埃塞俄比亚高血压患者坚持自我护理:系统回顾和荟萃分析。

IF 1.9 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

International Journal of Hypertension Pub Date : 2022-07-16 eCollection Date: 2022-01-01 DOI:10.1155/2022/5962571

Afework Edmealem, Sewunet Ademe, Sisay Gedamu

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引用次数: 1

摘要

背景:高血压患者的自我护理依从性是控制高血压和预防高血压并发症的基础。然而，在埃塞俄比亚高血压患者的自我保健依从性方面存在不一致的发现。因此，本系统回顾和荟萃分析是为了确定汇总估计自我保健依从性。方法:本系统评价和荟萃分析是根据系统评价和荟萃分析的首选报告项目指南进行的。对PubMed (MEDLINE)、CINHAL、Google Scholar和高级Google搜索等在线数据库进行了深入搜索，以获取报告埃塞俄比亚高血压患者自我保健依从性的已发表和未发表的文章。在95%的置信区间内，使用STATA version 11 meta命令进行汇总估计。异质性和发表偏倚分别采用I2检验和Egger’s检验。建立随机效应模型，并对异质性进行亚组分析。结果:最终的系统评价和meta分析共纳入24篇文章，共计7224名受试者。高血压患者总体自我护理依从性的汇总估计为36.98% (95% CI: 27.13-46.83)。在亚组分析中，阿姆哈拉地区的总体自我护理依从性最高，为53% (95% CI: 46.54, 59.47)。药物依从性、低盐饮食、体力活动、戒烟、戒酒和体重管理等自我保健维度的汇总估计值分别为62.71%、65.96%、47.28%、92.53%、67.59%和52.54%。结论:高血压患者良好自我护理依从性的综合评价较低。从自我照顾的维度来看，体育锻炼水平最低，戒烟水平最高。与所有地区相比，亚的斯亚贝巴、提格雷地区和埃塞俄比亚南部国家和民族的总体自我保健依从性水平最低。每次就诊时应向每位患者提供自我保健依从性筛查和健康教育。

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 Self-Care among Patients with Hypertension in Ethiopia: A Systematic Review and Meta-Analysis.

查看原文本刊更多论文

Adherence to Self-Care among Patients with Hypertension in Ethiopia: A Systematic Review and Meta-Analysis.

Background Self-care adherence for hypertensive patients is a cornerstone for the control of it and prevention of its complications. However, there are inconsistent findings for self-care adherence of hypertensive patients in Ethiopia. Thus, this systematic review and meta-analysis was done to determine the pooled estimate self-care adherence. Methods This systematic review and meta-analysis was reported based on the Preferred Reporting Items for Systematic Review and Meta-Analysis guideline. An intensive search of online databases such as PubMed (MEDLINE), CINHAL, Google Scholar, and advanced Google search was made to access both published and unpublished articles that report self-care adherence among hypertensive patients in Ethiopia. The pooled estimate was done with STATA version 11 metan commands in a 95% confidence interval. The presence of heterogeneity and publication bias were detected by I2 and Egger's test, respectively. A random-effect model was obtained, and subgroup analysis was done for the management of heterogeneity. Result A total of 24 articles with a total of 7224 participants were included in the final systematic review and meta-analysis. The pooled estimate of overall self-care adherence among hypertensive patients was 36.98% (95% CI: 27.13–46.83). In subgroup analysis, the highest overall self-care adherence was observed in the Amhara region at 53% (95% CI: 46.54, 59.47). The pooled estimate of self-care dimensions such as medication adherence, low-salt diet, physical activity, smoking abstinence, alcohol abstinence, and weight management was 62.71%, 65.96%, 47.28%, 92.53%, 67.59%, and 52.54%, respectively. Conclusion The pooled estimate of good self-care adherence among hypertensive patients was low. From the dimensions of self-care, the lowest level was in physical activity and the highest level was in smoking abstinence. Comparing all regions, the lowest level of overall self-care adherence was observed in Addis Ababa, Tigray region, and South Nations and Nationalities of Ethiopia. Screening of adherence to self-care and health education should be provided to every patient during every visit.

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来源期刊

International Journal of Hypertension Medicine-Internal Medicine

CiteScore

4.00

自引率

5.30%

发文量

期刊介绍： International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.