埃塞俄比亚西北部巴希尔达尔市医院高血压患者坚持改变生活方式及其相关因素

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE
Integrated Blood Pressure Control Pub Date : 2023-11-29 eCollection Date: 2023-01-01 DOI:10.2147/IBPC.S436815
Gebeyaw Geremew, Fentie Ambaw, Eyob Ketema Bogale, Zeamanuel Anteneh Yigzaw
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引用次数: 0

摘要

背景:在全球范围内,高血压影响着14亿成年人,占世界人口的31%。高血压的预防和控制不仅仅是通过药物管理来解决的。尽管不受控制的高血压及其并发症的患病率每天都在增加,但在诊断为高血压的个体中,坚持改变生活方式的做法的人数很低,原因有很多。该研究旨在评估埃塞俄比亚西北部巴希尔达尔市医院的高血压患者坚持改变生活方式的做法及其相关因素。方法:于2022年10月30日至11月30日在Bahir Dar市进行了基于机构的横断面研究设计。采用分层抽样技术。对数据质量进行预检验,检查问卷是否完成,采用二值logistic回归假设(VIF 1.8,无异常值),并采用Hosmer和Lemeshow检验模型拟合。数据输入EpiInfo,使用SPSS version 23进行分析后,采用二元逻辑回归和多元逻辑回归寻找显著变量。结果:生活方式改变的总体依从性约为32.4%。从独立因素来看,中等以上教育程度(AOR = 0.201 95% CI(0.081 ~ 0.499))、良好的知识水平(AOR = 3.323 95% CI(1.79 ~ 6.168))、良好的自我效能感(AOR = 3.553 95% CI(1.91 ~ 6.613))、良好的社会支持(AOR = 8.339 95% CI(4.251 ~ 16.357))、良好的医患关系(AOR = 2.424 95% CI(1.309 ~ 4.490))是生活方式改变依从性的有统计学意义的预测因子。结论:只有三分之一的参与者遵守了建议的生活方式改变。教育程度、知识水平、自我效能、社会支持、医患关系是影响患者健康的显著因素。医疗机构应该制定计划,提高高血压患者的意识和自我效能感,帮助他们坚持改变生活方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adherence to Lifestyle Modification Practices and Its Associated Factors Among Hypertensive Patients in Bahir Dar City Hospitals, North West Ethiopia.

Background: Globally, hypertension affects 1.4 billion adults, accounting for 31% of the world population. The prevention and control of hypertension is not addressed only by pharmacological management. Even though the prevalence of uncontrolled hypertension and its complications is increasing every day, Adherence to lifestyle modification practice among diagnosed hypertensive individuals is low for a number of reasons. The study aims to assess adherence to lifestyle modification practices and associated factors among hypertensive patients at Bahir Dar city hospitals, in North West Ethiopia.

Methods: An institutional-based cross-sectional study design was conducted at Bahir Dar city from October 30 to November 30, 2022. A stratified sampling technique was used. For the data quality pre-test was done, the questionnaire was checked for completion, the assumption of binary logistic regression (VIF 1.8 and no outlier), and model fit using the Hosmer and Lemeshow's test was checked. Binary logistic and multivariate logistic regression were used to find significant variables after the data were entered into EpiInfo and analyzed using SPSS version 23.

Results: The overall adherence to lifestyle modification practices was about 32.4%. From the independent factors, above secondary educational status (AOR = 0.201 95% CI (0.081-0.499)), good knowledge (AOR = 3.323 95% CI (1.79-6.168)), good self-efficacy (AOR = 3.553 95% CI (1.91-6.613)), good social support (AOR = 8.339 95% CI (4.251-16.357)), and good patient-physician relationship (AOR = 2.424 95% CI (1.309-4.490)) were statistically significant predictors of adherence to lifestyle modification practices.

Conclusion: Only one-third of the participants had adhered to the recommended lifestyle modifications. Educational status, knowledge, self-efficacy, social support, and patient-physician relationships were significant factors. Healthcare organizations should develop programs to raise hypertension patients' awareness and degree of self-efficacy that aid in adherence to advised lifestyle changes.

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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
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