尼日利亚高血压患者降低心血管疾病风险的障碍和促进因素。

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Annals of Global Health Pub Date : 2023-12-13 eCollection Date: 2023-01-01 DOI:10.5334/aogh.4131
Janet Adeola, Fiona Obiezu, Oluwakemi Odukoya, Ugonnaya Igwilo, Adewunmi Usinoma, Ehete Bahiru, Folasade P May
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引用次数: 0

摘要

背景:在撒哈拉以南非洲地区(SSA),由于人口快速增长、全球化、压力和城市化等诸多因素,高血压发病率正在上升。我们旨在了解生活在尼日利亚的高血压患者对心血管疾病(CVD)风险的认识,并找出优化高血压管理的障碍和促进因素:这项横断面调查研究在尼日利亚拉各斯的一家大型教学医院进行。我们对 2020 年 11 月 1 日至 30 日期间在心脏病学、肾脏病学或家庭医学门诊就诊的 18 岁或以上确诊为高血压的男性和女性进行了方便的抽样调查。调查采用半定量方法,由封闭式和开放式问卷组成,重点关注患者对心血管疾病风险的了解、认知以及降低心血管疾病风险的行为调整的障碍和促进因素:共有 256 名受试者,其中 62% 为女性。平均年龄为 58.3 岁(标准差 (SD) = 12.6)。确诊高血压的平均时间为 10.1 年。大多数参与者都对高血压有相当的了解;但是,我们也发现了一些知识缺口,其中包括认为过多的 "担心或过度思考 "是高血压的主要原因,以及认为没有症状表明高血压得到了控制。高血压控制方面的障碍包括年龄、不适或疼痛,以及缺乏锻炼的时间。饭菜难吃和需要为多名家庭成员做饭是减少盐摄入量的障碍。费用和难以获得药物是坚持服药的障碍。主要的促进因素是家人的支持或鼓励,以及将改变生活方式纳入日常生活:我们在研究人群中发现了有关高血压和心血管疾病的知识缺口。这些差距为医疗服务提供者、医疗系统和地方政府制定有针对性的干预措施提供了机会。我们的研究结果还有助于促进以社区为基础的干预措施,以解决高血压控制的障碍,并促进社区和家庭参与这些环境中的高血压管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers and Facilitators to Risk Reduction of Cardiovascular Disease in Hypertensive Patients in Nigeria.

Background: In Sub-Saharan Africa (SSA), the prevalence of hypertension is increasing due to many factors like rapid population growth, globalization, stress, and urbanization. We aimed to characterize the perceptions of cardiovascular disease (CVD) risk among individuals with hypertension living in Nigeria and identify barriers and facilitators to optimal hypertension management.

Methods: This cross-sectional survey study was conducted at a large teaching hospital in Lagos, Nigeria. We used a convenient sample of males and females, aged 18 or older, with a diagnosis of hypertension who presented for outpatient visits in the cardiology, nephrology, or family medicine clinics between November 1 and 30, 2020. A semiquantitative approach was utilized with a survey consisting of closed and open-ended questionnaires focused on patient knowledge, perceptions of CVD risk, and barriers and facilitators of behavioral modifications to reduce CVD risk.

Results: There were 256 subjects, and 62% were female. The mean age was 58.3 years (standard deviation (SD) = 12.6). The mean duration of the hypertension diagnosis was 10.1 years. Most participants were quite knowledgeable about hypertension; however, we observed some knowledge gaps, including a belief that too much "worrying or overthinking" was a major cause of hypertension and that an absence of symptoms indicated that hypertension was under control. Barriers to hypertension management include age, discomfort or pain, and lack of time as barriers to exercise. Tasteless meals and having to cook for multiple household members were barriers to decreasing salt intake. Cost and difficulty obtaining medications were barriers to medication adherence. Primary facilitators were family support or encouragement and incorporating lifestyle modifications into daily routines.

Conclusion: We identified knowledge gaps about hypertension and CVD among our study population. These gaps enable opportunities to develop targeted interventions by healthcare providers, healthcare systems, and local governments. Our findings also help in the promotion of community-based interventions that address barriers to hypertension control and promote community and family involvement in hypertension management in these settings.

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来源期刊
Annals of Global Health
Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.30
自引率
3.40%
发文量
95
审稿时长
11 weeks
期刊介绍: ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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