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了解患者对高血压的认知,以便在学生运营的免费诊所中进行优化管理。

Understanding Patient Perceptions of Hypertension for Optimal Management in a Student-Run Free Clinic.

作者信息

Gupta Vritti, Williams Karen B, Huffman Miranda, Pauly Rebecca R, Venkitachalam Lakshmi

机构信息

Vritti Gupta, MD, Department of Medicine, at the University of Missouri - Kansas City School of Medicine.

Karen B. Williams, PhD, Department of Biomedical and Health Informatics, at the University of Missouri - Kansas City School of Medicine.

出版信息

Mo Med. 2016 Nov-Dec;113(6):487-492.

PMID:30228539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6139782/
Abstract

The burden of hypertension (HTN) is disproportionately high among adults with low socio-economic status. Our objective was to examine the knowledge, attitudes and barriers related to HTN among this cohort. Using a mixed-methods approach, we interviewed twenty adults at a student-run safety-net health clinic. Most patients recognized HTN-related risks, but themes of denial, financial burden and misinformation emerged when addressing treatment adherence. Our findings highlight an urgent need to address patient-centric approaches in HTN management.

摘要

高血压(HTN)负担在社会经济地位较低的成年人中高得不成比例。我们的目标是研究该队列中与高血压相关的知识、态度和障碍。我们采用混合方法,在一家学生运营的安全网健康诊所采访了20名成年人。大多数患者认识到与高血压相关的风险,但在讨论治疗依从性时出现了否认、经济负担和错误信息等主题。我们的研究结果突出表明,迫切需要在高血压管理中采用以患者为中心的方法。

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本文引用的文献

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An effective approach to high blood pressure control: a science advisory from the American Heart Association, the American College of Cardiology, and the Centers for Disease Control and Prevention.控制高血压的有效方法:美国心脏协会、美国心脏病学会和疾病控制与预防中心的科学咨询意见
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Patient Educ Couns. 2013 Nov;93(2):157-68. doi: 10.1016/j.pec.2013.07.012. Epub 2013 Aug 1.
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A qualitative analysis of perceptions and barriers to therapeutic lifestyle changes among homeless hypertensive patients.对 homeless hypertensive patients( homeless 在此为形容词,意为无家可归的)进行生活方式治疗改变的认知和障碍的定性分析。
Res Social Adm Pharm. 2013 Jul-Aug;9(4):467-81. doi: 10.1016/j.sapharm.2012.05.007. Epub 2012 Jul 25.
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Hypertension management in a student-run free clinic: meeting national standards?学生经营的免费诊所中的高血压管理:符合国家标准吗?
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8
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Cochrane Database Syst Rev. 2010 Mar 17(3):CD005470. doi: 10.1002/14651858.CD005470.pub2.
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Quality of diabetes care at a student-run free clinic.学生运营的免费诊所的糖尿病护理质量。
J Health Care Poor Underserved. 2009 Nov;20(4):969-81. doi: 10.1353/hpu.0.0231.