Khalesi Saman, Irwin Christopher, Sun Jing
a Physical Activity Research Group, Appleton Institute and School of Health, Medical and Applied Sciences , Central Queensland University , Rockhampton , Australia.
b Menzies Health Institute Queensland and School of Allied Health Sciences , Griffith University , Gold Coast , Australia.
Expert Rev Cardiovasc Ther. 2018 Mar;16(3):229-236. doi: 10.1080/14779072.2018.1435272. Epub 2018 Feb 5.
Poor hypertension control can increase the risk of cardiovascular, renal and kidney diseases, and increase the social and economic burden of the disease.
This study aimed to explore the lifestyle and self-management skills (medication adherence, self-monitoring, self-efficacy) determinants of hypertension control in a sample of hypertensive Australians. In a cross-sectional design, a total of 233 hypertensive adults completed a survey. Hypertension control was categorised as good control if hypertensive individuals managed to reduce their blood pressure (BP) < 140/90 mmHg, otherwise it was categorised as poor control. Data were analysed using bivariate analysis and hierarchical logistic regression.
55% of the participants had poor BP control. A significantly higher frequency of poor BP self-monitoring was observed in individuals with poor control compared to their counterparts. Poor self-monitoring and a sedentary lifestyle were associated with higher odds of poor control (OR: 5.33, 95% CI: 1.78 - 15.93; p < 0.01, and OR: 4.69, 95% CI: 1.00 - 22.25; p < 0.05, respectively). No significant association was observed between other variables and hypertension control.
Successful BP control for hypertensive individuals may require interventions and strategies that assist with improving BP self-monitoring skills and increasing physical activity.
高血压控制不佳会增加患心血管疾病、肾脏疾病的风险，并加重疾病的社会和经济负担。
本研究旨在探讨澳大利亚高血压患者样本中高血压控制的生活方式和自我管理技能（药物依从性、自我监测、自我效能感）决定因素。采用横断面设计，共有233名高血压成年人完成了一项调查。如果高血压患者成功将血压降低至<140/90 mmHg，则高血压控制被归类为良好控制，否则被归类为控制不佳。使用双变量分析和分层逻辑回归对数据进行分析。
55%的参与者血压控制不佳。与血压控制良好的个体相比，血压控制不佳的个体自我监测不良的频率显著更高。自我监测不良和久坐不动的生活方式与控制不佳的较高几率相关（比值比：5.33，95%置信区间：1.78 - 15.93；p < 0.01，以及比值比：4.69，95%置信区间：1.00 - 22.25；p < 0.05）。未观察到其他变量与高血压控制之间存在显著关联。
高血压患者成功控制血压可能需要采取有助于提高血压自我监测技能和增加身体活动的干预措施和策略。
