影响抗高血压药物的因素在历史上代表性不足的成年人中的坚持:元分析
The Journal of cardiovascular nursing
|January 10, 2024
概括
高龄和高收入与高血压患者更好地服药相关. 抑郁症状与较差的坚持有关,突出了针对性干预的因素.
科学领域:
- 心血管健康 心血管健康
- 健康差距 研究 研究 研究 研究
- 行为医学是一种行为医学.
背景情况:
- 解决血压控制方面的差异需要改善抗高血压药物 (MA) 服药.
- 确定影响MA的关键因素对于开发有效干预措施至关重要.
- 代表性不足的人群经常面临独特的挑战,影响药物坚持.
研究的目的:
- 在历史上代表性不足的人群中对与抗高血压药物 (MA) 坚持相关的因素进行元分析.
- 评估系统级因素对MA的影响,这些因素往往被研究不足.
- 为制定有针对性和文化相关的MA干预措施提供信息.
主要方法:
- 在10个数据库中进行了系统的文献搜索.
- 纳入标准侧重于对患有高血压的成年人的研究,其中至少50%来自代表性不足的种族/民族群体.
- 包括58项研究,分析数据以确定各种因素与MA之间的相关性.
主要成果:
- 年龄较大 (r=0.08) 和收入较高 (r=0.11) 显示出与更好的MA有显著的正相关性.
- 抑郁症状与MA恶化有显著的相关性 (r=-0.18).
- 在这次元分析中,性别,教育,婚姻状况,药物数量,并发症和社会支持等因素与阿尔茨海默病没有显著相关.
结论:
- 了解影响抗高血压药物MA在代表性不足的成年人中的因素是开发有效干预措施的关键.
- 未来的研究应该优先研究影响MA在这些人群中的系统级因素.
- 有针对性的,文化敏感的干预措施可以帮助减少血压控制方面的差异.
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