known as high
blood pressure (HBP), is a long-term medical
condition in which the blood pressure in the
.arteries is persistently elevated

Represent global health problem

 3
Hypertension in adolescents has become an emerging health
.problem across the globe

Hypertension is a non-communicable disease that is very

common and affects both male and female of all races, In con-
trast, many developing countries are seeing growing numbers
of people who have heart attacks and strokes due to undiag-
nosed and uncontrolled risk factors such as hypertension by
.WHO, including Yemen
4
5
Deficient knowledge lead to delay in 6
diagnosis

Prevent and control help us to avoid

 7
JUSTIFICATION
• No recent studies had been completed regarding the number of
blood pressure patients in Yemen.

• increase in the number of patients attending outpatient internal

clinics in Al-Thawra hospital.

• sufficient data on the incidence of hypertension can guide policy

makers to design proactive and workable programs for managing
and controlling the condition..
 General objectives 8

• the incidence of Hypertension and associated risk

factors among patient at Al-Thawra Hospital in
Sana'a City, Yemen
 Specific objectives 9

• To determine the incidence of hypertension

among patient attending at Al-Thawra hospital –
Yemen
• To Identify the habits and common risk factors
among patients with hypertension.
• Determine the most common complications
related to hypertension .
 10

)Methodology(
 11

Study design

A descriptive cross-sectional study

 12

Study area
 13
Study population

• All patient who attended to outpatient clinic in Al-

Thawra general model hospital authority
 14

Sample size
The sample size was calculated based on the formula used to estimate a single pop-
ulation proportion by using 13.5 % prevalence of hypertension in districts in Sana'a
governorates, republic of Yemen [40] and a 5% margin of error with 95% confidence
.level

The expected 75% response rate, so sample of 180/0.75 = 240 patients are
. needed
 15

Data collection

• structured questionnaire
 16

Data analysis

• By using SPSS version 15

• P VALUE >0.5 was considered satitactically
important
 17

)RESULT(
18
Distribution of Hypertension patients in study 19
population
 20
Prevalent associated clinic for hypertension
Variable Category Hypertension(%) P. Value
Male 59(54.6%)
Gender .837
Female 49(45.4%)
20-40 10(9.3%)
Age group 40-60 44(40.7%) .000
>60 54(50.0%)
Married 99(91.6%)
Social status .028
Single 9(8.3%)
Educated 44(40.7%)
Education .652
Illustrated 64(59.3%)
 21
Risk factor of hypertension patient in Study group (n=108)
 22
Prevalent associated clinic for hypertension
relationship between current illness and prevalence of 23
hypertension
 24

))DISCUSSION
 26

Out of the total respondent , 132 (55%) were male

. The majority of the study samples fall over the 60
age group followed by (40-60) age group , about
108 patients with Hypertension .

The results of this study that the incidence of

Hypertension Among patients having Hypertensive
was 45%, and Normotensive 55% according to our
lecture in Sana'a university.
 27
The result of the study showed the Risk fac-
tor of hypertension was low family income
(63%), and positive family history (53.7%) ,
mild Physical activity (52.8%), overweight
(50.9%), chewing khat (38.9%), smoking &
chewing khat (31.5%) , and the result
showed that a high percentages in Hyperten-
.sive ( 55%) , Normotensive (45%)
 28
• Considering the correlation between the
incidence associated for Risk factor of
hypertension patient statistical
insignificance except habit , also in clinical
by Demographic characteristics of the
participants, it was statistical insignificance
for age and social status that mean affect
the condition , significantly less than (0.05)
 LIMITATION 29

• Few patients interact with such research and questionnaires.

• In the first place, the study determined the incidence of
hypertension and associated risk factors among patients at
Al-Thawra Hospital in Sana'a City, instead of the general
population.

• The participants chosen were few due to time and other

limited resources.
 30

)Conclusion(
 31

• The clinical parameters assessed have been

affected by their hypertensive status. In
conclusion, appropriate diet and lifestyle
management are needed to prevent the
progression of the pre-hypertension and
hypertension to stages where they can cause
target organ damage.
 RECOMMENDATIONS 33

• recommended that routine health screening should be

undertaken Yemen Health Service in various.
• using the various mass media to increase the coverage of
associated risk factors among patient.
• Encouraging patients to have regular natural care .
• Further more research in this topic.
• recommended that studies will be done on the type of
physical activity undertaken in patients.
 ‫المقدمة‬ ‫‪34‬‬

‫• أصبح ارتفاع ضغط الدم لدى المراهقين مشكلة صحية ناشئة‬

‫في جميع أنحاء العالم‪ .‬ارتفاع ضغط الدم هو مرض غير‬
‫معدي ينتشر بشكل كبير ويصيب كل من الذكور واإلناث من‬
‫جميع األجناس ‪ ،‬وعلى النقيض من ذلك ‪ ،‬تشهد العديد من‬
‫البلدان النامية أعدا ًدا متزايدة من األشخاص الذين يعانون من‬
‫النوبات القلبية والسكتات الدماغية بسبب عوامل الخطر غير‬
‫المشخصة وغير الخاضعة للسيطرة مثل ارتفاع ضغط الدم‬
 ‫المنهجية‬ ‫‪35‬‬

‫• تم حساب طريقة أخذ العينات متعددة المراحل بنا ًء على‬

‫المعادلة المستخدمة لتقدي‪š‬ر نسبة سكانية مفردة‬
‫باستخدام معدل انتشار ارتفاع ضغط الدم بنسبة ‪٪13.5‬‬
‫في محافظات صنعاء‪ .‬تم تحليل البيانات باستخدام ‪SPSS‬‬
‫ا‪š‬إلصدار ‪ .20‬واستخدمت ارتباطات بيرسون لمعرفة‬
‫االرت‪š‬باط ب‪š‬ين المتغيرات في المجتمع‪.‬‬
 ‫األهداف‬ ‫‪36‬‬

‫• الهدف ا‪š‬لرئي‪š‬سي من الدراسة هو فحص نسبة اإلصابة‬

‫بارتفاع ضغط الدم والعوا‪š‬مل المرتبطة به بين المرضى‬
‫في مستشفى الثورة في صن‪š‬عاء‪ ،‬الي‪š‬من‪.‬‬
 ‫النتائج‬ ‫‪37‬‬

‫• أوضحت الدراسة أن معدل اإلصابة بارتفاع ضغط الدم بين المرضى الذين يعانون‬
‫من ارتفاع ضغط الدم ‪ ، ٪45‬و الطبيعي ‪ .٪55‬وكانت غالبية المرضى (‪)٪54.6‬‬
‫من الذكور المصابين بارتفاع ضغط الدم ‪ ،‬وكانت غالبية المرضى (‪ )٪50‬من الفئة‬
‫العمرية (> ‪ 60‬سنة)‪ .‬وكان عامل خطر ار‪š‬تفاع ضغط الدم هو دخل األسر‪š‬ة‬
‫المنخفض (‪ ، )٪63‬والتاريخ العائلي اإليجابي (‪ ، )٪53.7‬والنشاط البدني المعتدل‬
‫(‪ ، )٪52.8‬وزيادة الوزن (‪ ، )٪50.9‬ومضغ القات (‪ ، )٪38.9‬والتدخين ومضغ‬
‫القات (‪ .)٪31.5‬والميزة السريرية النتشار ارتفاع ضغط الدم في األمراض‬
‫الباطنية (‪ ، )٪47.2‬أمر‪š‬اض القلب (‪ ،( ٪27.8‬مر‪š‬ض السكري (‪ ،)٪12‬نورو‬
‫(‪ )٪11.1‬والكلى (‪.)٪1.9‬‬
 ‫الخالصة‬ ‫‪38‬‬

‫• أظهر المشاركون في هذه الدراسة حدوث ما قبل ارتفاع‬

‫ضغط الدم وارتفاع ضغط الدم بين ا‪š‬لمرضى في‬
‫الدرا‪š‬سة ‪ ،‬ولم يسبب أ‪š‬ي خلل وظيفي‪ .‬وبالتالي ‪ ،‬هناك‬
‫حاجة إلى نظام غذائي مناسب وإدارة نمط الحياة لمنع‬
‫المضاعفات المبكرة ‪ /‬أو المستقبلي‪š‬ة الرتفاع ضغط الدم‬
‫بين المرضى‪.‬‬
 39

Acknowledgment
Dr. Ahmed Mohammed Al-Haddad

Dr. Ahmed Qasim Al-Ansi

 40

Thank you