Ljubotina Aleksandar, Materljan Eris, Mićović Vladimir, Kapović Miljenko, Stefanac-Nadarević Vesna, Ivosević Dejan
University of Rijeka, School of Medicine, Departement of Family Medicine, Rijeka, Croatia.
Coll Antropol. 2011 Mar;35(1):147-53.
The research aims were to test perception of arterial hypertension and myocardial infarction in hypertensive and normotensive men and women as well as to test perception of arterial hypertension and myocardial infarction as predictors of blood pressure control in hypertensives. In the research 470 subjects of 4 general practices from Rijeka, Croatia participated, hypertensive group from the list of hypertensive patients without cardiovascular complications and other major chronic conditions, normotensive group from the list of patients without chronic conditions. Each group had 235 subjects, 128 men and 107 women. Perception of hypertension and myocardial infarction was measured as the result on semantic differential questionnaire. Factor analysis extracted evaluation, potency and activity factor. Blood pressure control was interpreteted on the five degrees scale. Statistical significance was defined under 5% (p < 0.05). Hypertensive subjects perceived hypertension as less negative and more active, while myocardial infarction was perceived as more potent term than by normotensives. Women perceived myocardial infarction as less negative, and less potent term than men. Both groups perceived myocardial infarction as more negative, potent and active term than hypertension. Normotensive women evaluated hypertension as more negative, and perceived myocardial infarction as less potent than other subjects. Well-controlled hypertension was correlated with a lower potency of hypertension and lower activity of myocardial infarction. Both conditions are perceived as more "male" diseases. As perception of hypertension and myocardial infarction is correlated with blood pressure regulation in hypertensives, and hypertension is major risk factor for myocardial infarction, family doctors should put additional effort in changing perception of cardiovascular diseases in their patients, especially in women.
该研究的目的是测试高血压和血压正常的男性及女性对动脉高血压和心肌梗死的认知,以及测试高血压患者对作为血压控制预测指标的动脉高血压和心肌梗死的认知。在该研究中,来自克罗地亚里耶卡4家普通诊所的470名受试者参与其中,高血压组来自无心血管并发症及其他主要慢性病的高血压患者名单,血压正常组来自无慢性病的患者名单。每组有235名受试者,其中128名男性和107名女性。对高血压和心肌梗死的认知通过语义差异问卷的结果来衡量。因子分析提取了评价、效力和活动因子。血压控制采用五度量表进行解读。统计学显著性定义为低于5%(p < 0.05)。高血压受试者认为高血压的负面性较小且更具主动性,而与血压正常者相比,他们认为心肌梗死是一个更具影响力的术语。女性认为心肌梗死的负面性较小,且比男性认为的影响力更小。两组均认为心肌梗死比高血压更具负面性、影响力和主动性。血压正常的女性认为高血压的负面性更强,且认为心肌梗死比其他受试者认为的影响力更小。血压控制良好与高血压较低的影响力及心肌梗死较低的主动性相关。这两种疾病都被视为更具“男性化”的疾病。由于高血压患者对高血压和心肌梗死的认知与血压调节相关,且高血压是心肌梗死的主要危险因素,家庭医生应付出更多努力来改变患者对心血管疾病的认知,尤其是女性患者。