巴西高血压的家庭管理:一项横断面研究。

IF 1.7 4区 医学 Q2 NURSING
Clinical Nursing Research Pub Date : 2025-01-01 Epub Date: 2024-09-30 DOI:10.1177/10547738241282114
Paloma Cesar de Sales, Margaret M McCarthy, Victoria Vaughan Dickson, Susan Sullivan-Bolyai, Gail D'Eramo Melkus, Deborah Chyun
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引用次数: 0

摘要

在巴西,研究表明,主要家庭成员是高血压(HTN)等慢性病患者的主要支持来源。护理负担不仅会阻碍高血压的有效控制,还会造成压力和焦虑,从而可能导致护理人员患上高血压。尽管如此,很少有研究探讨护理对这些家庭成员的影响。本研究的目的是(1)描述高血压患者家庭成员血压(BP)控制的普遍性;(2)确定家庭成员对高血压管理的促进因素和障碍的看法;以及(3)确定有助于或干扰家庭成员功能(压力水平、生活质量 [QOL] 和照顾者负担)的影响因素。这项描述性横断面研究包括从 3 个家庭健康战略单位随机抽取的 213 名家庭成员。大部分家庭成员为女性(n = 143;67.1%);平均年龄为 60.1 岁(SD ± 17.02),42.6%(n = 96)的家庭成员未受过高中教育。三个最重要的促进因素和障碍与药物、就诊、健康饮食、体育锻炼和压力有关。平均收缩压为 132.7 (SD ± 21.9) mmHg,舒张压为 85.9 (SD ± 18.1) mmHg,120 名(56.3%)家庭成员血压正常。关于家庭成员对高血压患者自我护理的贡献,家庭成员在自我护理维持(148 人;69.4%)和管理(47 人;71.2%)方面的支持水平较低,而在支持高血压患者的自我护理信心方面,略占多数的家庭成员(114 人;53.5%)具有足够的信心。家庭成员(n = 189;88.8%)的压力感知水平为中高水平,但身体(n = 189;88.7%)和心理 QOL(n = 196;92%)良好,照顾者负担水平较低(n = 113;53.1%)。研究结果与各种社会文化环境影响因素有关。急需采取基于家庭的干预措施来解决高血压管理不足的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Family Management of Hypertension in Brazil: A Cross-Sectional Study.

In Brazil, research indicates that primary family members are the main source of support for individuals with chronic conditions such as hypertension (HTN). The burden of caregiving not only hinders effective HTN management but can also cause stress and anxiety, potentially leading to HTN in caregivers. Despite this, few studies have explored the impact of caregiving on these family members. Aims of the study were to: (1) Describe the prevalence of blood pressure (BP) control in family members of individuals with HTN; (2) identify family member perspectives on facilitators and barriers to HTN management; and (3) identify influences that help or interfere with family member functioning (levels of stress, quality of life [QOL], and caregiver burden). This descriptive, cross-sectional study included 213 family members randomly selected from 3 Family Health Strategy units. Family members were largely female (n = 143; 67.1%); the mean age was 60.1 years (SD ± 17.02) and 42.6% (n = 96) had less than a high school education. The three most important facilitators and barriers were related to medication, medical visits, healthy eating, physical activity, and stress. The mean systolic BP was 132.7 (SD ± 21.9) mmHg and a diastolic BP of 85.9 (SD ± 18.1) mmHg with 120 (56.3%) of family members classified as having normal BP. In regard to family member contributions to the self-care of the individual with HTN, family members displayed low levels of self-care maintenance (n = 148; 69.4%) and management (n = 47; 71.2%) support, while a slight majority (n = 114; 53.5%) had adequate levels of self-care confidence in supporting the individual with HTN. Family members (n = 189; 88.8%) showed moderate-to-high levels of perceived stress, but good physical (n = 189; 88.7%) and mental QOL (n = 196; 92%) and low levels of caregiver burden (n = 113; 53.1%). A variety of contextual sociocultural influences were associated with the outcomes under study. Family-based interventions are urgently needed to address the inadequate management of HTN.

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来源期刊
CiteScore
3.40
自引率
5.90%
发文量
107
审稿时长
>12 weeks
期刊介绍: Clinical Nursing Research (CNR) is a peer-reviewed quarterly journal that addresses issues of clinical research that are meaningful to practicing nurses, providing an international forum to encourage discussion among clinical practitioners, enhance clinical practice by pinpointing potential clinical applications of the latest scholarly research, and disseminate research findings of particular interest to practicing nurses. This journal is a member of the Committee on Publication Ethics (COPE).
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