疲劳,压力和血压 肌肉心脏病发作后种族对药物的坚持
Carolyn E Horne1, Willie M Abel1, Patricia B Crane1
1School of Nursing, The University of North Carolina, Charlotte, NC.
The journal for nurse practitioners : JNP
|October 9, 2023
概括
疲劳和压力会影响血压药物的服药. 黑人和白人成年人显示,种族和疲劳严重程度显著预测了坚持,强调需要考虑种族差异.
科学领域:
- 心血管健康 心血管健康
- 心理学 心理学 心理学
- 健康差异 在健康上的差异
背景情况:
- 药物坚持是管理心肌梗塞后高血压至关重要的.
- 疲劳和压力是常见的,但影响坚持的因素未得到充分研究.
- 心血管疾病发病率的种族差异仍然存在.
研究的目的:
- 为了研究疲劳,压力和血压 (BP) 药物坚持之间的关系.
- 探索黑人和白人成年人之间这些关系中的潜在种族差异.
- 为了确定成年人心肌梗塞后血压药物坚持的预测因素.
主要方法:
- 对152名有心肌梗塞史的黑人和白人成年人进行横截面研究.
- 评估疲劳,压力和自我报告的BP药物坚持.
- 使用回归分析来确定坚持的预测因素.
主要成果:
- 超过一半 (55%) 报告中度至重度疲劳.
- 疲劳和比赛显著预测了血压药物坚持 (p < .001),解释了40%的差异.
- 黑人参与者将疲劳与痛苦联系在一起 (r=.40);白人参与者将疲劳严重程度与坚持联系在一起 (r=.49).
结论:
- 疲劳和种族是血压药物坚持的重要预测因素.
- 在疲劳如何影响坚持和痛苦方面存在种族差异.
- 临床评估的坚持应纳入患者的种族和疲劳水平.
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