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Cardiovascular medicine
Research
Hypertension prevalence alteration in 92 815 nurses based on the new standard by 2017 ACC/AHA hypertension guideline: observational cross-sectional study from China
  1. Bin Zhao1,
  2. Jing Li1,
  3. Jie Liu1,
  4. Yuming Hao2,
  5. Yanjie Zhen2,
  6. Di Feng1,
  7. Menghui Xu1,
  8. Ximin Chen3,
  9. Xiulan Yang4,
  10. Aifang Zuo5,
  11. Rufu Jia6,
  12. Ruiqin Zhang7,
  13. Ailing Fan8,
  14. Yun Wang9,
  15. Meijin Yuan10,
  16. Li Tong11,
  17. Shuling Chen12,
  18. Jing Cui13,
  19. Meizhu Zhao14,
  20. Wei Cui2
  1. 1Nursing Department, Second Hospital of Hebei Medical University, Shijiazhuang, China
  2. 2Department of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China
  3. 3Nursing Department, Second Hospital of Baoding, Baoding, China
  4. 4Nursing Department, Tangshan Gongren Hospital, Tangshan, China
  5. 5Nursing Department, Handan Central Hospital, Handan, China
  6. 6Neurology Hospital, Cangzhou Central Hospital, Cangzhou, China
  7. 7Nursing Department, The Second Affiliated Hospital of Xingtai Medical College, Xingtai, China
  8. 8Nursing Department, The People’s Hospital of Langfang City, Langfang, China
  9. 9Nursing Department, The First Hospital of Qinhuangdao, Qinhuangdao, China
  10. 10Nursing Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China
  11. 11Nursing Department, Harrison International Peace Hospital, Hengshui, China
  12. 12Nursing Department, Chengde Central Hospital, Chengde, China
  13. 13Nursing Department, Dingzhou Maternal and Child Health Care Hospital, Dingzhou, China
  14. 14Nursing Department, The First Hospital of Xinji, Xinji, China
  1. Correspondence to Professor Wei Cui; cuiwei21c{at}163.com

Abstract

Objectives This study aimed to elucidate the status of hypertension and to analyse the hypertension changes in prevalence, awareness, treatment and control rate among the portion of Chinese nursing staff based on the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) High Blood Pressure Guideline and the 2010 Chinese Guideline for the Management of Hypertension.

Design Cross-sectional study.

Setting 512 medical institutions in 13 cities in Hebei Province.

Participants The candidates of registered nurses from 512 medical institutions in 13 cities in Hebei Province (N=143 772) were invited to participate in the survey, and few of them who refused to participate were excluded from the research group based on the reasons that 93 603 incumbent nurses at the age of 18–65 accepted to the survey and submitted questionnaires online. Undoubtedly, a response rate of 65.11% was achieved. After excluding 788 individuals with incomplete information in the questionnaires, 92 815 participants were included in the final analysis.

Main outcome measures The prevalence, awareness, treatment and control rates of hypertension.

Results 92 815 participants were included in the final analysis, among which consisted of 3677 men (3.96%) and 89 138 women (96.04%). The mean age of the participants was 31.65 (SD=7.47) years.

We demonstrated that 26 875 nursing staff were diagnosed as having hypertension according to the new standard by the 2017 ACC/AHA guideline, more than 20 551 cases compared with the previous threshold on the 2010 Chinese guideline. The prevalence of hypertension among nursing staff was 28.96% in the context of the 2017 ACC/AHA guideline, 3.25 times higher than that (6.81%) evaluated by the criteria of the 2010 Chinese guideline. However, the awareness, treatment and control rate (13.50%, 10.73% and 0.81%) were 3.25, 3.22 and 17.48 times lower than those (57.37%, 45.30% and 14.97%) based on the 2010 Chinese guideline, respectively.

Conclusions This research illustrated that it was crucial to improve the awareness rate, drug treatment rate and control rate of hypertension for nurses. Meanwhile, according to the 2017 ACC/AHA guideline, the prevalence of hypertension in China will increase significantly, which poses a more severe challenge to the management of hypertension in China.

  • hypertension
  • nurses
  • prevalence
  • guideline

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjopen-2018-027201

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    Footnotes

    • Contributors WC conceived the study. WC, BZ, YH and YZ designed the study, drafted the manuscript and critically revised the manuscript for important intellectual content. JL, XC, XY, AZ, RJ, RZ, AF, YW, MY, LT, SC, JC and MZ conducted the research and collected data. JL, DF and MX analysed the data; WC, BZ, JL, YH and DF wrote the this article. All authors gave the final approval of the version to be published and are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. WC is the corresponding author and guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Ethics approval The study was reviewed and approved by the Research Ethics Committee of The Second Hospital of Hebei Medical University (no. 2016225). Consent was implied by completion of the questionnaire. All participants were voluntary and had the right to participate or refuse without any reason. To protect the privacy of respondents, electronic data were saved in a secured computer of the hospital with restricted access.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement No data are available.