在非洲裔美国成年人中高血压自我管理
The Journal of cardiovascular nursing
|January 3, 2025
概括
患有高血压的45岁以上的非裔美国人经常有失控的血压 (BP). 改善高血压自我管理 (HTN-SM) 是降低血压的关键,需要评估患者的行为和障碍.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 高血压不成比例地影响非裔美国人,对实现适当的血压 (BP) 控制构成重大挑战.
- 有效的高血压自我管理 (HTN-SM) 对于改善高血压结果和减少该人口中相关的发病率至关重要.
研究的目的:
- 描述中老年非洲裔美国人的高血压自我管理 (HTN-SM) 行为.
- 为了检查HTN-SM行为和本人报告的BP水平在这个人口群体之间的关系.
主要方法:
- 采用了横截面的相关设计.
- 从45岁及以上的非洲裔美国人收集数据,使用自我报告调查,包括高血压自我护理库存,通过Qualtrics或电话采访.
主要成果:
- 参与者 (N=142,平均年龄63) 报告平均静脉血压为133 mmHg,静脉血压为80 mmHg.
- 36%的人患有第二阶段高血压 (≥140/90 mmHg),37%的人患有第一阶段高血压 (≥130/80 mmHg).
- 较高的HTN-SM得分与较低的血压读数相关,尽管只有28%的人获得了充足的得分; 药物坚持和饮食是常见的,而低盐食物选择和运动较少.
结论:
- 很大一部分参与者表现出不受控制的血压和低HTN-SM得分.
- 促进有效的HTN-SM对于降低非裔美国成年人的血压至关重要.
- 建议对HTN-SM进行评估,以识别和解决改善BP控制的潜在障碍.
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