在中风带的农村成年人中高血压自我管理和中风恢复:混合方法研究
Mudasir Andrabi1, Betty Key2, Rn Chaitali Dagali3
1The University of Alabama, Capstone College of Nursing.
medRxiv : the preprint server for health sciences
|June 30, 2025
概括
阿拉巴马州农村地区的非洲裔美国人中风幸存者表现出高血压知识和自我护理行为不佳. 调查结果显示,药物坚持,饮食,体力活动和吸烟习惯存在显著差距,需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 心血管健康 心血管健康
- 脑卒中康复治疗 脑卒中康复治疗
背景情况:
- 高血压 (HTN) 管理和健康行为在农村非洲裔美国人中风幸存者的研究不足.
- 患有高血压的中风幸存者在管理他们的病情方面面临着独特的挑战,特别是在服务不足的社区.
研究的目的:
- 评估与高血压管理相关的知识和健康行为,在阿拉巴马州农村地区的非裔美国成人中风幸存者中.
- 确定这一群体的特定需求和偏好,以制定定制的干预措施.
主要方法:
- 一项采用社区参与策略的混合方法试点研究.
- 通过调查收集的定量数据 (HTN知识水平量表,HTN自我护理活动水平影响,南安普顿中风自我管理问卷).
- 通过与参与者的子集进行半结构化访谈收集的定性数据.
主要成果:
- 大多数 (76%) 的参与者表现出低高血压知识.
- 在药物坚持 (76%),DASH饮食 (84%) 和体力活动 (56%) 中观察到有限的坚持,其中72%的人报告吸烟习惯.
- 定性主题包括缺乏知识,治疗坚持不良,分片的退院后护理和社会支持不足.
结论:
- 在农村非洲裔美国人中风幸存者中,高血压知识和自我护理行为存在显著的差距.
- 调查结果强调需要文化敏感,社区知情的干预措施,以改善高血压管理和健康结果.
- 建议进行更大规模的研究,以进一步评估心脏健康知识,并为这种服务不足的人群量身定制干预措施.
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