美国菲律宾裔高血压患者的疾病认知与血压控制:一项横断面研究。

IF 1.2 4区 医学
Felicitas A Dela Cruz, Chong Ho Alex Yu, Brigette T Lao
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引用次数: 0

摘要

背景:在亚裔美国人中,菲律宾裔美国人(FAs)是美国第四大移民群体,他们填补了医疗保健劳动力的缺口,他们的高血压(HBP)患病率很高,但控制率却很低。研究表明,患者对疾病的认知、他们对疾病的常识模型(CSM)会影响治疗行为和管理结果。目的:为了填补这一空白,我们进行了一项横断面研究,目的是:(a)确定高血压 FAs 的疾病认知;(b)将这些认知分类;以及(c)确定疾病认知与血压控制之间的关联:使用 JMP Pro 17 版分析了 248 名患有 HBP 的 FAs 对简短疾病认知问卷的回答,以发现他们的 CSM 或疾病认知。我们使用迭代 K 均值聚类分析对 CSMs 的变化进行分类,并使用均值分析图确定疾病认知与血压控制之间的关联:结果:高血压 FAs 通过对疾病及其慢性时间线的情感认知表达了对 HBP 的威胁性(消极)观点,而他们的积极观点则集中在对 HBP 及其可控性的认知信念上。根据 HBP 的生物医学模型,总体疾病认知或 CSMs 包括三个组群。一般来说,威胁性疾病认知与第二阶段 HBP 有关:研究结果表明,执业护士需要诱导、倾听、辨别和理解高血压 FAs 的疾病认知或 CSMs,以便通过科学的、符合当地文化的干预措施改善血压治疗和控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Illness perceptions and blood pressure control among hypertensive Filipino Americans: A cross-sectional study.

Background: Among Asian Americans, Filipino Americans (FAs)-who constitute the fourth largest US immigrant group and who fill in health care workforce shortages-experience high prevalence but low control rates of high blood pressure (HBP). Research reveals that patients' illness perceptions, their common-sense model (CSM) of the illness, influence treatment behaviors, and management outcomes. However, scarce information exists about FAs' perceptions about HBP.

Purpose: To address this gap, we conducted a cross-sectional study to (a) identify the illness perceptions of hypertensive FAs, (b) classify these perceptions into clusters, and (c) determine the association between illness perceptions and BP control.

Methodology: The responses of 248 FAs with HBP to the Brief Illness Perception Questionnaire were analyzed using JMP Pro version 17 to discover their CSMs or illness perceptions. We used iterative K means cluster analysis to classify variations in CSMs and analysis of means chart to determine the association of illness perceptions and BP control.

Results: Hypertensive FAs expressed threatening (negative) views of HBP through their emotional perceptions of the illness and its chronic time line, whereas their positive views centered on their cognitive beliefs about understanding HBP and its controllability. Based on the biomedical model of HBP, the overall illness perceptions or CSMs encompassed three clusters. Generally, threatening illness perceptions were associated with stage 2 HBP.

Conclusions/implications: The findings underscore the need for nurse practitioners to elicit, listen, discern, and understand the illness perceptions or CSMs of hypertensive FAs to improve BP treatment and control with scientifically and culturally tailored interventions.

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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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