高血压患者共同决策的种族和种族差异:来自RICH LIFE项目结果
Sabrina D Elias1, Lisa A Cooper2,3, Yvonne Commodore-Mensah1,3
1Johns Hopkins School of Nursing Baltimore MD USA.
Journal of the American Heart Association
|April 23, 2025
概括
在高血压患者中,更高的共享决策 (SDM) 评分与更大的血压降低相关. SDM还显示了与种族,种族和患者激活的关联,强调了其在多样化的高血压护理中的重要性.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 健康差距 研究 研究 研究 研究
背景情况:
- 在高血压护理中存在着持续的种族和民族差异.
- 在高血压指南中建议共享决策 (SDM).
- 有限的证据探索了种族,种族和SDM在高血压管理中的相互作用.
研究的目的:
- 调查SDM,血压 (BP) 控制,种族,种族和其他高血压患者的决策因素之间的关系.
- 了解SDM如何影响不同人群的高血压结果.
主要方法:
- 从RICH LIFE项目中对1426名患有失控高血压的参与者的纵向分析.
- 使用了描述性统计,线性回归和通用估计方程.
- 数据包括基线特征,SDM分数和12个月的血压测量.
主要成果:
- 与非拉丁裔白人相比,非拉丁裔黑人个体的SDM平均得分较高 (P<0.001).
- 在12个月内,较高的SDM平均得分与较大的静缩血压降低有关 (β=-0.42,P=0.035).
- SDM与高等教育,更大的高血压知识,BP药物的感知重要性和患者激活有关.
结论:
- 增加的SDM得分与高血压患者改善的血压控制相关.
- SDM与种族/民族背景,教育,高血压知识和患者激活有关.
- 需要进一步的研究来探索跨种族和种族群体的SDM变异,以优化高血压护理.
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