How Aware Are Parents of Childhood Hypertension?

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2025-05-27 DOI:10.1111/jorc.70021

Zehra Aydin

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引用次数: 0

Abstract

Background

Childhood hypertension, defined as blood pressure above the 95th percentile for age, sex, and height on three occasions, affects 3%–5% of children, with higher rates among those with kidney disease. In these cases, it is often secondary to renal pathology. Kidney disease increases hypertension risk, while uncontrolled hypertension accelerates renal damage, contributing to chronic kidney disease progression and cardiovascular issues. Early detection, particularly in high-risk groups, are critical to reducing long-term complications.

Objectives

Although many studies focus on modifiable causes, few explore parental awareness. This study aimed to assess parents' knowledge of childhood hypertension.

Design

A prospective, cross-sectional descriptive study conducted at a single center.

Participants

Parents of children with known or suspected kidney disease attending a pediatric nephrology outpatient clinic for routine follow-up.

Measurements

A 13-item questionnaire was administered to parents during routine visits to assess their awareness of childhood hypertension.

Results

The questionnaire was completed by 260 mothers and 240 fathers with varied educational backgrounds: primary school (22.8%), middle school (20.8%), high school (22%), and university (18.4%). Most parents (56.4%) were unaware that hypertension can occur in childhood, and 67.4% didn't know the link with renal disease. Only 14% recognized the connection between overweight and high blood pressure, and 15.6% knew about pharmacological treatment. Awareness increased with education level.

Conclusions

The study revealed a significant lack of awareness among parents, highlighting the need for targeted education to improve early recognition and intervention.

查看原文本刊更多论文

家长对儿童高血压的认知程度如何？

儿童高血压，定义为血压在年龄、性别和身高方面三次高于第95百分位数，影响3%-5%的儿童，肾病患者的发病率更高。在这些病例中，它通常继发于肾脏病理。肾脏疾病会增加高血压的风险，而不受控制的高血压会加速肾脏损害，导致慢性肾脏疾病的进展和心血管问题。早期发现，特别是在高危人群中，对于减少长期并发症至关重要。虽然许多研究关注可改变的原因，但很少探讨父母的意识。本研究旨在评估家长对儿童高血压的认知。设计在单中心进行的前瞻性、横断面描述性研究。参与者：已知或怀疑患有肾脏疾病的儿童的父母在儿科肾脏科门诊进行常规随访。测量方法：在常规访视期间对家长进行13项问卷调查，以评估其对儿童高血压的认识。结果共260名母亲和240名父亲完成问卷，他们的教育背景不同：小学（22.8%）、初中（20.8%）、高中（22%）和大学（18.4%）。大多数家长（56.4%）不知道儿童期可发生高血压，67.4%不知道高血压与肾脏疾病的关系。只有14%的人认识到超重和高血压之间的联系，15.6%的人知道药物治疗。意识随着教育水平的提高而提高。结论本研究揭示了家长对该疾病的认识明显不足，强调了有针对性的教育以提高早期认识和干预的必要性。

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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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.