East Carolina University, College of Nursing, 2116 Health Science Building, Mailstop 162, Greenville, NC 27858, USA.
East Carolina University, College of Nursing, 4210-C Health Science Building, Mailstop 162, Greenville, NC 27858, USA.
Appl Nurs Res. 2018 Jun;41:62-67. doi: 10.1016/j.apnr.2018.04.003. Epub 2018 Apr 13.
Pharmacological management only controls 58% of those with hypertension. Combining pharmacological therapy with physical activity is important in controlling hypertension.
To examine factors associated with physical activity (PA) adherence in African Americans (AAs) with hypertension and antihypertensive medication adherence.
A cross-sectional descriptive correlational design was used to examine if systolic BP, co-morbidities, serum creatinine and potassium, education, depression, locus of control, and social support explained PA adherence in a convenience sample of AAs (N = 77) aged 55 to 84. All completed: demographic data, PA visual analog scale (VAS-PA); Multidimensional Health Locus of Control Scale; Patient Health Question-9 Depression Instrument. Physiological data and co-morbidities were also collected.
A third (n = 26) had systolic BP over 140 mm/Hg. The model explained 26% variance in adherence to PA (F = 3.378 [8, 68]; p = .003) with creatinine (p < .05), depression (p < .01), and social support (p < .05) as significant. Differences in VAS-PA scores between levels of depression were significant (F = 4.707 [269], p = .012; Eta = 0.12). Those with no depression had significantly higher PA adherence (M = 88.26, SD = 18.97) compared to mildly depressed (M = 70.24, SD 27.71) and moderately depressed (M = 66.83, SD = 23.31).
Clinicians should promote PA as an adjunct to medications for effective control of hypertension in AAs. Screening and intervening for depression are important when examining adherence to PA in AAs with hypertension.
药物治疗仅能控制 58%的高血压患者。将药物治疗与身体活动相结合对于控制高血压非常重要。
调查与高血压合并抗高血压药物治疗的非裔美国人（AA）的身体活动（PA）依从性相关的因素。
采用横断面描述性相关性设计，以检查收缩压、合并症、血清肌酐和钾、教育、抑郁、健康控制源和社会支持是否可以解释便利抽样的 AA （n=77，年龄 55 至 84 岁）的 PA 依从性。所有参与者均完成了人口统计学数据、PA 视觉模拟量表（VAS-PA）；多维健康控制源量表；患者健康问卷-9 抑郁量表。还收集了生理数据和合并症。
三分之一（n=26）的收缩压超过 140mmHg。该模型解释了 PA 依从性 26%的方差（F=3.378[8,68]；p=0.003），其中肌酐（p<0.05）、抑郁（p<0.01）和社会支持（p<0.05）具有显著意义。抑郁水平之间的 VAS-PA 评分差异具有统计学意义（F=4.707[269]，p=0.012；η²=0.12）。无抑郁的患者的 PA 依从性显著更高（M=88.26，SD=18.97），与轻度抑郁（M=70.24，SD 27.71）和中度抑郁（M=66.83，SD=23.31）相比。
临床医生应将 PA 作为药物治疗的辅助手段，以有效控制 AA 中的高血压。在检查 AA 高血压患者的 PA 依从性时，筛查和干预抑郁非常重要。
