埃塞俄比亚东北部Dessie转诊医院慢性随访单元成年高血压患者生活方式改变依从性及相关因素

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE Integrated Blood Pressure Control Pub Date : 2020-10-23 eCollection Date: 2020-01-01 DOI:10.2147/IBPC.S275575
Atsedemariam Andualem, Habtam Gelaye, Yitayish Damtie
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引用次数: 16

摘要

背景:高血压是世界范围内的一个主要健康问题,由于严重并发症和控制不足,影响了超过10亿人。尽管改变生活方式是预防和控制高血压最有效的方法之一,但与药物治疗高血压相比,人们对它的重视程度却很少。因此,本研究的目的是评估在Dessie转诊医院就诊的高血压患者对生活方式改变的依从性及其相关因素。材料与方法:采用基于机构的横断面研究设计,于2020年5 - 6月对301例高血压患者进行研究。由于COVID-19大流行,采用方便的抽样技术选择了研究参与者。数据采用预测、结构化的面对面访谈问卷收集,经检查、清理后录入Epi数据4.4版,导出至SPSS 25.0版软件进行分析。采用二元logistic回归模型分析自变量与因变量之间的关系。结果:共有301名受访者参与了这项研究,并获得了100%的回应。本研究的总体依从性仅为23.6%。生活方式改变依从性的独立预测因子为离婚(AOR=0.35;95% CI(0.13-0.94))和丧偶(AOR=0.27;95% CI(0.10-0.75))、中学教育程度(AOR=4.85;95% CI(1.54-15.22)),无固定收入(AOR=0.22;95% CI(0.08-0.65))或月收入≥3000 ETB (AOR=5.58;95% CI(2.46-12.66)),有合并症(AOR=2.37;CI(1.23-4.57)),对疾病有良好的了解(AOR=1.83;CI(0.92-3.65))和良好的自我效能(AOR=3.64;CI(1.75 - -7.55))。结论和建议:对所建议的生活方式改变的总体依从性非常低。独立预测因子为婚姻状况、受教育程度、月收入、是否有合并症、知识和自我效能感。因此,需要多方协作实施改变生活方式以预防和控制高血压的策略,以解决患者、提供者、系统和社区层面的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Adherence to Lifestyle Modifications and Associated Factors Among Adult Hypertensive Patients Attending Chronic Follow-Up Units of Dessie Referral Hospital, North East Ethiopia, 2020.

Background: Hypertension is a major health problem throughout the world which affects over one billion people due to severe complications and inadequate control. Even though lifestyle modification is one of the most effective ways to prevent and control hypertension, only little emphasis has been given for it compared with treating hypertension with medication. Therefore, the aim of this study was to assess adherence to lifestyle modifications and associated factors among hypertensive patients attending Dessie referral hospital.

Materials and methods: Institutional-based cross-sectional study design was conducted among 301 hypertensive patients during May and June, 2020. The study participants were selected with a convenient sampling technique due to the COVID-19 pandemic. Data were collected using pre-tested and structured face to face interviewer-administered questionnaire and checked, cleaned and entered into Epi data version 4.4 and exported to SPSS version 25.0 software for analysis. The associations between independent variables and dependent variable were analyzed using binary logistic regression models.

Results: A total of 301 respondents participated in the study yielding a response of 100%. The overall adherence in this study was only 23.6%. Independent predictors of adherence to lifestyle modifications were divorced (AOR=0.35; 95% CI (0.13-0.94)) and widowed (AOR=0.27; 95% CI (0.10-0.75)), secondary school education (AOR=4.85; 95% CI (1.54-15.22)), no regular income (AOR=0.22; 95% CI (0.08-0.65)) or monthly income of ≥3000 ETB (AOR=5.58; 95% CI (2.46-12.66)), having co-morbidities (AOR=2.37; CI (1.23-4.57)), good knowledge about the disease (AOR=1.83; CI (0.92-3.65)) and good self-efficacy (AOR=3.64; CI (1.75-7.55)).

Conclusion and recommendations: The overall adherence to recommended lifestyle modifications was very low. The independent predictors were marital status, educational level, monthly income, having co-morbidities, knowledge and self-efficacy. Therefore, multifaceted and collaborative implementation of strategies about lifestyle modifications for hypertension prevention and control are needed to address barriers at the patient, provider, system and community levels.

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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊最新文献
Prevalence and Predictors of Depression Symptoms Among Afghan Hypertensive Patients: Secondary Analysis of a Multi-Center Cross-Sectional Study. Prevalence of Risk Factors for Hypertension Among Faculty at an Urban University in Uganda [Response to Letter]. Resistance Training in Cardiovascular Diseases: A Review on Its Effectiveness in Controlling Risk Factors. Thoughts on "Prevalence of Risk Factors for Hypertension Among Faculty at an Urban University in Uganda" [Letter]. Adherence to Lifestyle Modification Practices and Its Associated Factors Among Hypertensive Patients in Bahir Dar City Hospitals, North West Ethiopia [Letter].
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