流行病压力:印度尼西亚高血压管理遵守情况的变化
Dwi H Tjandrarini1, Dewi Kristanti2, Tri Wurisastuti1
1Research Organization for Health, National Research and Innovation Agency, Cibinong Science Center, Bogor, West Java, Indonesia.
Asian nursing research
|April 30, 2024
概括
在COVID-19大流行期间,高血压管理的坚持显著下降. 没有保险的年轻,受过高等教育的人更有可能成为不遵守的,突出了针对性干预的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病管理管理
背景情况:
- 高血压管理需要始终坚持药物治疗和控制血压.
- 在全球范围内,COVID-19大流行给医疗保健和患者行为带来了前所未有的挑战.
- 了解公共卫生危机期间遵守的转变对于维持慢性疾病管理至关重要.
研究的目的:
- 在印度尼西亚博戈尔的COVID-19大流行之前和期间,确定与高血压管理遵守变化相关的因素.
- 分析高血压患者药物坚持和血压控制的变化.
- 为改善高血压护理的流行后战略提供信息.
主要方法:
- 观察性研究利用了2019年队列和2020年在线调查的数据.
- 分析了880名患有高血压的参与者的数据.
- 多变量逻辑多项式回归以确定影响粘附变化的因素.
主要成果:
- 对高血压管理的坚持从2019年的82.0%下降到2020年的47.8%.
- 在55岁以下,没有医疗保险,不肥胖,没有并发症的人群中观察到不遵守规则的增加.
- 在年轻,受过高等教育的受访者中,部分坚持 (在流行病之前坚持,但不是在流行病期间坚持) 增加.
结论:
- 流行后高血压管理干预应优先考虑年轻人,拥有高等教育的人,以及缺乏医疗保险的人.
- 为了制定有效的公共卫生战略,应对遵守率下降的子组的特定需求至关重要.
- 被认为缺乏并发症不应该阻止针对高血压管理的有针对性的支持.
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