母女关系对高血压自我管理和生活质量的影响：使用演员-伙伴相互依赖模型检验二元动态。
Impact of Mother-Daughter Relationship on Hypertension Self-management and Quality of Life: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model.
机构信息
Celeste Shawler, PhD, PMHCNS-BC Associate Professor, University of Louisville School of Nursing, Kentucky. Jean Edward, PhD, RN, CHPE Assistant Professor, College of Medicine, University of Kentucky Medical School, Lexington. Jiying Ling, PhD, MS, RN Assistant Professor, School of Nursing, Michigan State University, East Lansing. Tim N. Crawford, PhD, MPH Assistant Professor and Biostatistician, University of Louisville School of Nursing, Kentucky. Mary Kay Rayens, PhD Professor, University of Kentucky College of Nursing, Lexington.
出版信息
J Cardiovasc Nurs. 2018 May/Jun;33(3):232-238. doi: 10.1097/JCN.0000000000000448.
BACKGROUND
Although hypertension (HTN) treatment rates are similar across age groups of women, effective control is significantly worse among older women. Only 20% of hypertensive women aged 70 to 79 years have controlled blood pressure.
OBJECTIVES
The purpose of this longitudinal study was to test the effects of the quality of mother-daughter relationship, inner strength, and control on HTN self-management and health-related quality of life (HRQOL) for both members of the dyad at 6 months. The Actor-Partner Interdependence Model was used to examine the direct ("actor") and indirect ("partner") effects of 46 dyads.
RESULTS
The mothers' perceived relationship quality with daughters directly impacted their own self-management of HTN and HRQOL while also indirectly affecting their daughters' self-management. Similarly, the daughters' perceived strength of their relationship with their mothers directly influenced their self-management and HRQOL and indirectly affected their mothers' self-management and HRQOL.
背景
尽管女性各年龄段的高血压（HTN）治疗率相似，但老年女性的有效控制率明显较差。只有 20%的 70 至 79 岁的高血压女性血压得到控制。
目的
本纵向研究旨在检验母女关系质量、内在力量和控制对 HTN 自我管理和健康相关生活质量（HRQOL）的影响，该研究在 6 个月时对母子双方进行测试。采用演员-伙伴相互依存模型检验了 46 对母子的直接（“演员”）和间接（“伙伴”）效应。
结果
母亲对与女儿关系的感知质量直接影响其自身 HTN 自我管理和 HRQOL，同时也间接影响女儿的自我管理。同样，女儿对与母亲关系的感知力量也直接影响其自身的自我管理和 HRQOL，并间接影响母亲的自我管理和 HRQOL。
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