Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Illinois, USA.
J Adv Nurs. 2011 Mar;67(3):531-9. doi: 10.1111/j.1365-2648.2010.05504.x. Epub 2010 Nov 16.
This paper is a report of a comparison of advice on lifestyle given by healthcare providers and subsequent action by recipients between Korean Americans and native Koreans with hypertension.
High blood pressure is controllable by having a healthy lifestyle, such as weight control, dietary change, exercise, low-sodium diet, alcohol restriction and smoking cessation, and by taking medication. Healthcare providers play an important role in teaching individuals with hypertension on healthy lifestyles.
This descriptive comparative study was conducted with a convenience sample of 100 Korean Americans and 100 native Koreans with hypertension. They were interviewed between May 2003 and June 2004 on the advice they received from healthcare providers on lifestyle and their subsequent action in terms of taking medication, weight control, dietary change, exercise, low-sodium diet, smoking cessation, alcohol restriction and tension reduction. Nutrient profiles were examined using the 24-hour dietary recall method.
Korean Americans received advice on lifestyle less than did native Koreans, but more Korean Americans followed healthy lifestyle advice on dietary change and exercise than did native Koreans (P<0.001). Weight control was the least adhered to behaviour among the Korean Americans, although almost two-thirds of them were overweight or obese. Both groups exceeded the Dietary Reference Intakes of sodium, but perceived their sodium consumption as low.
Native Korean participants need to pay closer attention to carrying out the advice, whereas healthcare providers to Korean Americans need to give more advice on culturally acceptable healthy lifestyles, particularly on dietary changes and weight control. Both groups need to monitor their sodium intake more realistically. It is not only advice from healthcare providers that is integral to control of hypertension, but also that patients should follow that advice.
本研究报告比较了美国韩裔和韩国裔高血压患者的医护人员提供的生活方式建议与患者后续执行情况。
通过健康的生活方式，如控制体重、饮食改变、锻炼、低盐饮食、限制饮酒和戒烟，以及服用药物，高血压是可以控制的。医护人员在向高血压患者传授健康生活方式方面发挥着重要作用。
这是一项描述性比较研究，采用便利抽样法选取了 100 名美国韩裔和 100 名韩国裔高血压患者。于 2003 年 5 月至 2004 年 6 月期间对他们进行了访谈，内容包括他们从医护人员那里获得的关于生活方式的建议，以及他们在服药、控制体重、饮食改变、锻炼、低盐饮食、戒烟、限制饮酒和减轻压力方面的后续行动。采用 24 小时膳食回顾法检查营养状况。
美国韩裔患者获得的生活方式建议少于韩国裔患者，但更多的美国韩裔患者遵循饮食改变和锻炼方面的健康生活方式建议，而不是韩国裔患者（P<0.001）。控制体重是美国韩裔患者最不遵守的行为，尽管他们中有近三分之二的人体重超重或肥胖。两组患者的钠摄入量均超过了膳食参考摄入量，但他们认为自己的钠摄入量较低。
韩国裔参与者需要更加关注执行建议，而美国韩裔的医护人员需要提供更多关于文化上可接受的健康生活方式的建议，特别是饮食变化和体重控制方面。两组患者都需要更加现实地监测自己的钠摄入量。控制高血压不仅需要医护人员提供建议，还需要患者遵循这些建议。
