Does negative affectivity have an association with achieving target values in hypertensive patients: primary care perspective.

IF 2.6 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Postgraduate Medicine Pub Date : 2023-05-01 DOI:10.1080/00325481.2023.2178771

Yusuf Cetin Doganer, Ebru Esra Yalcın, Umit Aydogan, Halil Dogrul, Muhammet Bereket, Melih Karamuk

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引用次数: 0

Abstract

Objectives: The current study aimed to seek the relationship between demographic characteristics, treatment compliance status, and type D personality characteristics to achieve target BP values.

Methods: This cross-sectional research was conducted on HT patients at three family medicine health-care services in Ankara, Turkey, between 1 February 2021, and 31 January 2022. The sociodemographic questionnaire survey, Hill-Bone Compliance to High Blood Pressure Therapy Scale (HBCHBPTS), and Type D Scale-14 (DS-14) were applied to 317 patients. HBCHBPTS consists of 14 items with three domains. DS-14 consists of 14 items assessing negative affectivity (NA) and social inhibition (SI).

Results: Patients with NA were less likely to achieve the SBP target values (62.20% vs 47.50, p = 0.011). NA scores were correlated with HBCHBPTS total scores and HBCHBPTS medication-taking domain scores. Living in a city center (β = -0.157, p = 0.017), not smoking (β = -0.114, p = 0.042), knowing the names of HT drugs (β = - 0.152, p = 0.005), having a Mediterranean-style diet (β = -0.182, p = 0.002), starting treatment immediately after diagnosis (β = -0.121, p = 0.029), older age (β = -0.164, p = 0.028), having less NA scores (β = 0.171, p = 0.029) were effective on better treatment adherence. Variables affecting the failure to achieve the SBP target values were not being in the extended family (p = 0.022, OR: 0.337), anti-HT drug side effects (p = 0.029, OR: 2.566), higher HBCHBPTS total scores (p = 0.001, OR: 1.178), higher DBP values (p < 0.001, OR: 1.141).

Conclusion: HBCHBPTS total and HBCHBPTS medication-taking domain indicators worsened as the NA and SI characteristics increased. Predictors, including those not living in an extended family, being affected by the side effects of anti-HT drugs, high HBCHBPTS total score, and high DBP values, were effective in failure to achieve the SBP target values.

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在高血压患者中，消极情绪是否与达到目标值有关:初级保健观点。

目的:本研究旨在寻求人口学特征、治疗依从性状况与D型人格特征之间的关系，以实现目标BP值。方法:本横断面研究于2021年2月1日至2022年1月31日期间在土耳其安卡拉的三家家庭医疗保健服务机构对HT患者进行。采用社会人口学问卷调查、Hill-Bone高血压治疗依从性量表(HBCHBPTS)和D型量表-14 (DS-14)对317例患者进行调查。HBCHBPTS由3个域的14个条目组成。DS-14由14个项目组成，评估负性情感(NA)和社会抑制(SI)。结果:NA患者达到收缩压目标值的可能性较低(62.20% vs 47.50%， p = 0.011)。NA评分与HBCHBPTS总分、HBCHBPTS服药域评分相关。居住在市中心(β = -0.157, p = 0.017)、不吸烟(β = -0.114, p = 0.042)、知道HT药物名称(β = - 0.152, p = 0.005)、地中海式饮食(β = -0.182, p = 0.002)、诊断后立即开始治疗(β = -0.121, p = 0.029)、年龄较大(β = -0.164, p = 0.028)、NA评分较低(β = 0.171, p = 0.029)对治疗依从性较好有效。影响收缩压达不到目标值的变量为非大家庭成员(p = 0.022, OR: 0.337)、抗ht药物副作用(p = 0.029, OR: 2.566)、HBCHBPTS总分较高(p = 0.001, OR: 1.178)、DBP值较高(p)。结论:随着NA和SI特征的增加，HBCHBPTS总分和HBCHBPTS服药域指标恶化。预测因素，包括那些没有生活在大家庭中，受到抗ht药物副作用的影响，HBCHBPTS总分高，DBP值高，在未能达到收缩压目标值时是有效的。

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

Postgraduate Medicine 医学-医学：内科

CiteScore

6.10

自引率

2.40%

发文量

110

审稿时长

6-12 weeks

期刊介绍： Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916, Postgraduate Medicine was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.