The Effects of Illness Perception on Diet Adherence in Patients With Hypertension

L. R. Balasi, A. Salari, A. E. Sigaroudi, A. Ashouri, F. Moaddab, F. Sabet, Azam Nourisaeed
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Abstract

Background: The role of nutrition is undeniable in controlling hypertension; diet is among the most effective non-pharmaceutical methods. The current study aimed to determine the role of illness perception on diet adherence in patients with hypertension. Materials & Methods: This cross-sectional study examined 268 patients with hypertension. The study sample was selected by convenience sampling method. The study tool consisted of the patients’ individual, social, and clinical factors, illness perception about hypertension, and adherence to the diet. The necessary data were analyzed using multiple logistic regression models. Results: The Mean±SD score of illness perception was measured as 37.09±4.91 out of 56. Adherence to the recommended diet was relatively desirable in the majority of the examined patients (62%). Multiple logistic regression analysis data revealed no significant relationship between the scores of illness perception and dietary adherence (Adjusted OR=1.038, 95%CI: 0.974-1.105, P =0.250). The main predictor of dietary adherence was having hypertension dietary knowledge (OR=2.198, 95%CI: 1.198-4.035, P=0.011). Conclusion: Our study data revealed that increasing awareness among patients with hypertension complications can improve self-care behaviors, including adherence to standard diets. Therefore, emphasis on increasing awareness among these patients and their continued follow-up seems necessar
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疾病认知对高血压患者饮食依从性的影响
背景:营养在控制高血压中的作用是不可否认的;饮食是最有效的非药物治疗方法之一。本研究旨在确定疾病认知对高血压患者饮食依从性的作用。材料与方法:本横断面研究调查了268例高血压患者。研究样本采用方便抽样法选取。研究工具包括患者的个人、社会和临床因素、对高血压的疾病认知和饮食依从性。采用多元逻辑回归模型对所需数据进行分析。结果:56分中,疾病感知的平均±SD分为37.09±4.91分。大多数接受检查的患者(62%)对推荐饮食的依从性相对较好。多元logistic回归分析数据显示,疾病认知得分与饮食依从性得分无显著相关(调整后OR=1.038, 95%CI: 0.974 ~ 1.105, P =0.250)。饮食依从性的主要预测因素是是否有高血压饮食知识(OR=2.198, 95%CI: 1.198 ~ 4.035, P=0.011)。结论:我们的研究数据显示,提高高血压并发症患者的意识可以改善自我护理行为,包括坚持标准饮食。因此,强调提高这些患者的意识和他们的持续随访似乎是必要的
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