Abel Willie M, Barksdale Debra J
SOHS, Division of Nursing, Winston-Salem State University, Winston-Salem, North Carolina, NC 27110, USA.
ANS Adv Nurs Sci. 2012 Oct-Dec;35(4):E1-8. doi: 10.1097/ANS.0b013e31826b842f.
The prevalence of hypertension in African Americans exceeds that of all other racial/ethnic groups in the world. Hypertension in African Americans is less likely to be controlled and this problem is further complicated by failure to adhere to prescribed hypertension management regimens. Oftentimes, health care providers give African American patients with hypertension multiple health "rules" to follow that may arouse reactance behaviors: that is, patients may choose to do the opposite of what they are told to do. The theory of psychological reactance offers a framework for understanding the relationship between freedom of choice and adherence to hypertension regimens in African Americans.
非裔美国人中高血压的患病率高于世界上所有其他种族/族裔群体。非裔美国人的高血压较难得到控制，而且由于未能坚持规定的高血压治疗方案，这个问题变得更加复杂。通常情况下，医疗保健提供者会给患有高血压的非裔美国患者多条健康“规则”去遵守，这可能会引发抵触行为：也就是说，患者可能会选择与他们被告知的做法相反的行为。心理抵触理论为理解非裔美国人的选择自由与坚持高血压治疗方案之间的关系提供了一个框架。
