Norfazilah A, Samuel A, Law Pt, Ainaa A, Nurul A, Syahnaz M H, Azmawati M N
Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center.
Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center.
Malays Fam Physician. 2013 Dec 31;8(3):19-25. eCollection 2013.
Hypertension is one of the chronic diseases with a rising trend globally, including Malaysia. Patients' own perception of their illness is a strong factor that determines their health-seeking behaviour. The objective of this study was to evaluate the illness perception of hypertensive patients and the associated factors.
A cross-sectional study was conducted among 250 hypertensive patients who were randomly sampled at the Primary Care Centre of the Universiti Kebangsaan Malaysia Medical Centre (PCC UKMMC) from October 2011 to January 2012. All respondents completed a self-administered questionnaire comprising three sections: (1) Socio-demographic data, (2) Illness perception score, measured using the Malay version of Brief Illness Perception Questionnaire (BIPQ) and (3) Malay version of depression and anxiety, assessed by the Hospital Anxiety and Depression Scale (HADS). Data entry and analysis were done using Statistical Package for Social Sciences (SPSS) version 19.0.
The total illness perception score was significantly higher among Malay 5.13 (95% CI: 2.21, 8.05), those with positive family history 5.43 (95% CI: 2.14, 8.72) and respondents who have anxiety 8.56 (95% CI: 4.39, 12.73).
Primary care providers need to identify these three significant factors that are associated with patients' illness perception when managing hypertensive patients. Steps need to be taken to screen and treat anxiety among this group of patients.
高血压是一种在全球范围内呈上升趋势的慢性疾病，马来西亚也不例外。患者对自身疾病的认知是决定其就医行为的一个重要因素。本研究的目的是评估高血压患者的疾病认知及其相关因素。
2011年10月至2012年1月期间，在马来西亚国立大学医学中心初级保健中心（PCC UKMMC）对250名高血压患者进行了横断面研究。所有受访者均完成了一份自填式问卷，问卷包括三个部分：（1）社会人口统计学数据；（2）疾病认知得分，采用马来语版简短疾病认知问卷（BIPQ）进行测量；（3）马来语版抑郁和焦虑情况，通过医院焦虑抑郁量表（HADS）进行评估。使用社会科学统计软件包（SPSS）19.0版进行数据录入和分析。
马来人（5.13，95%可信区间：2.21，8.05）、有家族病史者（5.43，95%可信区间：2.14，8.72）以及有焦虑情绪的受访者（8.56，95%可信区间：4.39，12.73）的疾病认知总分显著更高。
基层医疗服务提供者在管理高血压患者时，需要识别与患者疾病认知相关的这三个重要因素。需要采取措施对这组患者进行焦虑筛查和治疗。
