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Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
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Personal characteristics and cognition in older African-Americans with hypertension

Kay W Klymko1, Nancy T Artinian, Rosalind M Peters

  • 1College of Nursing, Wayne State University, Detroit, MI, USA. k.klymko@wayne.edu

Journal of National Black Nurses' Association : JNBNA
|October 16, 2012
PubMed

Insights

Cognitive difficulties affect nearly half of older African-Americans with hypertension, impacting their ability to manage blood pressure. Identifying these issues is key for effective self-management support.

Area of Science:

  • Gerontology
  • Public Health
  • Neuroscience

Background:

  • Hypertension disproportionately affects African-Americans.
  • Inadequate blood pressure control is linked to cognitive decline in older African-Americans.
  • Cognitive impairment can hinder self-management of chronic conditions.

Purpose of the Study:

  • To identify personal characteristics associated with cognitive difficulties in older African-Americans with hypertension.
  • To inform the development of environmental supports for self-management.
  • To aid in identifying individuals needing targeted interventions.

Main Methods:

  • Recruited 102 African-Americans aged 60-89 with diagnosed hypertension.
  • Assessed cognitive function and personal characteristics.
  • Analyzed associations between cognitive function, depressive symptoms, and social support.

Main Results:

  • 49% of the sample exhibited cognitive impairments hindering hypertension self-management.
  • Depressive symptoms were associated with poorer cognitive function (orientation, complex skills).
  • Depressive symptoms were negatively associated with social support.

Conclusions:

  • Nurses should assess personal characteristics to plan effective hypertension self-management strategies.
  • Interventions should address cognitive deficits and depressive symptoms.
  • Environmental supports are crucial for enhancing self-management capabilities in this population.

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